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Economics: Insurance gray market | IV shortages | 5 Alabama hospitals sold for $190M | 92% of rural hospitals struggling

News You Need to Know Today
Economics: Insurance gray market | IV shortages | 5 Alabama hospitals sold for $190M | 92% of rural hospitals struggling
Friday, October 18, 2024
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Editor's Choice: Economics

CMS proposes rule to combat gray market health insurance scams

The agency has received an increasing number of complaints from patients enrolled in a low-value health plan without their knowledge. If finalized, a new rule would empower CMS to ban brokers from the ACA marketplace. 

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CMS proposes rule to combat gray market health insurance scams

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The agency has received an increasing number of complaints from patients enrolled in a low-value health plan without their knowledge. If finalized, a new rule would empower CMS to ban brokers from the ACA marketplace. 
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Private equity firm buys controlling stake in Surescripts

TPG will not own a majority of the e-prescriber, with CVS Health and Express Scripts maintaining a minority stake.

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durbin-ama-opioid. The American College of Cardiology (ACC) and American Heart Association (AHA) have published new guidelines focused on the diagnosis, treatment and management of patients with chronic coronary disease (CCD).
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Private equity firm buys controlling stake in Surescripts

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durbin-ama-opioid. The American College of Cardiology (ACC) and American Heart Association (AHA) have published new guidelines focused on the diagnosis, treatment and management of patients with chronic coronary disease (CCD).
TPG will not own a majority of the e-prescriber, with CVS Health and Express Scripts maintaining a minority stake.
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Baxter begins importing IV supplies as 86% of providers report shortages

Hurricane Helene severely damaged Baxter's plant near Asheville, North Carolina, leading to a nationwide shortage of IV fluid bags. 

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Employee parking lot is a sea of mud and storm debris at the the Baxter North Cove facility. Photo by Aerial Lens.
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Baxter begins importing IV supplies as 86% of providers report shortages

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Employee parking lot is a sea of mud and storm debris at the the Baxter North Cove facility. Photo by Aerial Lens.
Hurricane Helene severely damaged Baxter's plant near Asheville, North Carolina, leading to a nationwide shortage of IV fluid bags. 
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Orlando Health buys 5 Alabama hospitals for $910M

The nonprofit health system purchased the Brookwood Baptist Health network from for-profit Tenet Healthcare, which held a 70% controlling stake.

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Orlando Health buys 5 Alabama hospitals for $910M

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The nonprofit health system purchased the Brookwood Baptist Health network from for-profit Tenet Healthcare, which held a 70% controlling stake.
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UPMC expensed $50M private jet, despite laying off 1,000 workers

Pittsburgh Medical Center CEO Leslie Davis used the jet to travel around the world, flight logs show. 

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UPMC expensed $50M private jet, despite laying off 1,000 workers

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Private jet stock photo
Pittsburgh Medical Center CEO Leslie Davis used the jet to travel around the world, flight logs show. 
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HHS awards $75M for addiction and maternal health services in rural areas

The funds will be used to expand services and improve the financial stability of existing healthcare organizations located in underserved regions of the South. 

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HHS awards $75M for addiction and maternal health services in rural areas

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The funds will be used to expand services and improve the financial stability of existing healthcare organizations located in underserved regions of the South. 
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Atrium Health forgives patient debts, withdraws liens on 11,500 homes

The nonprofit hospital system stopped suing patients in 2022 and called debt cancellation the “next logical step.”

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Atrium Health forgives patient debts, withdraws liens on 11,500 homes

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The nonprofit hospital system stopped suing patients in 2022 and called debt cancellation the “next logical step.”
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FTC sues PBMs and GPOs for insulin price collusion

In a statement announcing its lawsuit, the FTC said Caremark, Optum RX and Express Scripts benefit from manufacturer rebates and ignore lower-costing drugs as a way to artificially increase prices. 

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FTC sues PBMs and GPOs for insulin price collusion

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Federal Trade Comission FTC Sign logo
In a statement announcing its lawsuit, the FTC said Caremark, Optum RX and Express Scripts benefit from manufacturer rebates and ignore lower-costing drugs as a way to artificially increase prices. 
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Study ranks US health system dead last among wealthy nations

Low rankings for accessibility and outcomes earned the country the overall lowest ranking in an analysis of healthcare systems across 10 nations.

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Pricing for coronary artery bypass grafting (CABG) varies significantly throughout the United States, according to new findings published in the Journal of the American Heart Association.[1] Researchers emphasized that higher prices were not necessarily associated with better patient outcomes. Photo by Karolina Grabowska via Pexels
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Study ranks US health system dead last among wealthy nations

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Pricing for coronary artery bypass grafting (CABG) varies significantly throughout the United States, according to new findings published in the Journal of the American Heart Association.[1] Researchers emphasized that higher prices were not necessarily associated with better patient outcomes. Photo by Karolina Grabowska via Pexels
Low rankings for accessibility and outcomes earned the country the overall lowest ranking in an analysis of healthcare systems across 10 nations.
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92% of rural Nebraska hospitals report financial hardship caused by Medicare Advantage plans

Members of the Nebraska Rural Health Association overwhelmingly expressed concerns that Medicare Advantage plans could jeopardize patient health. Some are considering dropping their contracts with the plans altogether. 

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92% of rural Nebraska hospitals report financial hardship caused by Medicare Advantage plans

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Medicare Advantage Part C clipboard payment
Members of the Nebraska Rural Health Association overwhelmingly expressed concerns that Medicare Advantage plans could jeopardize patient health. Some are considering dropping their contracts with the plans altogether. 
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Companies face 6% spike in insurance premiums, will pass cost onto employees

Without deploying cost-saving measures, the price to provide workers with insurance could rise as much as 9%, a report from Mercer found. 

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Companies face 6% spike in insurance premiums, will pass cost onto employees

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Without deploying cost-saving measures, the price to provide workers with insurance could rise as much as 9%, a report from Mercer found. 
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