Plaintiffs who lost in the 4th U.S. Circuit Court of Appeals ruling over the legality of health insurance subsidies being paid to those who bought plans on nonstate exchanges last week formally asked the U.S. Supreme Court to take up the case.
Two weeks ago, three judges in the 4th Circuit ruled in King v. Burwell that health insurance subsidies granted through the Patient Protection and Affordable Care Act were legal in both state and federal exchanges. The decision came mere hours after the U.S. Circuit Court of Appeals for the District of Columbia produced a contradictory decision in Halbig v. Burwell. The conflicting rulings have led to uncertainty about whether people in 36 states that rely on the federal exchange will still receive subsidies once the Supreme Court rules on the issue. Losing those subsidies could gut the core of ACA’s intent to insure more Americans. In a writ of certiorari to the Supreme Court from the conservative Competitive Enterprise Institute, the King plaintiffs said the highest court must make a final call on the controversy.
The Texas Health and Human Services Commission has hired Accenture to take over its Medicaid claims processing work
Xerox’s engagement ended in May amid controversy that led to the state suing the processor. Xerox has denied any wrongdoing. The Accenture contract kicked off last Friday, will run for three years and carries the option of two additional years. Accenture will process more than 12.5 million Medicaid claims monthly, maintaining data on Medicaid managed-care transactions, and responding to provider and client inquiries.
A group of independent Oregon and Washington pediatricians has launched an analytics tool that will connect doctors with the full scope of a child’s health history.
The Children’s Health Alliance, a not-forprofit association of 105 pediatricians, will start offering the technology in September, with a full rollout coming by year-end, said Deborah Rumsey, CHA executive director. The group developed the project with Wellcentive, a population-health tech company based in Roswell, Ga.