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.

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5 reactions to proposed 2018 Physician Fee Schedule

The comment period for the proposed Medicare Physician Fee Schedule (PFS) has closed, with policy and payment updates drawing a typically mixed reaction from stakeholders within the industry.

Centene buying New York’s Fidelis Care for $3.75B

Health insurer Centene announced on Sept. 12 it had entered into a definitive agreement to buy Fidelis Care, the leading Medicaid managed care insurer in New York, for $3.75 billion.

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Online ratings do not correlate to physician performance

Online ratings of physicians do not accurately represent quality or value of care, according ot a study published in the Journal of the American Medical Informatics Association.

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1 in 6 practices paying fees for receiving electronic payments

One-sixth (17 percent) of physician practices responding to a Medical Group Management Association (MGMA) poll said they’re paying fees from 2 to 5 percent for receiving payments electronically—a practice the MGMA wants CMS to prohibit.

Pharma’s 5 methods of squeezing more money from patents

Last week, Allergan sold patent rights to a big-selling eye drug called Restasis to a Native American tribe, which is protected from the lawsuits generic drugmakers use to challenge pharmaceutical patents. As STAT News reports, it’s just one of several tricks big pharma companies use to maintain a monopoly on a product.

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UnitedHealth in talks to buy Chilean insurer Banmedica

UnitedHealth Group, the largest health insurer in the U.S., is considering acquiring Banmedica, an insurer based in Chile, for an undisclosed amount.

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UPMC credit downgraded on risk of PinnacleHealth acquisition

The University of Pittsburgh Medical Center (UPMC) saw its credit rating downgraded by Moody’s Investor Service, along with maintaining a negative outlook on the system, citing its “accelerated expansion and high execution risk” with the acquisition of the seven-hospital PinnacleHealth System.

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85% of physicians: Fear of malpractice leads to over-treatment

Over-treating patients means wasted resources and increased exposure to harm for individuals. In a study published in PLOS ONE, researchers surveyed physicians on causes, prevalence and consequences of over-treatment.

Around the web

Stryker, a global medtech company based out of Michigan, has kicked off 2025 with a bit of excitement. The company says Inari’s peripheral vascular portfolio is highly complementary to its own neurovascular portfolio.

RBMA President Peter Moffatt discusses declining reimbursement rates, recruiting challenges and the role of artificial intelligence in transforming the industry.

Mark Isenberg, executive vice president of Zotec Partners, discusses key developments that will reshape the specialty this year.