Federal Court Blocks Anthem-Cigna Merger!
On February 8, the U.S. District Court for the District of Columbia issued a ruling that blocked the proposed merger of the two health insurance giants Anthem and Cigna.
MSMA strongly objected to the merger at both the state and federal level, citing the unhealthy concentration of market power the newly-combined entity would have. MSMA, the AMA, and others loudly warned that the resulting anti-competitive insurance environment would be harmful to the public, with higher premiums, greater out-of-pocket costs, narrow provider networks, and reduced access to care.
The court, siding with the U.S. Department of Justice which filed the lawsuit against the proposal, found that the merger would have worsened an already highly-concentrated market, and likely would have raised prices. The court also found that Anthem did not defend its allegation that “all providers, no matter their size, location, or financial structure, are operating at comfortable margins well above their costs.”
This is an important victory for physicians and their patients, and comes on the heels of an equally significant court ruling in January that blocked a similar merger between Aetna and Humana. Don’t let them tell you organized medicine doesn’t do anything for you.
On October 14, the Department of Health and Human Services issued its final rule to implement the Quality Payment Program (QPP) which was created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) to replace the flawed Sustainable Growth Rate formula for updating the Medicare physician fee schedule.....read more.
ACA’s Nondiscrimination Rule Goes Into Effect
By October 16, 2016, all covered entities, no matter how large or small, must post information in a conspicuous place notifying individuals that the entity/practice does not discriminate on the basis of race, color, national origin, sex, age, or disability.
The U.S. Department of Health and Human Services (HHS) has issued a final rule implementing Section 1557 of the Affordable Care Act of 2010....read more.
What can I do to prevent Opioid Abuse?
Opioid abuse is a national epidemic that you have the power to help prevent. The AMA Task Force to Reduce Opioid Abuse wants physicians across the nation to join together and take action to prevent opioid abuse.
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