The United States finances healthcare through a confusing hodgepodge of payment programs that send distorted signals to employers, insurers, providers and the general public.
Most senior citizens will fight fiercely to remain in their own homes, often well beyond their physical or even mental capacity to take care of themselves. A recent ACA-initiated demonstration program suggests there may be savings for Medicare if that's where seniors receive care.
Later this year, the U.S. Bureau of Labor Statistics will issue its first report measuring hospital productivity. It won't be good news.
For decades, the nation has poured hundreds of billions of dollars into basic and applied science to devise cures for diseases. But investing in research and development for new and better ways of delivering care in hospitals and physician offices remains a stepchild in Washington.
The healthcare industry heaved a collective sigh of relief last week after the U.S. Supreme Court upheld insurance subsidies in states using federally run exchanges. The 6-3 decision effectively puts an end to legal challenges to the Affordable Care Act.
Every once in a while, a study comes along that reminds us that a majority of the institutions we cover at Modern Healthcare are not-for-profits operating under government charters that absolve them from paying federal, state and local taxes.
During an off-year legislative season when most of the public's attention is already focused on who will succeed Obama in the White House, the pharmaceutical industry is closing in on a set of legislative triumphs that threaten to undermine healthcare affordability for years to come.
The skirmishing ahead of the U.S. Supreme Court's King v. Burwell decision suggests we are in for a period of prolonged political turbulence should the high court strike down premium subsidies in the 34 states using the federally run exchanges.
Gotcha. That seems to be the game healthcare providers and insurers are playing with consumers when it comes to surprise out-of-network bills. But it's not a promising business strategy. And it threatens to undermine support for the healthcare system's emerging consumer-choice/narrow-network model.
The federal government's proposed new regulations for Medicaid managed-care plans include the pledge that the program's beneficiaries will have adequate access to a doctor when they need one. When have Medicaid beneficiaries ever had adequate access to doctors, especially specialists or dentists?
As Congress barrels toward passage of the 21st Century Cures Act, it has failed to ask a crucial question: Will it help or harm the nation's drive to derive greater value from its healthcare dollars?
Medicare's 32 Pioneer accountable care organizations posted mixed results after two years, revealing once again that making money from care coordination is proving a heavy lift for most provider organizations.