About: Katherine Restrepo

Recent Posts by Katherine Restrepo

BCBS NC Exiting Obamacare Exchange In 2017?

Maybe. As stated by Brad Wilson, CEO of the state’s largest health insurance company, 5 percent of Affordable Care Act (ACA) individual policyholders consumed $830 million in health care costs during year one of the law’s federal exchange rollout back in January 2014. From that population, the carrier received just $75 million in revenue fromContinue Reading

Big Data In Health Care

The North Carolina General Assembly has enacted a Medicaid Reform that is set to phase in by 2022. The proposal looks to better manage Medicaid costs and improve patient health outcomes by utilizing Big Data through the statewide Health Information Exchange (HIE). Big Data is all the rage nowadays in health care, and it’s anContinue Reading

Increase Access To Health Care By Removing Regulatory Barriers For Advanced Practice Nurses

This morning’s Joint Legislative Oversight Committee Meeting on Health and Human Services touched on a variety of topics, some of which included regulations that stifle access to health care – especially in rural and underserved areas. Certificate of Need (CON) laws was one of those talking points. My colleagues and I have written a lot about this.Continue Reading

The Results Are In: 2016 Obamacare Exchange Enrollment Not Stellar

When Obamacare was signed into law in March 2010, the CBO projected that 21 million people nationwide would gain insurance coverage through the federal health law’s health insurance exchanges. This figure has since been revised to 13 million. Since the closing of Obamacare’s third annual enrollment period for consumers to renew or purchase a qualifiedContinue Reading

Medicaid Expansion Puts Most Vulnerable Citizens At Risk

People often interchange health coverage and health care, but they are two very different concepts. If North Carolina were to opt for Obamacare’s Medicaid expansion, patients who are currently on the program will end up competing for access to health care services with an additional 500,000 enrollees. Last week’s Health Care Update highlighted the fiscalContinue Reading

Removing Federal Barriers Can Spur Direct Primary Care Growth In North Carolina

Direct Primary Care (DPC) is the epitome of value-based medicine. In exchange for a monthly cash payment, patients have 24/7 access to their medical provider and a defined package of medical services. The DPC movement may be small in number, but it’s a growing force that is gaining popularity here in North Carolina. To date, thereContinue Reading

Health Savings Accounts Key For Retirement Medical Expenses

More and more Americans are transitioning to pairing high deductible health plans with a Health Savings Account (HSA). According to America’s Health Insurance Plans (AHIP), almost 20 million policyholders are enrolled in these tax-preferred accounts when it comes to setting aside funds for medical expenses in the near future and for retirement. Below are justContinue Reading

North Carolina Medicaid Expansion: Short-Term Gain, Long-Term Pain

If North Carolina were to expand Medicaid eligibility for those under 138% FPL ($16,000 for an individual) who currently do not qualify for the program — 82% whom are able-bodied, childless adults — the federal government promises to fully fund the cost until 2017. At that point, states will take on some of the financing,Continue Reading

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