Hospitals and payers seem to be complying more with required price transparency postings. As well, the Centers for Medicare and Medicaid Services (CMS) has ramped up enforcement. New rules went into effect 1/1 and Congress wants to codify the rules and enhance them. Additional article here: https://www.medpagetoday.com/special-reports/features/108126
#transparency #pricetransparency #healthplans #hospitals #cms
Good article on all the healthcare priorities for 2024. This tracks very closely to my predictions for 2024 blog ( https://www.healthcarelabyrinth.com/channeling-nostradamus-the-healthcare-labyrinths-2024-predictions/ ).
As I noted, a continuing resolution (CR) or other funding bill must pass soon to keep healthcare agencies open. As well, the article says that price transparency reporting, PBM reforms, and site-neutral payments are on the agenda. Note the reference to the long shot possibility of Medicare Advantage (MA) payment reductions. Troubled by prior authorization and overpayment headlines, Congress could take a bite out of rates for MA plans. This was also a possibility I raised in my predictions. There is also the issue of physician fee cuts in Medicare.
(Article may require a subscription.)
#transparency #pricetransparency #governmentshutdown # crs #siteneutral #pbms #medicareadvantage #medicare #overpayments #providers #rates
Good article from Kaiser Health News on the rural healthcare crisis. It tackles how primary care doctors may be able to help with the maternal healthcare crisis.
#ruralhealthcare #healthcare
The Healthcare Labyrinth Newsfeed is off January 1. We wish you a very Happy and Prosperous New Year! You can read previous Newsfeed entries at the Newsfeed page. Visit out Blog page for the latest Blogs. Also visit Spotify for The Healthcare Labyrinth Podcasts. Search “healthcare labyrinth.” We now have three posted. Stay tuned for our predictions blog coming out tomorrow. Read our year-in-review blog already posted first. As well, our podcast this coming Friday will summarize 2023 healthcare events and go into predictions.
— Marc S. Ryan and The Healthcare Labyrinth Website
Kudos to Devoted Health for its successful Series E funding raise. Devoted has been one of the few very successful insurtechs. It has excelled in the Medicare Advantage (MA) market as a startup. Run by career veterans with discipline, it is giving big plans a run for their money in some markets. Devoted’s record is very different to some of the other insurtechs, who cratered this year or are performing poorly.
(Article may require a subscription.)
#insurtechs #devotedhealth #medicareadvantage
Good article showing why retailers are targeting seniors for their primary care initiatives. Retailers are interested in the potential financial arrangements (risk funds) that Medicare Advantage plans are focusing on. In addition, the seniors will tap other important features of their offerings, including pharmacies.
(Article may require a subscription.)
#retailhealthcare #medicareadvantage
Good article on the healthcare lawsuits to watch in 2024, including many challenging the Inflation Reduction Act’s (IRA) Medicare drug price negotiations as well as preventive service mandates in the Affordable Care Act (ACA).
#aca #ira #exchanges #obamacare #drugpricing
The article says that hospital mergers and acquisitions will pick up in 2024. A number of factors are cited, including financial pressures and outside forces. Deals were robust before the COVID pandemic and then collapsed. They picked up in 2023 and will grow more in 2024. They won’t hit pre-pandemic levels though. New merger guidelines and the Biden administration’s anti-trust views could be a wild card and impact the ongoing recovery of M and A.
(Article may require a subscription.)
#hospitals #mergers #acquisitions
Merry Christmas and Happy Holidays to all!
— Marc S. Ryan and The Healthcare Labyrinth website.
A good article on what to expect in M and A. Discusses consolidation and technology as well as has suggestions for healthcare leaders.
#manda #acquisitons #mergers #healthplans #hospitals #providers #2024
