| Editor's Choice: Economics | Every year, physician offices may deal with as much as $54 billion in revenue being challenged by insurers, with fee-for-service (FFS) Medicaid being “the most challenging type” of payer to bill, according to a study published in Health Affairs. Every year, physician offices may deal with as much as $54 billion in revenue being challenged by insurers, with fee-for-service (FFS) Medicaid being “the most challenging type” of payer to bill, according to a study published in Health Affairs. | |
| The failure to pass funding for reinsurance and cost-sharing reduction subsidies for the Affordable Care Act (ACA) exchanges and the potential for pharmaceutical-backed changes to the 340B drug discount program are just some of the major issues on the American Hospital Association’s radar this year, according to executive vice president of government affairs Tom Nickels. The failure to pass funding for reinsurance and cost-sharing reduction subsidies for the Affordable Care Act (ACA) exchanges and the potential for pharmaceutical-backed changes to the 340B drug discount program are just some of the major issues on the American Hospital Association’s radar this year, according to executive vice president of government affairs Tom Nickels. | |
| Not far from any policy debate is the oft-repeated fact that healthcare makes up one-sixth of the U.S. economy. Newly published research took a deeper dive to investigate the impact of medical schools and teaching hospitals. And, as one would guess, they contribute a lot of the American economy, accounting for 3.1 percent of gross domestic product. Not far from any policy debate is the oft-repeated fact that healthcare makes up one-sixth of the U.S. economy. Newly published research took a deeper dive to investigate the impact of medical schools and teaching hospitals. And, as one would guess, they contribute a lot of the American economy, accounting for 3.1 percent of gross domestic product. | |
| Accountable care organizations (ACOs) were supposed to result in savings for Medicare, but an analysis from Avalere said ACOs in the Medicare Shared Savings Program (MSSP) have instead increased federal spending—an evaluation a national group of ACOs called “rather simplistic," ignoring positive impacts they've made on quality. Accountable care organizations (ACOs) were supposed to result in savings for Medicare, but an analysis from Avalere said ACOs in the Medicare Shared Savings Program (MSSP) have instead increased federal spending—an evaluation a national group of ACOs called “rather simplistic," ignoring positive impacts they've made on quality. | |
| Mergers and acquisitions that have consolidated healthcare markets in California have raised prices for procedures and insurance premiums, especially in the northern part of the state, according to a report from the University of California, Berkeley’s Petris Center on Health Care Markets and Consumer Welfare. Mergers and acquisitions that have consolidated healthcare markets in California have raised prices for procedures and insurance premiums, especially in the northern part of the state, according to a report from the University of California, Berkeley’s Petris Center on Health Care Markets and Consumer Welfare. | |
| In a survey conducted by Global Healthcare Exchange, some of the top providers for supply chain performance said making better use of data would be their No. 1 priority this year, either through expanded analytics or standardizing their data process across the organization. In a survey conducted by Global Healthcare Exchange, some of the top providers for supply chain performance said making better use of data would be their No. 1 priority this year, either through expanded analytics or standardizing their data process across the organization. | |
| The global budgeting, all-payer program adopted for most of Maryland’s hospitals has succeeded in keeping the growth in hospital revenue and Medicare expenditures below the rest of the nation through its first three years, while also reducing readmissions and complications. The global budgeting, all-payer program adopted for most of Maryland’s hospitals has succeeded in keeping the growth in hospital revenue and Medicare expenditures below the rest of the nation through its first three years, while also reducing readmissions and complications. | |
| The number of participants in the Next Generation ACO model has shrunk to 51 after seven accountable care organizations (ACOs) announced they’ll drop out of the program in the largest departure of providers since the model was introduced. The number of participants in the Next Generation ACO model has shrunk to 51 after seven accountable care organizations (ACOs) announced they’ll drop out of the program in the largest departure of providers since the model was introduced. | |
| When Indiana’s Goshen Health decided to de-affiliate from Indiana University Health in 2016, it knew its supply costs were going to increase for its 122-bed hospital, cancer center and 27 physician practice locations, according to chief financial officer Amy Floria. That meant waste in the supply chain had to be cut out—like the 80 percent of hospital supplies which had sat untouched on a shelf for two years. When Indiana’s Goshen Health decided to de-affiliate from Indiana University Health in 2016, it knew its supply costs were going to increase for its 122-bed hospital, cancer center and 27 physician practice locations, according to chief financial officer Amy Floria. That meant waste in the supply chain had to be cut out—like the 80 percent of hospital supplies which had sat untouched on a shelf for two years. | |
| A new study published in JAMA challenges some of the more common explanations for why the U.S. spends more on healthcare than other high-income countries, finding the U.S. isn’t an outlier on measures like utilization, share of primary care physicians or social services spending. A new study published in JAMA challenges some of the more common explanations for why the U.S. spends more on healthcare than other high-income countries, finding the U.S. isn’t an outlier on measures like utilization, share of primary care physicians or social services spending. | |
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