Author Frequently asked questions. 294 items Posts pagination Newer 1 … 23 24 25 26 27 … 30 Older Price Chaos at US Hospitals August 24, 2021 Summary: The New York Times found huge price variations reported by hospitals across private insurers, generally far above Medicare prices. This causes inefficiencies, inequities, and financial distress for patients. These problems would be eliminated with a single set of negotiated prices. Hospitals and Insurers Didn’t Want You to See These Prices. Here’s Why.New York TimesAug 23, […] The Financialization of “Non-Profit” Health Systems August 23, 2021 Health Systems With Largest Private Equity Investments.Modern HealthcareMay 3, 2021 Largest Health System Investors in Hedge FundsModern HealthcareMay 3, 2021 Both charts are behind a paywall. From the Charts: Health System Private Equity Investments Hedge Fund Investments Kaiser Health Plan $10.180 bil. $2.820 bil. Mayo Clinic $3.869 bil. $3.421 bil. Cleveland Clinic $2.061 bil. $3.335 […] ACOs Fail to Save Medicare Money, Even With Do Overs August 19, 2021 Promise vs. Practice: the Actual Financial Performance of Accountable Care OrganizationsJournal of General Internal MedicineAugust 13, 2021By James G. Kahn and Kip Sullivan We collect and compare financial performance data from all four CMS ACO programs from 2005 to 2018, examining net CMS cost.…We found that overall, ACO programs roughly broke even from the CMS […] Two Decades Into the Quality Improvement Era, Health Care Quality is Falling August 18, 2021 Trends in Diabetes Treatment and Control in U.S. Adults, 1999–2018New England Journal of MedicineJune 10, 2021By Fang M et al.METHODS We conducted a cross-sectional analysis of data from adults with diabetes in the United States participating in the National Health and Nutrition Examination Survey (NHANES) to assess national trends in diabetes treatment and risk-factor control […] Prior Authorization: Less Care, More Illness, Higher Profits August 17, 2021 Aetna creates new obstacle to care for seniors, highlighting need for prior authorization reformCalifornia Medical AssociationAugust 10, 2021 One of the nation’s largest health insurance companies has created new bureaucratic hurdles for patients that could prevent many from receiving cataract surgery – part of a trend of insurance companies creating new “prior authorization” requirements that […] The Financial & Health Hazards of Medicare Advantage August 16, 2021 Medicare Advantage Boom TimesAxiosAugust 11, 2021By Bob Herman “Medicare Advantage continued to grow during the pandemic, and it’s increasingly likely a majority of all Medicare enrollees will be in private plans in a few years despite Medicare Advantage’s deep, longstanding problems… The federal government paid almost $350 billion to MA insurers for this year, a […] Private Equity Is Buying Up Health Care: Patients (and Doctors) Beware August 13, 2021 REPORT TO THE CONGRESS: Medicare and the Health Care Delivery System – Chapter 3 – Congressional request: Private equity and Medicare. MedPAC.June 21, 2021. We examined PE business models in three key sectors: hospitals, nursing homes, and physician practices. PE firms have made investments in each sector but have a limited presence: We found that […] The Rice Family Health Reform Legacy August 11, 2021 Health Insurance Systems: An International ComparisonAcademic Press2021By Thomas Rice Chapter 16, Some Insights Health outcomes How much a country invests in its health care system does not have a strong influence on the outcome measures examined here. That is further exemplified by the fact that the United States spends by far the most, but performed […] U.S. Health System Implosion / Tipping Point August 10, 2021 U.S. longevity down to 78.5 years, other nations 81-84.U.S. pervasive race disparities in private insurance and health.U.S. health spending twice the wealthy country average.U.S. uninsured = 33 million pre-COVID; underinsured = 1/3 of insured.U.S. healthcare access & outcomes the worst among wealthy countries.U.S. financial barriers to care for sick high in Medicare Advantage.U.S. medical debt […] U.S. Health System a Pitiful Last Among Wealthy Nations August 9, 2021 Mirror, Mirror 2021: Reflecting PoorlyHealth Care in the U.S. Compared to Other High-Income CountriesThe Commonwealth FundAugust 4, 2021By Eric C. Schneider et al. Issue: No two countries are alike when it comes to organizing and delivering health care for their people, creating an opportunity to learn about alternative approaches. Goal: To compare the performance of […] Posts pagination Newer 1 … 23 24 25 26 27 … 30 Older
