- Illinois: Illinois Gov. Bruce Rauner (R) on Monday presented plans to overhaul the state's Medicaid managed care system. According to Crain's Chicago Business/Modern Healthcare, the goal is to "squeeze out savings" for the program. As part of the overhaul, Rauner wants to cut the number of managed care plans from 12 to between four and seven. At the same time, Rauner wants to boost the share of Medicaid beneficiaries who are enrolled in a Medicaid managed care program, from about 65 percent to 80 percent (Schorsch, Crain's Chicago Business/Modern Healthcare, 2/27).
- Oregon: A 4-month old Iranian infant with a rare heart condition who was unable to enter the United States earlier this year is "out of the woods" and making progress after a life-saving surgery on Feb.17, doctors said. The girl and her parents initially had to cancel their plans to travel to the United States for the surgery after President Trump issued an executive order on immigration preventing individuals from seven predominantly Muslin countries, including Iran, from entering the United States. Several days later, the girl and her family were able to travel to the United States after receiving a waiver on the same day a federal judge issued a temporary block on the ban (Hansen, AP/Sacramento Bee, 2/27).
- Tennessee: The 30-member volunteer fire department in Cumberland Gap is staffed entirely by students from the nearby Lincoln Memorial University's DeBusk College of Osteopathic Medicine. According to Hospitals & Health Networks, students began volunteering in 2013 after several members of Cumberland Gap's local firefighting team left and the department faced closure. The volunteers have to balance their firefighting duties with schoolwork—including one instance when they had to respond to a house fire at midnight before a final exam—but the students say the commitment is worth it. "We need to give back," said Patrick Herling, a medical student and volunteer firefighter. "We need to get to know this community" (Arcuri, Hospitals & Health Networks, 3/1).
Don't miss the mark in contract negotiations
The complexities of payer negotiations can make a successful outcome seem like a moving target. But with the right strategy and resources, you can come to the table empowered to secure high-yield contract terms.
Before heading into your next negotiation, review our guide to the dos and don’ts of negotiations to ensure you walk away with the best contracts possible.