3d Health, Inc. Blog

3d Health Turns 16!

Jan 16, 2018 9:04:05 AM / by M. Shane Foreman posted in Team, Healthcare Strategy Consultants

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Thank you to all of our clients, professionals and friends for making sixteen years possible. 

We love what we do and are excited for 2018.  Happy New Year!!

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3d Health Turns 15!

Jan 16, 2017 10:32:00 AM / by M. Shane Foreman posted in Healthcare Strategy Consultants

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15 years ago this morning, I took the L into the loop to a borrowed cubicle to start 3d Health.  Thanks to our clients, professional staff, and friends, we have completed thousands of successful projects since January 16, 2002 and established rewarding relationships with truly great people. 

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The Largest Obstacles to “Repealing” the Affordable Care Act

Dec 23, 2016 1:02:00 PM / by M. Shane Foreman posted in Strategy and Planning, Healthcare Strategy Consultants

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President-elect Trump and the Republican-controlled Congress have been very clear about their desire to fully repeal Obamacare, even on Day 1 of the new Administration. This desire brings up many questions from the rest of us. Is this possible? Are they being literal? What are the biggest hurdles to getting this done?

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Tom Price’s Market-Based Reform

Dec 9, 2016 9:42:00 AM / by M. Shane Foreman posted in Healthcare Strategy Consultants

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Representative Tom Price is a Republican from Georgia, and, as you probably know, was recently nominated by President-elect Trump to head the Department of Health and Human Services. Price, 62, is an orthopedic surgeon from the Atlanta suburbs and the Chair of the House Budget Committee. Price began focusing his energies on dismantling Obamacare almost as soon as President Obama signed the law in 2010. Since then, he has drafted and promoted a series of largely market-based substitutes to overcome what he has described as “oppressive” federal government strictures and runaway costs.

So, what makes Tom Price unique on Capitol Hill?  

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Seema Verma: Consistent with Donald Trump’s Emerging Healthcare Philosophy

Dec 2, 2016 11:53:29 AM / by M. Shane Foreman posted in Healthcare Strategy Consultants

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On Tuesday, President-elect Donald Trump announced that Seema Verma would be his CMS Administrator, working under Representative Tom Price who was tapped by Trump to head the Department of Health and Human Services. By all accounts, Verma is very bright. She holds a master’s degree in public health from Johns Hopkins University and a bachelor’s degree in life sciences from the University of Maryland.

Verma is the President, CEO and Founder of SVC, a national health policy consultancy. Verma is well known to Vice President-Elect Mike Pence. She was the architect of Gov. Mike Pence’s Medicaid expansion in Indiana that is expected to play a key role in determining how Republicans “replace” President Barack Obama’s health care law. Her past actions could help us understand her strategy for healthcare moving forward.

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Speaker Ryan’s Rx for Healthcare: Uncertainty Continued (Part 2 of 2)

Nov 18, 2016 1:19:00 PM / by M. Shane Foreman posted in Healthcare Strategy Consultants

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In last week’s post we examined President-elect Trump’s policy prescription reforming healthcare. Our overall take-away was that thus far, the President-elect has outlined a limited number of free market principles that he would like to see implemented in healthcare, and his policy prescription is quite light on details.

Here is what we do know: Donald Trump has said that Mike Pence will lead the Administration’s healthcare efforts; Mike Pence respects Paul Ryan’s policy acumen and considers him a friend; and it is completely plausible that the Administration plugs into a more detailed plan and makes it their own. So, what is Paul Ryan’s plan?

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President-Elect Trump: Short-Term Uncertainty for Healthcare (Part 1 of 2)

Nov 11, 2016 11:08:00 AM / by M. Shane Foreman posted in Healthcare Strategy Consultants

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Tuesday’s election of Donald J. Trump brings with it a high degree of uncertainty for the healthcare industry. President-elect Trump, along with the Senate and House leaders, have been very clear in their desire to completely repeal the Affordable Care Act. Conventional wisdom is that a total repeal is nearly impossible and the ACA would be shrunk rather than abolished. But, Trump has never been labeled conventional.

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MACRA Fatigue: The Final Rule Discussed

Oct 21, 2016 9:41:00 AM / by M. Shane Foreman posted in Healthcare Strategy Consultants

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I know, I know, everyone is tired of thinking about MACRA. But, the final rule came out last week and it allows more flexibility than the proposed rule. In April, the CMS proposed their rule for implementing the Medicare Access and CHIP Reauthorization Act (“MACRA”). MACRA replaces the sustainable growth rate formula for physician pay under Medicare and attempts to shift the reimbursement methodology away from fee-for-service to a value-based payment system.

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3d Health Turns 14!

Jan 16, 2016 11:55:42 AM / by M. Shane Foreman posted in Healthcare Strategy Consultants

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Cheers to the greatest group of clients that allow us to do what we love!  Thanks to you, and the best team we have ever assembled, 3d Health completed 152 projects in 2015 and is 14 years old today.  

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Medicare Cuts Imaging Reimbursement Again - But There is Good News Too

Feb 24, 2014 3:54:00 PM / by Jon Geise posted in Research, Healthcare Strategy Consultants

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Reimbursement for diagnostic imaging services has been in the crosshairs at the Centers for Medicare & Medicaid Services (“CMS”) for as long as the health care cost curve has been bending upwards.  Despite recent findings that imaging is currently near the bottom of the drivers of growth in Medicare spending, the 2014 Hospital Outpatient Prospective Payment (“HOPPS”) Final Rule has been controversial for once again cutting imaging reimbursement for Medicare patients.

At the heart of the issue is CMS choosing to use CT and MRI cost center specific information in calculating reimbursement amounts for those modalities.  Historically, reimbursement was set using inputs from all radiology and imaging departments in aggregate.  The HOPPS proposed rule estimated the associated reductions in CT and MRI reimbursement at 38% and 19% respectively.  Industry experts correctly pointed out to CMS some of the flaws under the proposed methodology and the final rule issued late last year reflected a modified approach that only reduced reimbursement for CT by 21% and MRI by 12%.

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