Healthcare Spending

Inflation, Labor Costs Will Increase Healthcare Spending by $370B

by Victoria Bailey

Inflation and rising labor costs will increase US national healthcare spending by $370 billion in the next five years, according to a McKinsey report. Consumer prices are rising faster than healthcare...

Hospital Expenses Have Increased 23% in Less Than a Decade

by Sarai Rodriguez

Hospital expenses have increased 23 percent since 2016, a spike researchers attributed to continuous COVID-19 challenges, according to a recent analysis from QuoteWizard.  By...

Physician-Led Hospitals Advance Care Quality, Market Competition

by Victoria Bailey

Physician-led hospitals improve care quality and lower patient costs by driving market competition, making them an effective option to combat healthcare consolidation, according to a study conducted by...

Physician Practice Costs Grew 20% After Private Equity Acquisition

by Victoria Bailey

Private equity acquisition of physician practices in dermatology, gastroenterology, and ophthalmology was associated with increased healthcare spending and utilization, according to a study published...

FTC Urges States to Repeal COPA Laws, Prevent Illegal Hospital Mergers

by Victoria Bailey

The Federal Trade Commission (FTC) has urged state lawmakers to repeal Certificate of Public Advantage (COPA) laws, asserting that the agreements allow otherwise illegal hospital mergers to bypass...

Expanding Substance Use Disorder Coverage Would Cost Medicare $362M

by Victoria Bailey

Adding Medicare coverage for substance use disorder (SUD) services for residential programs, intensive outpatient programs, and licensed and certified counselors would cost Medicare $362 million...

When Cutting Healthcare Spending, MA Pulls Ahead of Medicare ACOs

by Jacqueline LaPointe

Average spending on Medicare beneficiaries enrolled in Medicare Advantage (MA) plans was much lower compared to the same metric of spending for beneficiaries attributed to a Medicare ACO, according to...

AHA: High Hospital Costs Stem from Increased Patient Acuity

by Victoria Bailey

Rising patient acuity due to delayed healthcare during the COVID-19 pandemic has contributed to significant growth in hospital costs, according to a report from the American Hospital Association...

With More Chronic Disease Comes More Medical Debt

by Jacqueline LaPointe

Patients with chronic diseases face higher amounts of medical debt and are more likely to face adverse financial outcomes compared to patients with no chronic disease or just one diagnosis, according...

COVID-19 Diagnosis Leads to More Healthcare Utilization Later

by Jacqueline LaPointe

Healthcare utilization goes up for patients who receive positive COVID-19 results because of post-COVID-19 conditions, according to a recent study. The study published in JAMA Network Open earlier...

Cancer Centers Fail to Comply with Hospital Price Transparency Rule

by Victoria Bailey

Less than one-third of hospitals with National Cancer Institute (NCI) cancer center designation were fully compliant with the CMS hospital price transparency rule, according to research published in...

Out-of-Pocket Healthcare Spending Increased Leading Up to Pandemic

by Victoria Bailey

The share of out-of-pocket healthcare spending for patients with employer-sponsored health coverage increased by nearly 2 percent between 2013 and 2019, according to an issue brief from the Employee...

Hospital Price Transparency Compliance Lags Nearly 20 Months Later

by Jacqueline LaPointe

Just 16 percent of 2,000 hospitals reviewed as part of PatientsRightsAdvocate.org’s Semi-Annual Hospital Price Transparency Report are complying with the regulation requiring all hospitals...

Bayhealth’s ERP Implementation Improves Supply Chain Management

by Jacqueline LaPointe

EHRs revolutionized how healthcare providers deliver care. The technology has brought many providers into the digital age, enabling not only electronic medical records but also a host of other health IT applications. Now that most...

Coding Drives Up Medical Billing Costs in the US

by Jacqueline LaPointe

Complex coding structures in the US are driving up medical billing costs in the US, making it one of the most expensive countries to get paid, according to a new study. The study published in Health...

National Healthcare Spending Declines for First Time in 60 Years

by Victoria Bailey

National healthcare spending has declined for the first time in 60 years in the first quarter of 2022, with the country seeing a 1.7 percent year-over-year decrease, a research brief from Altarum...

How Healthcare Spending, Utilization Varies by Payer, Region

by Victoria Bailey

There is substantial variation and low correlation in healthcare spending across Medicare, Medicaid, and private insurance plans within different US regions, a study published in JAMA Network Open...

340B DSH Hospitals Provided $41B in Uncompensated Care in 2020

by Victoria Bailey

Despite experiencing negative operating margins, 340B disproportionate share (DSH) hospitals provided 67 percent of all uncompensated care in 2020, according to a report from 340B Health and...

Increase in Healthcare Spending Yielded Better Health Outcomes

by Victoria Bailey

Overall, the increase in healthcare spending in the US between 1996 and 2016 led to improved health outcomes, but healthcare spending effectiveness varied across the top 34 causes with high spending or...

Pregnancy Care, Childbirth Led to $19K More in Healthcare Costs

by Victoria Bailey

Pregnant women enrolled in large group health plans incurred almost $19,000 more in healthcare costs and spent nearly $3,000 more in out-of-pocket expenses than those who did not give birth, a...