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.

HealthFirst Financial Again Earns Prestigious HFMA Peer-Review Designation for Its Affordable Patient Financing Programs

HealthFirst Financial, a national leader in patient financing, has earned for the second time the prestigious Peer Review by HFMA designation, keeping the company on the Healthcare Financial Management Association’s Short List of “high value, high quality healthcare business solutions.”

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Factors identified leading to hospital discharges against physician’s advice

Leaving the hospital against the advice of physicians is a rising trend with negative consequences. In an effort to understand why patients chose to leave hospital care early, researchers have published findings in the Journal of the American Geriatrics Society to assist in further research and provide answers on how healthcare providers can stop this trend.

How insurers could have gamed ACA risk adjustment

Oregon-based provider and insurer Zoom is being investigated for allegations it tampered with medical claims to make sure it didn’t have to pay into the risk adjustment pool for the Affordable Care Act (ACA) marketplaces.

Cigna’s reentry into Medicare Advantage could be precursor to Humana deal

CMS has lifted Medicare Advantage (MA) sanctions on Cigna, allowing the insurer to market both MA and Medicare Part D prescription drug plans with effective dates beginning July 1.

Controlling type 1 diabetes could be as easy as sending a text, literally

Patients living with type 1 diabetes are constantly tinkering with glucose monitors and insulin pumps but all Dana Lewis, a health communications professional, has to do is text her pancreas. The “pancreas” combines an insulin pump and glucose monitor and connects to her smartphone to cut the hundreds of interactions conventional type 1 diabetes requires to just six a day.

Web-based calculator accurately predicts cancer survival

Predicting a cancer patient's chance of survival allows individuals to make informed decisions, but many techniques are not especially accurate. In a study, published in BMJ, researchers tested a new web-based survival calculator in patients with bowel cancer.

Screening tool IDs patients at risk for malnutrition

Malnutrition in surgical patients raises mortality rates, readmissions and poor outcomes while also reducing recovery time and quality of life. Researchers at Johns Hopkins Hospital (JHH) in Baltimore have published a study in The Annals of Thoracic Surgery evaluating a new screening tool capable of identifying patients at risk for malnutrition.

Medicaid expansion reduced spending per enrollee in its first year

A CMS report on patterns in state-level healthcare spending showed the expansion of Medicaid eligibility led to an increase in total spending in expansion states, but a decline in spending per enrollee.

Around the web

RBMA President Peter Moffatt discusses some of the biggest obstacles facing the specialty in the new year. 

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

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.