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.

Baebies receives FDA clearance for newborn screening

Baebies, producers of newborn screening and pediatric testing, has received clearance from the U.S. Food and Drug Administration (FDA) for SEEKER, a quantitative measuring tool of dried blood samples.

Coding intensity could lead to $200 billion spending jump in Medicare Advantage

CMS will likely overpay Medicare Advantage plans by hundreds of billions of dollars over the next 10 years if the agency doesn’t account for coding intensity in its risk scores.

Patients who keep up with primary care avoid hospital stays

For older individuals, a visit to the physician can reduce the possibility for a hospital stay down the road. A study, published in The BMJ, analyzes the correlation between continuity of care with primary care physicians and related hospital admissions for older patients.

Giving a personal touch to EHRs, healthcare tech

Technology has taken the healthcare industry by storm, but the replacement of human interaction by digital health leaves patients feeling cold and left behind. 

3 ways to proactively identify underpayments before CMS audits

A Recovery Audit Contractor (RAC) review from CMS isn’t cause for celebration for most healthcare organizations, but it can be beneficial if those facilities take proactive steps to identify underpayments.

Online reviews increase physician stress

Just like online reviews for the coffee shop around the corner, patients are rating physicians on both independent and health system websites. A study in the Journal of General Internal Medicine, published by Springer, examines how these rating systems effect physician stress levels and how both parties view the online review process.

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CMS proposes 0.25% increase in Medicare Advantage payments for 2018

CMS is offering a more modest 0.25 percent increase in payment rates for Medicare Advantage (MA) insurers, one year after a 0.85 percent hike, in its proposed MA update for 2018. 

Former Tenet exec indicted in $400 million Medicaid fraud case

John Holland, a former senior vice president for Tenet Healthcare’s southern region, has been charged with allegedly taking part in a scheme to pay bribes in exchange for patient referrals and resulting in $400 million in fraudulent Medicaid billings. 

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.