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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Medicaid expansion through ACA tied to fewer heart disease deaths

Counties in states that expanded Medicaid coverage under the Affordable Care Act (ACA) had fewer deaths from cardiovascular disease than those in states that didn’t expand Medicaid, according to an abstract presented April 5 at the American Heart Association’s Quality of Care and Outcomes Research scientific sessions.

Express Scripts, Cigna announce $25 cap on patients’ monthly insulin costs

Diabetics enrolled in certain drug benefits plans through Cigna and Express Scripts could see their out-of-pocket costs for insulin capped at $25 per month, according to an April 3 announcement. But one diabetes advocate called the move "a stopgap at best" and said it doesn't address the larger issue of sky-high list prices.

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What role should physicians play in healthcare’s move toward price transparency?

The federal mandate that went into effect Jan. 1 requiring hospitals to post prices of their services online isn’t doing much good, according to the authors of an opinion piece published in the Annals of Internal Medicine.

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FDA releases framework for reviewing AI-based medical devices

In a first step to develop a set of AI-specific rules and regulations, the FDA released a discussion paper April 3 detailing how it plans to vet and approve AI medical devices without compromising quality or patient safety.

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CMS proposes updates to national coverage determination for TAVR

CMS has proposed an update to its national coverage policy for transcatheter aortic valve replacement (TAVR), which would require hospitals to perform 50 aortic valve replacements each year to maintain a TAVR program—including at least 20 TAVRs.

Montana ranked best place to be a doctor in US

Montana offers the most favorable work environment for physicians in 2019, according to a new report from WalletHub that ranked all 50 states and the District of Columbia on 18 different metrics.

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AHA, AAP recommend policies to limit kids’ sugary drink consumption

The American Heart Association (AHA) and the American Academy of Pediatrics (AAP) issued a joint policy statement March 25 recommending a series of public health measures aimed at reducing children’s consumption of sugary beverages.

Heart attack patient’s $227K balance highlights inconsistent billing practices

A woman who was on the hook for nearly $227,000 in medical bills after suffering a heart attack and other complications had her balance wiped out by a medical charity waiver, Kaiser Health News reported. But that didn’t save Debbie Moehnke and her husband, Larry, the stress of mounting medical bills and calls from debt collectors, and the story highlights how inconsistent billing practices could impact other patients.

Around the web

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

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.