40. A Study Shows Hospitals Can Make Money By Being More Efficient. They Need to Be Reformed.

A new study from Third Way shows that hospitals can be more efficient and still make a profit. Hospital reform needs to happen.

About The Podcast:

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in the space, offering analysis, insights, and predictions on the changing state of healthcare in America.

About The Episode:

On this episode, Marc discusses a new study from Third Way that shows that hospitals can be more efficient and still make a profit. Hospital reform needs to happen for the sake of the healthcare systems and consumers.

Key Takeaways:  

A new study from Third Way shows that hospitals can make money at Medicare and Medicaid rates.

More than half of hospitals make money on Medicare and about a third on Medicaid.

Hospitals charge employer and commercial coverage about 250% of Medicare rates.

Hospitals breakeven points on commercial and employer coverage is much lower if hospitals are efficiently run.

The more hospitals are bloated and spend, the worse their financial position. The same holds true on quality of care.

But hospitals do not want to be efficient. They would rather use their decades old playbook that says they cannot make money from government programs and must charge the commercial world obscene rates.

Hospitals are the strongest healthcare lobby and are fighting any type of reform.

But with hospitals garnering about 30% of healthcare expenditures, reform is necessary for the systems, employer coverage, and consumers.

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The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance

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