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Hospital Cost Shifting May Be a Thing of the Past
Convention wisdom has long held that hospitals make up for reimbursement shortfalls in government insurance and uncompensated care by shifting those costs to the privately insured.
Convention wisdom has long held that hospitals make up for reimbursement shortfalls in government insurance and uncompensated care by shifting those costs to the privately insured.
Two studies released this month indicate that this may no longer be the case, although they reach different conclusions about how hospitals are coping with the slowdown in Medicare and Medicaid financing.
Rice University economist Vivian Ho and her colleagues looked at revenue by payer at Texas hospitals between 2000 and 2007. They concluded that hospitals have grown revenue by increased use of technology. Ho said she found no evidence that hospitals are shifting costs to private payers to compensate for the fact that they have to deal with the nation’s highest percentage of uninsured patients. She said technology accounted for two-thirds of the growth in prices. She also noted that hospitals are treating sicker patients because lower-acuity cases are being treated more frequently in outpatient settings.
Read the full story here: http://bit.ly/HaK49c
Source: Healthcare Daily
Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
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Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
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Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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