Category Archives: Health Care Market

The business side of health care.

New Open Enrollment Period Explained

We have blogged several times about the new open enrollment period that has been created for individuals who buy private health insurance coverage for themselves individually or for their families.  We have created a flow chart that explains the new … Continue reading

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UPDATED: Governor Patrick Talks Payment Reform: “The next big frontier is payment reform”

UPDATE: In his inaugural speech, the Governor was clear about his vision of health care cost control and payment reform: We can’t be satisfied until health care is as affordable as it is accessible. That means creating incentives for all … Continue reading

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DOI’s MLR Turn

The Division of Insurance held a hearing this morning on the definition of “medical loss ratio” under Massachusetts law. The DOI released an emergency regulation on October 1st. Medical loss ratio (or MLR) is the percentage of an insurance premium … Continue reading

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Caritas Sale Closes

Seven months after they initially shook hands, Caritas Christi Health Care, the state’s second largest hospital chain, officially closed its sale to an affiliate of Cerberus Capital Management, a New York private equity firm. The deal culminates a four-year odyssey … Continue reading

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Happiest Place on Earth Report (Updated)

Georgia Maheras, HCFA’s Private Market Policy Manager, is in Orlando this week as a consumer representative at the National Association of Insurance Commissioners fall meeting. She’s one of 28 designated consumer voices, competing with thousands of insurance industry lobbyists for … Continue reading

Posted in Health Care Market, National Health Reform | 2 Comments

DPH Approves Caritas Transfer

The Department of Public Health’s Public Health Council today put its stamp of approval on the transfer of the six Caritas Christi hospitals to Steward Health Care. Approval of the deal by the Massachusetts Supreme Judicial Court, which is expected … Continue reading

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AG Mandates Consumer Protections in Sale of Caritas

Seven months ago, when the proposed sale of the Caritas Christi hospital network to Cerberus Capital Management was announced, many were concerned about how Cerberus, a Wall Street private equity firm with no experience running a hospital, would manage the … Continue reading

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Harvard Pilgrim Drops a Medicare Plan, NOT Due To Health Reform

There was lots of national attention on Harvard Pilgrim’s announcement last week that it was dropping its Medicare Advantage plan. As noted by Maggie Mahar on the Century Foundation’s blog, the anti-Obama crowd leapt up to declare this as another … Continue reading

Posted in Health Care Market, National Health Reform | 1 Comment

What Will Happen if Cerberus’s Gamble Goes Bust?

Last Sunday’s Boston Globe lead editorial echoes many of the concerns of consumers across the Commonwealth who are questioning the proposed sale of the Caritas Christi hospital chain to the Wall Street private equity firm Cerberus. While acknowledging that the … Continue reading

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Per ACA, NAIC OKs MLR. Next, MA?

Apparently, it’s in the blogger code to preface all discussion on the formerly-arcane issue of health insurers’ “medical loss ratio” (MLR) with a comment on the term. It does always strike me as odd that, from an insurer’s accounting point … Continue reading

Posted in Health Care Market, National Health Reform | 3 Comments