Healthcare Economics

A new CMS proposal will require hospitals to post their standard prices for treatments online and aims to increase patient access to electronic health records (EHRs).
Apr 25, 2018 | Healthcare Economics
An academic and insurance executive discussed innovations to control healthcare costs in the U.S., including pricing reforms and payment modifications.
Apr 24, 2018 | Healthcare Economics
In an April 23 release, CMS announce it is seeking input on an alternative payment model that would allow direct provider contracting (DPC) between payers and primary care or multi-specialty groups. CMS asked for comments to inform possible testing for such a model for Medicare Parts A and B, Medicare Advantage and Medicaid.
Apr 23, 2018 | Healthcare Economics
President Donald Trump has postponed this week’s speech on battling rising prescription drug costs, according to the White House. No future date, time or location has been announced for the speech, previously scheduled for Thursday, April 26.
Apr 20, 2018 | Healthcare Economics
Higher deductible bronze-level plans were more popular on the Affordable Care Act (ACA) exchanges in 2018, but customers may not be aware that moving toward this coverage will leave them paying out of pocket for primary care until they hit their deductible—leading some to avoid primary care altogether due to the costs.
Apr 20, 2018 | Healthcare Economics
Some of the largest healthcare companies, including for-profit hospital chains, insurers and pharmaceuticals, will pay a combined $10 billion less in taxes for 2018 thanks to the corporate tax cuts passed by Republicans and signed into law by President Donald Trump, according to a report published by Sen. Ron Wyden, D-Oregon.
Apr 20, 2018 | Health IT
Physicians, hospitals and health systems cited a variety of reasons for looking for a new electronic health record (EHR) vendor, from seeking better functionality to meeting new regulatory requirements. The fact the change likely won’t bring a quick return on their investment, however, doesn’t seem to deter anyone looking to make a switch.
Apr 19, 2018 | Healthcare Economics
The U.S. Department of Justice (DOJ) will review Cigna’s $67 billion proposal to acquire Express Scripts, the results of which are likely to have major ramifications on other vertical integrations being explored across healthcare.
Apr 19, 2018 | Healthcare Economics
Procter & Gamble has announced it will acquire the consumer health business of Germany-based Merck in a $4.2 billion deal, adding more over-the-counter medications to P&G’s existing product offerings.
Apr 18, 2018 | Healthcare Economics
One of the largest health systems in Atlanta and one of Georgia’s biggest insurers have settled a months-long dispute over a new contract after Georgia Gov. Nathan Deal threatened to take executive action to push the sides to negotiate.
Apr 17, 2018 | Healthcare Economics
The wave of megamergers involving health insurers could place the greatest pressure on both not-for-profit and for-profit hospitals, according to a report from Moody’s Investors Service, if these new combinations steer patients away from hospital-owned facilities.
Apr 17, 2018 | Healthcare Economics
Amazon has reportedly shelved plans to sell and distribute pharmaceuticals to hospitals and health systems through its Amazon Business unit, a move which analysts said illustrates the difficulty outside companies face in disrupting the existing healthcare supply chain.
Apr 16, 2018 | Care Delivery
The American Medical Association (AMA) and the American Society of Addition Medicine (ASAM) have a jointly proposed a new alternative payment model (APM) centered around patients with a physical dependence on opioids, with a one-time payment for initiating medication-assisted treatment (MAT) and monthly payments for continuing treatment.
Apr 13, 2018 | Healthcare Economics
Prices across the healthcare sector rose 2.2 percent year-over-year in March 2018, the highest annual growth rate recorded by Altarum since January 2012, with the report warning rapid price growth is likely to continue.
Apr 12, 2018 | Healthcare Economics
The Rush hospital system based in Chicago has ended plans to acquire Little Company of Mary of Evergreen Park, Illinois, which would’ve merged 12 facilities with Rush University Medical Center and its 2,500-student health sciences college.
Apr 12, 2018 | Healthcare Economics
The report from the Health Care Cost Institute (HCCI) examined claims for people with multiple sclerosis (MS) from 2009 to 2015 covered by individual market, employer-sponsored or Medicare Advantage plans. It found total spending per MS patient rose from around $23,900 to $39,628 by 2015. During the same time period, the share of spending spent towards injectable and oral disease modifying therapies (DMTs) rose from 39 percent to 53 percent.
Apr 12, 2018 | Care Delivery
The underlying causes haven’t changed behind the shortage of doctors in the United States: The population aged 65 and over is expected to grow by 50 percent by 2030, increasing demand for healthcare services. The physician population is also aging, with 13.5 percent of the active workforce already aged 65 and over and another 27.2 percent between the ages of 55 and 64.
Apr 09, 2018 | Healthcare Economics
Insurance companies are beginning to decide what they’ll charge and whether to participate on the Affordable Care Act (ACA) exchanges for 2019, with Matt Eyles, the next CEO of America’s Health Insurance Plans (AHIP), saying it’s “not a pretty picture right now” for individual market insurers.
Apr 09, 2018 | Healthcare Economics
For all the attention given to forays from Amazon, Apple and Walmart into the healthcare space, traditional providers are more worried about the continued expansion of UnitedHealthGroup’s Optum into clinical care, according to an article in Bloomberg.
Apr 09, 2018 | Healthcare Economics
A new bill introduced in California’s state legislature would put the state in charge of setting rates for medical services covered by private insurers, setting up a battle between consumer groups and the lobbyists for the healthcare industry.
Apr 09, 2018 | Healthcare Economics
In fiscal year 2017, HHS and the U.S. Department of Justice (DOJ) recovered nearly $2.6 billion from settlements and judgments in healthcare fraud cases, with $1.4 billion being transferred to the Medicare Trust Funds.