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Who’s Really Driving Physician Acquisitions?
A new AHA analysis of data from LevinPro HC covering nearly 800 physician practice acquisitions between 2019 and 2024, reveals that commercial insurers and corporate entities like Amazon continue to lead acquisitions, with a particular emphasis on acquiring higher-margin, scalable specialties in densely populated markets rather than lower-margin specialties.
Skyrocketing Hospital Administrative Costs, Burdensome Commercial Insurer Policies Impacting Patient Care
Between 2022 and 2023, care denials increased an average of 20.2% and 55.7% for commercial and Medicare Advantage (MA) claims, respectively.
3 Looming Questions from the J.P. Morgan Health Conference
Providers, payers, data analytics companies and others working to transform health care gathered last week at the 41st annual J.P. Morgan Healthcare Conference to give updates on their strategies and progress.
Addressing Commercial Health Plan Challenges to Ensure Fair Coverage for Patients and Providers
This report documents the American Hospital Association’s (AHA) findings related specifically to prior authorization and payment delays and denials. This work is informed by two large surveys of hospitals, as well as interviews and group discussions with hundreds of hospital and health system leaders.
Health Insurer Specialty Pharmacy Policies Threaten Patient Quality of Care
Regulators should prohibit health insurers from preventing hospitals and physicians in their networks from directly acquiring and storing drugs used in patient care. A number of large health insurers are requiring these providers to accept drugs purchased or handled by their own or affiliated pharmacies.