Cost Management
How RAND Corporation is endangering our high-value healthcare systems by oversimplifying the complexities of how the system works.
The RAND Corporation has released the third edition of its hospital price transparency study. The AHA previously highlighted our extensive concerns with the data and methodology used in the last version.
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-…