News

Public-private collaboration is crucial for healthcare payment reform

Aligning the work and interests of state agencies with private payers and employer groups is critical for shaping the future healthcare financial landscape, according to a Health Affairs blog post by Suzanne Delbanco, executive director of the Catalyst for Payment Reform.

How hospitals can financially prepare for an adverse decision in King v. Burwell

The U.S. Supreme Court has the healthcare sector on pins and needles regarding its decision in the King v. Burwell case, which could strip tax credit subsidies from millions of Americans. As a result, the Healthcare Financial Management Association has offered advice to hospitals on how to handle an adverse decision.

Labor unions push for Massachusetts hospitals to disclose offshore assets, cap CEO pay

Bills are pending in the Massachusetts legislature that would require hospitals to report their offshore assets and pay financial penalties if their chief executive officers take home overly generous paychecks.

Adverse ruling on subsidies could hammer insurance stocks

The Affordable Care Act has been particularly kind to the stocks of health insurers, some of which are up 45 percent to 68 percent over the past year. But that could change if the U.S. Supreme Court issues an adverse ruling later this month in the King v. Burwell case.

Hospital prices rise in vast majority of U.S. cities

Eighty-two percent of cities or geographic regions in the United States have seen their hospital prices rise between 2011 and 2013, according to NJ.com

New heart drug could drive up healthcare spending dramatically

A new cardiac drug that could reach the U.S. market in the next few years could set off another cascade of tens of billions of dollars in additional healthcare costs, the Financial Times has reported.

Price transparency: A look back and ahead

In this special report, FierceHealthFinance examines the progress providers and advocates have made on price transparency, the obstacles to further progress and what the future holds.

PwC: Healthcare inflation decline to continue

Healthcare inflation will fall to 6.5 percent in 2016, continuing a 10-year trend, according to a new medical-cost growth trend report from PwC.

Hospital chains push back against price-gouging allegations

Two major healthcare chains say a report that found their hospitals have the nation's steepest cost-to-charge markups mischaracterizes how much patients actually pay for their services, the Tampa Tribune reports.

Trevor Fetter has turned Tenet around during his tenure

Tenet Healthcare Corp. Chief Executive Officer Trevor Fetter has taken the Dallas-based for-profit hospital chain from a $134 million loss and multiple investigations in 2003 to a $12 million net profit last year.

Florida governor wants to repeal CON law

Florida Gov. Rick Scott is once again butting heads with the Sunshine State's hospitals, saying he supports a bill pending in the Legislature that would eliminate the certificate of need law, the Miami Herald reported.

Fight to keep community hospital open could bankrupt healthcare district

The struggle to save a community hospital in California may come at the cost of bankrupting its healthcare district, according to the East Bay Express.

10 new 'breakthrough' drugs to cost $50B for Medicare, Medicaid over next decade

Medicare and Medicaid will have to spend almost $50 billion to cover just 10 new specialty medications in the next 10 years, according to a new report from Avalere Health.

What would the Founding Fathers say about Medicaid expansion?

When the Florida Legislature voted down Medicaid expansion yet once again last week, I received a glowing announcement from the James Madison Institute, a Tallahassee-based think tank that has a lot...

Hospitals, healthcare systems inch toward value-based payments

Hospitals and healthcare systems are becoming more capable of functioning in a world of value-based payments, according to a new survey by the Healthcare Financial Management Association and Humana.

Specialty drugs drove upward surge in pharma spending last year

Pharmaceutical spending, particularly for specialty drugs, skyrocketed last year. Spending on drugs rose 13 percent in 2014 from the prior year, reaching $373.9 billion, according to a report from the Blue Cross Blue Shield Association.

Long-term care hospitals time discharges to increase payments

Long-term care hospitals intentionally time patient discharges in order to maximize reimbursement from the Medicare program, according to a new study published in the journal Health Affairs.

For-profit hospitals mark up prices far more than other institutions

Two for-profit hospital chains own nearly 80 percent of the nation's hospitals that have the highest cost-to-charges markups in the United States.

'Mergers of equals' model gains steam

Although hospital mergers & acquisitions are often due to financial need, there are benefits to mergers between successful organizations as well, according to Becker's Hospital Review.

Pricetag for fainting at father's bedside is nearly $2,000

A hospital charged a woman who fainted at her father's bedside after he died nearly $2,000 to revive her, the Los Angeles Times reported.