Long-term Benefits Outweighs Risks of Running an SBM, Report Finds

A growing number of reports have showed it is in states’ interests to run their own health insurance marketplace.  

Most recently, a report from the Urban Institute and the Georgetown Center on Health Insurance Reforms uncovered the primary factors driving states to switch from the HealthCare.gov platform to a full state-based marketplace (SBM). The authors of the report spoke with 22 stakeholders from Nevada, New Jersey, New Mexico, Oregon and Pennsylvania—all states transitioning to an SBM model—to gather evidence 

(more…)

Continue Reading

Softheon’s Second Annual Diwali Celebration

Softheon’s Diwali Night is celebrated annually during the month of October. Diwali, or Deepavali, a Sanskrit word meaning “rows of lighted lamps,” is a Hindu-originated festival is celebrated nationally by most Indians regardless of their faith. During the five-day celebration known as the “Festival of Lights” clay lamps known as Diya’s are lit to signify the victory of good over evil, according to the Hindu American Foundation. The festival, which coincides with the Hindu New Year, celebrates new beginnings and the triumph of good over evil and light over darkness.

(more…)

Continue Reading

What You Need to Know: Proposed Reforms to the Federal Anti-Kickback Statute and the Stark Law

Last week, the Department of Health and Human Services (HHS) published two proposed rules: “Modernizing and Clarifying the Physician Self-Referral Regulations” and “Revisions to the Safe Harbors Under the Anti-Kickback Statute and Civil Monetary Penalty Rules Regarding Beneficiary Inducements.” This piece provides a recap of the main points and motivations in each rule.

(more…)

Continue Reading

Waste Accounts for 25% of Health Care Spending. Addressing Fraud and Abuse Can Help.

It already hurts to hear that the United States spends more on health care than any other country, with costs approaching 18% of the gross domestic product and more than $10,000 per individual.

A report published last week in The Journal of the American Medical Association makes those numbers even more painful as it reveals the estimated cost of waste in the United States ranges from $760 billion to $935 billion, accounting for approximately 25% of total health care spending. This amount exceeds national military spending, as well as total primary and secondary education spending.

(more…)

Continue Reading

Go Beyond the Cloud with Rachel Wang

Meet Rachel Wang, a data scientist at Softheon.

Born in the province of Shendong in northeastern China, Rachel came to the United States to pursue education and professional development. She already studied mathematics and economics at a college in China but sought further mastery in mathematics. Thinking mathematically comes easily to her and she enjoys how “every problem is a math problem.”

(more…)

Continue Reading

Don’t Leave Money on the Table: Five Steps to Addressing SDOH

PricewaterhouseCoopers Health Research Institute recently released their new report: “Action Required: The Urgency of Addressing Social Determinants of Health.” Anyone in health care eager to save on costs and create efficient medical interventions should review this report. This piece provides a review of report, highlighting the five steps PwC recommends taking to lead in social determinants of health (SDOH).

(more…)

Continue Reading

Let the Data Speak for Itself: The Relationship Between Work and Health

Both before and after the Centers for Medicare and Medicaid Services’ (CMS) policy reversal on work requirements, stakeholders have debated whether employment leads to improved health outcomes. CMS and states that have implemented or are trying to implement work requirements argue they do, while others disagree. The recent research of the Kaiser Family Foundation (KFF), a nonpartisan organization, illuminates what the data says on the relationship between work and health. This piece provides a recap of KFF’s findings.

(more…)

Continue Reading

Rising Uninsured Rate and How States Can Respond

Earlier this month, many noted the Census Bureau’s report of the increasing number of uninsured Americans. 8.5 percent, about 27.5 million people, lacked health insurance in 2018, up from 7.9 percent in 2017. It was the first year-to-year increase in the uninsured rate since the Affordable Care Act (ACA) in 2010.

(more…)

Continue Reading
Close Menu