Healthcare Economics & Policy

Within the same metro area, the price of some common health services can vary up to 39-fold, while services can differ 25-fold across areas, according to the latest issue brief from the Health Care Cost Institute (HCCI).

Overall U.S. hospital employment hit 5,223,000 in March, rising 2.11% over the 5,115,000 recorded in March of 2018, according to the latest numbers from the Bureau of Labor Statistics.

A little over a year ago, California’s insurance commissioner began investigating Aetna for possibly denying care coverage without reviewing the records of a patient who’d filed a lawsuit. Now the company has agreed to an out-of-court settlement.

Ten years from now, more than 14 million middle-class Americans will be elderly, mobility-limited and in need of more healthcare services and specialized senior housing than they’ll be able to afford.

Seven years from now, Medicare Part A will only be able to reimburse hospitals 89% of costs for hospital stays and related services. Twenty years later, the portion CMS can pay will fall to 77%.

More than 90% of healthcare consumers were surprised by a medical bill in 2018, while nearly three-quarters were confused by a bill’s content and more than half could not pay a bill in full if it totaled more than $1,000.

America’s opioid crisis cost the federal government some $26 billion in lost tax revenue and state governments $11.8 billion in lost revenue between 2000 and 2016, according to a recent analysis.

The primary care business is getting more crowded at the top, where the big money is.

CMS proposed to expand reimbursement for ambulatory blood pressure monitoring (ABPM) to patients with suspected masked hypertension while continuing to cover it for those with white coat hypertension.

An increasing share of hospital services have been performed in an outpatient setting in the past decade, according to a recent analysis from the Health Care Cost Institute—a trend that’s costing patients more every year.

Cigna and Express Scripts announced April 3 they’re launching a Patient Assurance Program that will ensure individuals with diabetes pay no more than $25 out-of-pocket for insulin each month.

The federal mandate that went into effect Jan. 1 requiring hospitals to post prices of their services online isn’t doing much good, according to the authors of an opinion piece published in the Annals of Internal Medicine.