Modern Healthcare - - LATE NEWS -

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

from Xerox.

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.

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