hospitals

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    The grim reality of some “non-profit” hospitals

    Earlier this week, I posted on the blog about a hospital CFO touting his hospital system’s monopoly power as a way to extract profitable reimbursement from the insurers in the area. This is a dim reality in the U.S. health care system that is dominated by hospital…
    Jordan Roberts, July 3, 2019
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    The reality of hospital system monopolies

    I write a lot about hospital consolidations and the monopoly problem in health care (See here, here, here, here, and here). It’s widely…
    Jordan Roberts, July 1, 2019
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    Trump admin considering mandate for more healthcare price transparency

    The Trump administration is weighing whether to require hospitals, doctors and other healthcare providers to disclose negotiated rates with insurers. According to the Wall Street Journal: Mandating public disclosure of the rates would upend a longstanding industry practice and put…
    Jordan Roberts, March 8, 2019
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    Former CMS official calls Treasurer’s plan “responsible, generous”

    Legislation has been filed to stop Treasuer Dale Folwell form instituting his proposed changes to the reimbursement model the State Health Plan uses. The battle over how the state’s largest purchaser of healthcare will pay for claims is now making…
    Jordan Roberts, March 5, 2019
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    NYT op-ed considers benefits of a new Trump hospital rule

    Due to the on-going government shutdown and myriad of other national news stories, you probably missed a significant policy change aimed at hospital prices. The Trump Administration created a new federal rule that hospitals must post their prices to all of the procedures they perform…
    Jordan Roberts, January 22, 2019
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    Major reform, no regulations

    I’m going to use this space today to discuss two healthcare reform initiatives. One was just recently announced and one has been a policy for several years. The former is happening right here in North Carolina. It involves value-based care which I have written about before…
    Jordan Roberts, January 18, 2019
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    NC’s Atrium Health participated in anti-competitive practices

    The Justice Department settled a lawsuit in which the North Carolina-based Atrium Health hospital system was said to have participated in anti-competitive practices: The antitrust suit against Atrium Health focused on language in its agreements with health insurers that had restricted the insurers from creating plans that steered patients…
    Jordan Roberts, November 16, 2018
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    How did Obamacare impact spending in NC’s HHS budget?

    Health Care Solutions Week: According to a budget highlight published by the non-partisan Fiscal Research Division at the North Carolina General Assembly, there were four major impacts the Affordable Care Act had on the state’s Department of Health and Human Services budget. 1. The provision that hospitals…
    Sarah Curry, October 13, 2014