Healthcare Economics & Policy

A recent study published in JAMA Open Network found that using individual codes and present on admission designations instead of group codes can improve the predictability of patient total payment within 30 days of a hospitalization.

 

Two healthcare companies have made Inc.’s top 10 fastest-growing privately held companies in the U.S.

Healthcare benefit costs in the U.S. are expected to rise 5% next year, causing large employers to up their efforts to save, according to a survey from the National Business Group on Health.

Two institutional-based health plans in New England have announced their plans to merge.

Pharmacy benefit managers (PBMs) are only keeping less than 1% of rebates in the Medicare Part D program, passing on the rest of drug savings to plan sponsors, a report from the Government Accountability Office (GAO) found.

Unionized workers from one of the nation’s largest health systems have voted to strike against the healthcare organization in early October amid ongoing labor negotiations.

 

When Sarah Kliff, healthcare reporter for Vox, saw an emergency department bill charging more than $600 for an encounter that ended with a band-aid, she and the media company undertook a year-long project to explore as many ED bills as possible.

Enrollment of people who are ineligible for subsidies on the individual healthcare market appears to be slowing down, according to a recent report from CMS.

Hospital prices continue to rise and are a major contributor to overall spending in the healthcare sector, which is expected to hit $6 trillion by 2027.

Out-of-network billing in emergency departments has risen over the last few years, often leaving patients with surprise expenses even when they have insurance coverage and receive care from an in-network hospital.

After drug manufacturer Eli Lilly introduced a half-priced insulin product to the U.S. market, patients are having trouble getting the medication, the Financial Times reported.

Pricing transparency is key for patients having a positive billing experience with their healthcare provider, according to a new survey, but patients aren’t always asking for price estimates or taking the time to shop around for lower-cost services.