New analysis from Ernst and Young (EY) for the American Hospital Association (AHA) shows that non-profit hospitals provide benefits to their community at a rate an order of magnitude higher than what they're exempt from paying in taxes.
The analysis covered 2020 and includes data that "reflects the impacts of the COVID-19 pandemic."...National News
The contradictions between the goals of Medicare Advantage plans and healthcare providers are becoming increasingly apparent, posing challenges equally for providers and payers.
Medicare Advantage places unique burdens on all provider types from hospitals to private practices. The central issue lies in the use of prior authorization,...
The independent physician is an endangered species due to rapid corporate consolidation, according to a new report.
More than three-quarters of all U.S. doctors are employed by a corporate entity, be it hospitals, health insurers, private equity or some other corporate form. Healthcare Dive explains that much of the acceleration...
Last week, the Biden administration announced a proposed rule through the U.S. Department of Health and Human Services (HHS), Labor and the Treasury Department that would implement the independent dispute resolution process (IDR process) outlined by the No Surprises Act, which seeks to protect patients and medical services consumers from...
Rural hospitals experience unique issues as providers across the medical industry, and specifically in regards to Medicare Advantage (MA). Plan availability, the structure of available plans, and difficulties with processing payments are all reasons rural health systems are increasingly fighting MA.
A new study by Milliman highlights...
Health systems across the country are pursuing value-based care (VBC) models, and aggressively acquiring primary care providers to do it, but some want to know if the rising tide of VBC will lift all provider boats.
Last week, Kaiser Foundation Hospitals and Geisinger Health announced the launch of Risant Health, which will...
Summer is coming to a close and COVID-19 infection rates are on the rise as students are preparing to return to the classroom in Arizona -- including unvaccinated young children.
According to the Arizona Department of Health Services (ADHS) COVID-19 data dashboard, cases are up again with 17,249 new cases reported in the past week and...
There were a couple of legal challenges announced this week for hospitals and health systems on the concern of paying. Hospitals accused of overcharging for procedures is a common theme in two cases while Louisiana accused UnitedHealth Group of inflating drug prices to its Medicaid program via Optum Rx by billions.
The Colorado State...
This week, value-based care (VBC) is frequently seen as a method for primary care providers to best serve patients, but increasingly more facets of the healthcare industry are investigating how technology, data analytics and value-based insurance design can help swap volume for value and deliver results for their patients.
Hospitals...
