Economics

This channel highlights factors that impact hospital and healthcare economics and revenue. This includes news on healthcare policies, reimbursement, marketing, business plans, mergers and acquisitions, supply chain, salaries, staffing, and the implementation of a cost-effective environment for patients and providers.

insurance payer payment insurer

HHS investing nearly $100M in health navigators for open enrollment

The funding, which is through the Centers for Medicare and Medicaid Services (CMS), includes $98.9 million that will help ensure consumers can navigate health insurance enrollment through the Marketplace, Medicaid and the Children’s Health Insurance Program (CHIP).

 

August 30, 2022
Hospital staff walking through a medical facility, intentionally blurred to look artistic

Hospital margins fall behind pre-pandemic levels

Hospitals are facing their toughest margins yet, and without the boost of federal funding, 2022 is on pace to be one of the worst financial performances for the space in years.

August 30, 2022
Medicare money payment physician. The CardioVascular Coalition and Society for Cardiovascular Angiography and Interventions have both issued new statements highlighting their issues with the 2024 MPFS proposed rule. 

Mental healthcare network Alma raises $130M

Alma, a membership-based network focused on mental healthcare, has raised $130 million in a Series D funding round. The network nabbed investments from some big names, including Cigna Ventures.

August 29, 2022
insurance payer payment insurer

Employer healthcare plan costs will rise again next year

"In complete contrast over the last decades, we are measuring that healthcare budgets for U.S. employers will come in nearly three times lower than the Consumer Price Index this calendar year. Despite this historic occurrence, employer health costs are expected to increase 6.5[%] in 2023 due to economic inflation pressures," says Debbie Ashford, North America chief actuary for health solutions at Aon.

 

August 22, 2022
Researchers examined data from more than 900 patients, presenting their findings in the Journal of the American Heart Association. Money and healthcare spending and econimics.

Americans are facing a prescription drug debt spiral

More than 4 in 10 prescription drug medicine users are concerned that drug spending will lead to bankruptcy or debt.

August 19, 2022
A gavel and a stethoscope

CVS, Walgreens and Walmart ordered to pay $650M for role in opioid epidemic

Three major pharmacy names will have to fork over hundreds of millions of dollars to two Ohio counties for their roles in the opioid epidemic, a judge has ruled.

August 18, 2022
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Staffing marketplace raises $80M, reaching 'unicorn' status

New investors for this funding round included Kaiser Permanente, a star athlete and social media personalities. 

August 17, 2022
During the 2022 State of the Union address, President Biden outlined a new plan to combat COVID-19 by testing and immediate treatment, plans to reduce drug costs, the need for more mental health coverage, and a call for more cancer research under an NIH program.

Biden signs Inflation Reduction Act into law—what does it mean for healthcare?

The act is Biden’s third major piece of legislation to sign into law since the start of his term, and it accomplishes a healthcare task the Democrats have been wanting for years: enabling Medicare to negotiate prescription drug prices.

August 17, 2022

Around the web

In addition, cardiologists average an additional $75,000 per year in incentive-based bonuses. That number is only higher for two other specialties. 

CMS has issued its proposed rule for the 2025 Medicare hospital inpatient prospective payment system, suggesting a payment increase of 2.6%. According to the American Hospital Association, this update would not be enough at a time when hospitals are already struggling to stay open. 

The rumors, it seems, were true. Once the deal is finalized, Shockwave Medical will operate as a business unit within Johnson & Johnson MedTech.

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