Tag: health insurance

Nearly 1 in 3 US rural hospitals at risk of closure

Editor's Note More than 700 rural hospitals, representing 31% of all rural hospitals in the country, are at risk of closure, according to a report from the Center for Healthcare Quality & Payment Reform. Chief Healthcare Executive reported the news August 8. According to the article, 16% of all rural…

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By: Matt Danford
August 15, 2024
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US healthcare spending outpaces GDP, tracks toward $7.7 trillion by 2032

Editor's Note Growth in healthcare spending is outpacing nominal economic growth, Hospice News reported June 12. Citing a study from the Office of the Actuary (OACT) at the Centers for Medicare and Medicaid Services (CMS), the outlet reports that healthcare spending’s share of GDP is projected to rise from 17.6%…

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By: Matt Danford
June 13, 2024
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RAND study reveals private payers pay 250% more than Medicare for healthcare services

Editor's Note A recent analysis by the RAND Corporation, a research and analysis nonprofit, revealed a disparity between hospital and ambulatory surgery center (ASC) prices paid by employers and private payers compared to Medicare prices, Revcycle Intelligence May 15 reports. The study, covering data from 2020 to 2022, showed private…

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By: Tarsilla Moura
May 22, 2024
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Per-person healthcare spending grows nearly 19% in 5 years

Editor's Note Average prices for healthcare services trended upward from 2018 to 2022 despite fluctuations in utilization of service, according to the annual Health Care Cost and Utilization Report (HCCUR) from the Health Care Cost Institute (HCCI). In the same timeframe, per-person spending increased nearly 19%. "Prices, in particular, pose a…

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By: Matt Danford
May 2, 2024
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Large amounts of personal data possibly stolen in Change Healthcare cyberattack

Editor's Note Personal information about a “substantial portion of people in America” could be at risk from the February 21 cyberattack on UnitedHealth’s Change Healthcare division, The Associated Press reported April 23. Although the company reports no signs of full medical histories or charts were released, notifying all who were…

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By: Matt Danford
April 24, 2024
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Survey assesses continued impact of Change Healthcare cyberattack

Editor's Note Fallout from the February 21 cyberattack on Change Healthcare continues to threaten physician practices and their patients nationwide, with respondents to a recent American Medical Association (AMA) survey indicating difficulties with insurance claims and eligibility verification. AMA published the results of the informal survey April 10. Conducted March…

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By: Matt Danford
April 19, 2024
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Concierge physician practices expanding to large hospitals

Editor's Note The practice of concierge physicians is expanding as thousands of doctors at large hospital systems shift to a model facilitating high fees and decreased patient load, according to an April 1 report in KFF Health News. The concierge physician model began decades ago in wealthy areas of Florida…

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By: Brita Belli
April 8, 2024
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Private payers profit by delaying medical claims

Editor's Note Private payers initially deny reimbursement on 15% of claims, only to later approve more than half of those initial denials, according to a national survey of healthcare institutions published March 21 by Premiere, Inc. Additionally, the denied claims on average tend to be more prevalent for higher-cost treatments…

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By: Matt Danford
April 4, 2024
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Updated physician shortage projections smaller but still significant

Editor's Note The gap between demand and supply could result in a shortage of 13,500 to 86,000 physicians by 2036, according to updated projections published March 21 by the Association of American Medical Colleges (AAMC). Although these figures are smaller than projections in the last report, published in 2021, they…

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By: Matt Danford
April 3, 2024
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How data puts the ‘value’ in value-based care

What if a surgeon decided to perform a procedure on a patient that was not totally necessary? It happens more often that one might realize. As recently as August 2023, Forbes published an article that cited a Harvard Business Review report stating that over 50% of lumbar spine surgeries are…

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By: David Cotriss
March 22, 2024
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