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.

$12M patient may have contributed to insurer’s exit from Iowa

A single patient’s astronomical medical bills may have been a factor in Iowa’s largest insurer, Wellmark Blue Cross and Blue Shield, exiting the state’s individual market for 2018. Talking about that patient, however, may have put a company executive in violation of HIPAA.

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EDs may charge 12.6 times Medicare prices—with higher markups than other departments

Emergency department services like suturing a wound or interpreting a CT scan may result in patients being charged up to 12.6 times more than what Medicare would pay, with minorities and uninsured patients the most likely to be hit by the markups.

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Aetna moving its HQ out of Connecticut, considering ‘several states’

Aetna confirmed it is in negotiations to move its corporate headquarters out of Hartford, Connecticut, which was been its home since it began as a fire insurance company in 1819.

Rate dispute between John Hopkins All Children’s, UnitedHealth ‘causing angst’

A stalemate over reimbursement rates at John Hopkins All Children’s Hospital in St. Petersburg, Florida is causing some anxiety for patients and their families.

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CHS to sell 5 hospitals to Reading Health System

The selloff of Community Health System (CHS) hospitals is continuing, as the struggling hospital operator agreed to sell five Pennsylvania hospitals to the not-for-profit Reading Health System.

Sleep tight? Data security keep healthcare execs up at night

Healthcare has its share of ups and downs but some factors weigh more heavily on the minds of executives than others. referralMD has compiled a list of C-suite executives on what keeps them up at night.

Virtual reality in healthcare conference debuts in DC

As virtual reality (VR) continues to infiltrate the healthcare industry, connecting with the latest professionals and equipment from around the world becomes increasingly important. Addressing those factors, VR Voice has announced the first conference focusing on VR and its place in healthcare.

BCBS of Kansas City departing ACA exchanges, leaving 25 counties with no insurer

Twenty five counties in Missouri are at risk of having no insurer offering coverage through the Affordable Care Act exchanges in 2018 after Blue Cross and Blue Shield of Kansas City announced it was pulling out of the market in 2018.

Around the web

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.

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.