Health Care Matters Newsletter
Get the latest from Coral Health Advisors with our weekly rundown on public health, health care trends, and policies.

Health Care Matters | January 10, 2025
Concerns over UnitedHealth Group's Medicare Advantage practices, systemic issues in the health care industry, and Americans' declining perceptions of overall health care quality. Upcoming events like the Virtual Value-Based Payment Summit, the launch of TMaH model, and the regulatory implications of recent legal decisions on medical AI.

Health Care Matters | January 3, 2025
Upcoming health care trends, policy updates, new laws affecting Medicare, health care start-ups, and state health care initiatives. New value-based care resources, the financial impact of health equity initiatives, and key findings from national health expenditure reports.

Health Care Matters | December 20, 2024
The collapse of a government funding agreement, CMS initiatives like the Innovation in Behavioral Health Model and the Transforming Episode Accountability Model (TEAM), along with the CMS Health Equity Conference proposal submissions and insights on health care challenges from the Tradeoffs podcast.

Health Care Matters | December 13, 2024
The No Surprises Act implementation, Medicaid funding cuts, and rural hospitals' struggles with Medicare Advantage plans. Also issues in nursing home quality oversight, updates from the CMS Innovation Center, and new leadership at NAACOS.

Health Care Matters | December 6, 2024
Post-election policy updates, Senate minority leadership elections, and cabinet nominations. Medicare rule proposals, reports on the 340B Drug Pricing Program, key takeaways from the CY2025 Physician Fee Schedule Final Rule, and an upcoming in-person event on accountable care.

Health Care Matters | November 22, 2024
National Rural Health Day, innovative strategies for overcoming barriers, and financial issues faced by rural hospitals. As well as, post-election policy updates, Medicaid/CHIP approvals in five states, ongoing concerns about ghost networks in health insurance, and new insights into value-based care and specialty integration.

Health Care Matters | November 15, 2024
The implications of Republican control in government post-election, updates on Trump's cabinet nominations, insights into the ACO REACH model's 2023 financial performance. As well as upcoming health policy events, rural health transformation initiatives, and a tribute to health care leader Jeff Micklos.

Health Care Matters | November 08, 2024
Post-election coverage, how recent outcomes may shape health care policies under a second Trump administration. Newly released Medicare rules, upcoming health policy events, and a lighthearted break from policy updates.

Health Care Matters | November 01, 2024
The the Medicare Shared Savings Program saved Medicare $2.1 billion in 2023, the Affordable Care Act reduced the uninsured rate without increasing spending. An event on Medicare and Medicaid integration and new health equity resources.

Health Care Matters | October 25, 2024
Lawsuits by UnitedHealth Group, Humana, and Centene against CMS over Medicare Advantage star ratings, the financial implications of potential rating drops, and trends from the NAACOS Fall 2024 Conference,

Health Care Matters | October 18, 2024
The CMS's initiative for accountable care by 2030, the settlement involving the Blue Cross Blue Shield Association related to antitrust claims. The importance of strategic reforms and improvements to enhance competition and provider reimbursements in the health care sector.

Health Care Matters | October 11, 2024
CMS’ evaluation of the Acute Hospital Care at Home initiative, 2024 Physician Compensation Survey, and Vice President Kamala Harris' proposal to expand Medicare to include long-term home care services. As well as, the unmet needs among low-income Medicare Advantage beneficiaries and a racial health equity progress report.

Health Care Matters | October 4, 2024
Congress's unfinished health care priorities, concerns over Medicare Advantage plans facing lower star ratings, and new resources on value-based care and ACO success strategies. As well as, upcoming funding opportunities for state-based health care cooperatives.

Health Care Matters | September 27, 2024
Congress passes a stop-gap spending bill to avert a government shutdown, the Senate holds Steward Health Care's CEO in criminal contempt, insights on the U.S. health care system's performance, Medicare Advantage bonus payments, and a podcast on private equity acquisitions in hospices.

Health Care Matters | September 20, 2024
Updates on the PACE program expansion in California, Elevance Health’s efforts to recover funds from providers due to alleged overprescribing of Ozempic, improving primary care payments for Medicare outcomes, insights into the latest physician fee schedule proposals, and resources about the Patient-First Care model.

Health Care Matters | September 13, 2024
The ongoing congressional negotiations to prevent a potential government shutdown by October 1st, new regulations strengthening mental health parity requirements, recent legal corrections regarding the FTC's non-compete rule, and updates on various health care funding and regulatory issues.

Health Care Matters | September 6, 2024
A projected shortage of health care workers nationwide by 2028, legal challenges to the FTC’s noncompete rule, and MIPS payment adjustments.

Health Care Matters | August 30, 2024
The rise in state legislation targeting prior authorization, the dismissal of a Medicare Advantage overcharging plan due to industry pushback, insights from a podcast on health issues in the general election, and a discussion on designing incentive structures for value-based care.

Health Care Matters | August 23, 2024
Medicare’s upcoming lower drug prices for Part D, the formation of Mosaic Health, and CMS’s new data-sharing strategy. Also payer strategies for health equity, the Preliminary ACO PC Flex Rate Book, and a new podcast on mental health crisis response.

Health Care Matters | August 16, 2024
The growth of prior authorization denials in Medicare Advantage, CMS’s new Transitional Coverage for Emerging Technologies (TCET) Pathway, insights on health care spending growth targets, the 2024 Rural Health Hackathon, and how cost-effectiveness analyses might perpetuate health disparities.