costs
publication date
Revenue Cycle
Report: Hospital Margins Tight Even with Improved Revenues, VolumesThose tight margins are being driven by rising expenses and COVID-19 Delta variant concerns.
Payer
Dignity Health Takes Contract Spat with Anthem PublicThe health system is urging its customers to "take action" and "call Anthem at the number on the back of...
Payer
Covered California Projects 1.8% Rate Hikes in 2022The average rate change for the past three years is only 1.1%, which also marked the third year since the...
Payer
Diabetes Drug's New Weight Loss Formula Fuels Cost-Benefit DebateIt's no surprise that some of the same drugs for diabetes are being reformulated and renamed by manufacturers as a...
Payer
Pfizer Court Fight Could Legalize Medicare Copays and Unleash 'Gold Rush' in SalesA Pfizer win could cost taxpayers billions of dollars and erase an important control on pharma marketing after decades of...
Payer
Olympic Dream Dashed After Bike Crash and Nightmare Medical Bill Over $200KPhil Gaimon paid about $500 a month for his insurance policy with Health Net through Covered California. He also had...
Payer
Sign-Up Window for Free COBRA Coverage for Many Laid-Off Workers Closes This WeekPeople can sign up for the subsidy even if they didn't elect COBRA coverage earlier, or if they had COBRA...
Payer
Why the Fee-For-Service Chassis Continues to Dominate Value-Based Purchasing and What to Do About ItThe FFS claims submission process is still the primary means for capturing the broader encounter data needed for VBP analysis...
Strategy
After 18 Months, Sutter Antitrust Settlement Finally Poised for Formal ApprovalNumerous twists and turns have slowed the court's approval of the settlement in late 2019.
Strategy
Facing Headwinds on New Alzheimer's Drug, Biogen Launches Controversial CampaignThe drugmaker is running an educational campaign directed at the consumer, one who is already worried about whether those lost...
Payer
Though Millions Are at Risk for Diabetes, Medicare Struggles to Expand Prevention ProgramOut of an estimated 16 million Medicare beneficiaries whose excess weight and risky A1c level make them eligible, only 3,600...
Strategy
Biden's July Executive Order Includes Drug Pricing Provisions. But Will They Do Enough?So far, experts generally say the jury is still out on how meaningful these efforts will be.