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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The consequences of policy changes

You can call any change in public policy a natural experiment. This week we had a glimpse of some results.

Starting pay for cardiology subspecialists: $189K-$360K

Not bad for starters. Depending on the subspecialty, newly minted cardiologists made between $189,000 and $360,000 in 2013.

Competition among docs may keep prices in check

Market concentration may offer some efficiencies but that doesn’t guarantee savings. An analysis published in the Oct. 22/29 issue of JAMA found that insurers paid higher prices when physicians faced less competition.

Costs per patient $704 higher at multihospital vs. physician-owned practices

Patient costs can be as much as 20 percent higher in multihospital systems as opposed to physician-owned, physician-run organizations, a study published in the Oct. 22/29 issue of JAMA found. These findings contradict assumptions that larger organizations would be able to leverage size and integrated services for better pricing. 

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Informal caregiving for elderly stroke patients costs $26.8B

Stroke ranks high for costs to healthcare systems. A study published online Oct. 10 in Neurology added the price of informal caregiving for elderly stroke survivors in the U.S. to the equation: almost $27 billion annually.

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Reassessing readmissions

October is here. Let the pain begin. That is, the 30-day readmission penalties.

Open Payments’ open season

A New York Times dive into the Open Payments database looked at the 130 physicians who earned more than $100,000 in industry payments. Cardiologists and plastic surgeons appear prominently in the article. Some doctors countered that they make less speaking and consulting than if they stayed in the clinic treating patients.

Blood, sweat & time: Why heart surgeons make more than family doctors

Differences in the time estimates for physician work accounted for almost 90 percent of the variance in a measure used to determine pay for doctors, a finding that helps explain the income gap between proceduralists and primary care physicians. The results were published online Sept. 18 in the Annals of Surgery.

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.