Healthcare Spending

COVID-19 Pandemic Did Not Impact Medical Debt Among Americans

by Victoria Bailey

The COVID-19 pandemic and the accompanying financial challenges were not associated with any changes in medical debt, according to a study published in JAMA Health Forum. When the pandemic hit,...

Advocate Aurora Health Faces Allegations of Anticompetitive Practices

by Victoria Bailey

A self-insured pharmacy has filed a class action lawsuit against Advocate Aurora Health, alleging that the health system engaged in anticompetitive practices that raised healthcare prices for Wisconsin...

CO Supreme Court: Hospital Cannot Enforce $229K Surprise Bill

by Victoria Bailey

The Colorado Supreme Court has ruled that a woman is not liable for her $229,000 surprise bill from a Centura Health hospital, as the hospital did not disclose the amount to her before the...

Hospital Prices 224% Higher for Private Payers than Medicare

by Victoria Bailey

On average, private payers paid hospitals 224 percent of what Medicare would have paid for the same inpatient and outpatient services, according to a report from the RAND Corporation. Researchers used...

Hospitals Performed 100K Low-Value Procedures During Pandemic

by Victoria Bailey

Hospitals performed more than 100,000 low-value procedures on Medicare beneficiaries in 2020, contributing to the high rate of hospital overuse during the COVID-19 pandemic, according to an analysis...

Assessing Progress on the Hospital Price Transparency Rule

by Victoria Bailey

The Centers for Medicare and Medicaid Services (CMS) established the hospital price transparency rule to help individuals know the cost of a hospital item or service before receiving it. CMS proposed the price transparency rule in the...

Rising Contract Labor Utilization Boosted Hospital Labor Expenses

by Victoria Bailey

Contract labor utilization and cost increased dramatically during the COVID-19 pandemic and were contributing factors to rising hospital labor expenses, according to a report from Kaufman Hall. The...

Fewer Adults Faced Medical Debt Challenges During Pandemic

by Victoria Bailey

The pandemic may have brought some financial relief to consumers, as the share of adults experiencing medical debt challenges decreased in 2021, an Urban Institute report found. Researchers used data...

How Healthcare Mergers, Acquisitions Impact Practice Management

by Victoria Bailey

Healthcare mergers and acquisitions further industry consolidation by combining two or more healthcare companies, hospitals, or physician practices. Typically, merging entities aim to lower healthcare costs and improve quality of care...

Vertical Integration, Joint Contracting Increased Physician Prices

by Victoria Bailey

Vertical integration and joint contracting between physicians and health systems led to increases in physician prices, with the size of the increases correlating with the health system’s size,...

Private Equity Acquisitions Did Not Impact Hospital Quality, Spending

by Victoria Bailey

Private equity acquisitions of short-term acute care hospitals were generally not associated with any changes in patient outcomes or healthcare spending among Medicare beneficiaries, a study published...

Medical Debt Challenges Common Among Consumer Complaints

by Victoria Bailey

Americans continued to face medical debt challenges, with consumers reporting instances of debt collectors attempting to collect medical debt that was already paid or does not belong to them, according...

HHS Distributes $1.75B in Phase 4 COVID-19 Provider Relief Funds

by Victoria Bailey

Through the Health Resources and Services Administration (HRSA), HHS has released the fifth round of Phase 4 COVID-19 Provider Relief Funds, which includes $1.75 billion for healthcare providers that...

Healthcare Merger and Acquisition Activity Hit Record Low in Q1 2022

by Victoria Bailey

Healthcare merger and acquisition activity hit a record low during the first quarter of 2022, with the industry seeing only 12 transactions totaling $2.95 billion, according to a report from Kaufman...

Hospital Prices Paid by Commercial Health Plans Varied Across US

by Victoria Bailey

Hospital prices paid by commercial health plans varied between 2012 and 2019, as hospitals with both high and low initial commercial to Medicare price ratios saw increases and decreases over the years,...

Coronavirus Healthcare Spending Dwindles, Threatening Health Equity

by Hayden Schmidt

The coronavirus pandemic spawned a wave of government spending that increased health equity for uninsured or underprivileged people and encouraged access to care for all. That wave of funding is now drying up, with billions of dollars set...

Global Hospital Budget Models May Help Curb Rising Hospital Prices

by Victoria Bailey

Global hospital budget models with a volume adjustment system could help limit hospital spending growth for commercial payers and patients, according to an issue brief from the Commonwealth...

HHS Announces $413M in Provider Relief Fund Phase 4 Payments

by Victoria Bailey

Through the Health Resources and Services Administration (HRSA), HHS has announced another series of Provider Relief Fund Phase 4 payments totaling $413 million for healthcare providers that have been...

Sutter Health Receives Jury Support in Antitrust Class Action

by Victoria Bailey

A federal jury has sided with Sutter Health in an antitrust class action lawsuit in which plaintiffs claimed that the health system drove up insurance premiums through anticompetitive tactics, Reuters...

PCP Turnover, Burnout Generated $979M in Excess Healthcare Spending

by Victoria Bailey

Primary care physician turnover, triggered in part by clinician burnout, led to around $979 million in excess healthcare spending, according to a study published in Mayo Clinic Proceedings. Care...