Cost Management
It is unfortunate that RAND continues to make broad claims about pricing based on a cherry-picked and limited data set.
An all-too-common activity among some researchers is cherry picking data to support pre-conceived arguments. One of these false narratives is that hospitals and health systems are uniquely responsible for increased health care prices. But an examination of comprehensive data tell a different story.
The Departments of Health and Human Services, Labor, and Treasury today issued a proposed rule that would allow grandfathered health plans to increase enrollees’ premiums and cost-sharing amounts beyond what is currently allowed.
Leaders from health care delivery systems, insurers, the pharmaceuticals industry and technology companies converged on San Francisco last week for the annual J.P. Morgan Healthcare Conference and got a close-up look at just how quickly the field is transforming. News came quickly on several fronts…
Intermountain Healthcare, long committed to reducing patients’ out-of-pocket costs, is making good on its pledge albeit at a steep price, Chief Financial Officer Bert Zimmerli told a packed crowd.
Payers like Humana and Oscar Health, along with Aetna, represented by its parent company CVS Health, provided updates on how their evolving strategies are reducing health care costs and driving health behaviors. Humana CEO Bruce Broussard said the flurry of payer mergers and acquisitions in the…
The U.S. Court of Federal Claims this week ordered the federal government to reimburse insurers about $1.6 billion for unpaid cost-sharing reductions provided through the health insurance exchanges in 2017 and 2018.
Responding today to a House Energy and Commerce Committee request for information on its No Surprises Act draft legislation to protect patients from surprise medical bills, the AHA said it shares the committee’s objective of protecting patients from balance billing in certain circumstances by out-…
Ways and Means Committee Chairman Richard Neal, D-Mass., and Energy and Commerce Committee Chairman Frank Pallone Jr., D-N.J., along with Ranking Members Kevin Brady, R-Texas, and Greg Walden, R-Ore., yesterday announced that they are seeking comments on draft legislation to reform and improve the…
Leaders of the Senate Committee on Health, Education, Labor and Pensions today released the Lower Health Care Costs Act of 2019 – bipartisan discussion draft legislation focused on reducing health care costs. Among other areas, the bill would take steps to end surprise medical bills, reduce the…