Economics

This channel highlights factors that impact hospital and healthcare economics and revenue. This includes news on healthcare policies, reimbursement, marketing, business plans, mergers and acquisitions, supply chain, salaries, staffing, and the implementation of a cost-effective environment for patients and providers.

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Despite Supreme Court ruling, ACA challenges remain

The Supreme Court ruled on June 25 that subsidies to purchase health insurance on the exchanges would remain available nationwide. However, Politico notes that Republican leaders and many Americans still oppose the Patient Protection and Affordable Care Act and some states are having trouble running their exchanges.

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In ruling's wake

The Supreme Court finally made its ruling on King v. Burwell, a decision that affects the health insurance exchange concept in the Affordable Care Act (ACA). Was this a disruption or a distraction?

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Largest Medicare fraud case in DOJ history alleges $712M in false billings

On June 18, the federal government charged 243 individuals with participating in a Medicare fraud scheme totaling approximately $712 million in false billings. The Medicare Fraud Strike Force, a joint initiative between the Department of Justice (DOJ) and Department of Health and Human Services, led the investigation.

Poll finds U.S. residents believe prescription drug prices are too high

Nearly three-quarters of people in the U.S. believe prescription drug prices are unreasonable, according to the monthly Kaiser Health Tracking poll released on June 16.

Report: UnitedHealth approaches Aetna about merger

UnitedHealth Group approached Aetna about a merger in recent days, the Wall Street Journal reports. UnitedHealth, the largest health insurance company in the U.S., sent a letter to Aetna expressing its interest. However, the newspaper reports "it is far from certain there will be any deal between the companies."

Hospital saves $535K though cardiac initiatives

A half billion here, almost another billion more there. Cardiologists can contribute to cost savings and revenues, but it may take compelling data and frequent reminders, judging by the example of Providence Spokane Heart Institute in Washington.

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No-frills TAVR may offset cost pressures in mid-risk patients

CHICAGO—In order to be cost-effective in intermediate-risk patients, transcatheter aortic valve replacement (TAVR) procedures will need to be stripped down to the necessities in uncomplicated cases, according to one of TAVR’s leading health economists. 

Obama says Supreme Court should not hear King v. Burwell case

Speaking at the Group of Seven summit on June 8, President Barack Obama said the Supreme Court should not have agreed to hear the King v. Burwell case. The decision, which could affect health insurance marketplaces in 34 states, is expected later this month.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.