Gregory A. Freeman is a contributing writer for HealthLeaders.
Hospitals and health systems join forces to optimize quality and lower costs, but both goals can be hampered by unexpected challenges.
Mergers and acquisitions continue at a strong pace as hospitals find it increasingly difficult to survive on their own.
Mergers and acquisitions by hospitals and health systems are up from the same time in 2017.
Insurers try to avoid signing up consumers for some health plans even though they are officially counted as options under the ACA. The result is less freedom to choose.
States are testing the waters with Medicare-for-all type plans while waiting for federal solutions. The cost of single-payer plans could be the biggest hurdle.
Losing risk adjustments will further weaken insurers, but only if the problem isn't fixed soon.
Confidence in profitability with value-based contracts doubles over two years.
Humana is accused of placing Roche diabetes products on its formulary in exchange for compensation. This is a new avenue for kickback charges.
Expensive drugs often are not covered by even the plans offering the best benefits in return for higher premiums.
Allowing more consumers to band together for group insurance could further undercut the Affordable Care Act. Health plans will be cautious about the risk inherent with these plans.