Health Populi

OCTOBER 24, 2022

The second drawing illustrates the fact that health care service patterns have not returned to their pre-pandemic levels. Aside from care for COVID-19, volumes are down except for services related to mental and behavioral health (with rates of mental health prescribing increasing for antidepressant and anti-anxiety drugs).

COVID-19 52

COVID-19 Prescription Drug Pricing Health Insurance Health Care Reform 52

Health Populi

OCTOBER 28, 2019

rank prescription drugs, lab tests, emergency room visits, dental and vision care, preventive services, chronic disease management and mental health care as the “most essential” health care services, according to the 2019 Survey of America’s Patients conducted by The Physicians Foundation.

Hospitals 54

Hospitals Prescription Drug Pricing Pharmaceutical Industry Medical Billing 54

Health Law Advisor

MAY 22, 2023

1339) reflects the overarching legislative push by members from both sides of the aisle and chambers of Congress to address drug pricing issues through federal fixes to the PBM framework. Unlike the IRA, which targeted the Medicare program, the provisions of S. 1339 framework to differentiate their services.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Health Populi

JANUARY 18, 2019

He co-wrote the first “It’s The Prices Stupid” research article in Health Affairs with Gerard Anderson et. higher-than-world-average health care spending is mostly about how services are priced, versus whether Americans use more healthcare.

Prescription Drug Pricing 64

Prescription Drug Pricing Health Insurance Doctors Medicare 64

Hall Render

APRIL 12, 2024

New president tapped to lead major hospital system in Denver area New president to lead opening of $650M hospital in Wheat Ridge Telehealth program offers support to forensic nurses Colorado Medicaid program settles lawsuit over lack of mental health care for children Colorado is trying to cut prescription drug prices.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

NOVEMBER 11, 2022

Physician leaders balk at Medicare 4.48% physician fee cut. Color Health expands into behavioral health to tackle access challenges for mental care services. Bright Health exiting Florida Medicare Advantage market. Terry Reilly Health Services awarded funds to expand behavioral health services in Idaho. CALIFORNIA.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

JUNE 23, 2023

Vincent’s ending free shuttle service, riders concerned how they’ll access medical care Bayfront Health opens new ER in St. Newsom is proposing a boost in mental health funding. Million to Resolve False Claims Act Allegations S. Here’s what we know.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40

Hall Render

FEBRUARY 25, 2022

The 55 hospitals penalized by Medicare 8 years straight over patient complications. Delta Dental gives $750K for oral health services. Nursing homes dealing with price gouging from staffing agencies. Northwest Health expands mental health services. Universal Health Services Plans $375M Hospital In D.C. has a name.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 24, 2023

judgment against nursing home chain over woman’s death Arkansas BCBS names VP of group market U of Arkansas to offer dual DNP-MBA program Unity Health welcomes Jacksonville community to new hospital Baptist Health Opens Behavioral Services Clinic in North Little Rock Arkansas Children’s Hospital gets $2.5

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Health Populi

OCTOBER 8, 2019

The second largest waste component was pricing failure, associated with medication pricing failure (the largest piece of three components), payer-based health services pricing failure, and lab and ambulatory pricing. Pricing failure as a waste-factor accounted for nearly another third of total waste in U.S.

Prescription Drug Pricing 104

Prescription Drug Pricing Medicare Medicare ACA 104

Hall Render

JUNE 2, 2023

Department of Labor grant ARIZONA Banner Health donates building to WCH Banner Health names CFO Effects of long Covid far worse in Arizona than other states, study shows Six Banner Health executives named CEOs to know Arizona researchers part of the ‘first step’ in defining long COVID New signs of hope for families facing loss of insurance (..)

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JULY 22, 2022

CMS releases Medicare OPPS and ASC proposed rule. 3 spine surgeons sign professional services contract with Banner Health. Long Beach Memorial avoids losing Medicare funding after serious patient care lapses. Treasure Valley hospitals seeing impacts to service, but COVID-19 isn’t entirely to blame. CMS proposes 2.7%

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 18, 2022

13-year Medicare payment dispute will return to HHS, court rules. Hartford HealthCare fined after ending maternity services at 1 hospital. A layoff list, expired medicine, neglected patients: Illinois hospital loses Medicare contract. Franciscan Health Michigan City teams up with Signet Health on behavioral health services.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Health Populi

DECEMBER 30, 2019

Humana’s Bold Goal initiative targeting Medicare Advantage enrollees. Even seemingly popular plan ideas like prescription drug pricing and coverage for pre-existing conditions can’t get traction in Congress or through the White House’s executive pen.

US Department of Health and Human Services 125

US Department of Health and Human Services Prescription Drug Pricing Public Health Medicare 125

Health Populi

MAY 8, 2019

In 2018, we saw more incentives to inspire adherence to prescription drug regimens, particularly in Medicare Part D along with increasing focus by pharmacists and providers. For people enrolled in Medicare Part D, 20% faced over $500 in OOP costs. That’s why this has become a bigger issue, Murray explained.

Prescription Drug Pricing 59

Prescription Drug Pricing Medicare Medicare Health Insurance 59

Health Populi

SEPTEMBER 9, 2022

economy for some sectors — and inflation hitting household budgets for basic needs like food, energy costs, and petrol (with gas at the pump prices having fallen).

Prescription Drug Pricing 62

Prescription Drug Pricing Health Insurance Medical Billing Doctors 62

Health Populi

MAY 14, 2018

This is what happened to pharma stock prices on Friday after President Trump and Secretary of Health and Human Services Alex Azar outlined their new policies focusing on prescription drug prices. ” These prescriptions for lower pharma costs contrast with what most U.S. The graph is the Nasdaq U.S.

Prescription Drug Pricing 48

Prescription Drug Pricing Governance ACA Medicare 48

Health Populi

OCTOBER 12, 2018

This post updates my initial thoughts on the deal, given the morphing US healthcare market on both the traditional health services front and fast-evolving retail health environment. KFF found that the organization would cover 3 in 10 Medicare Part D enrollees, and grow CVS’s role in Medicare Advantage, too.

US Department of Health and Human Services 58

US Department of Health and Human Services Prescription Drug Pricing Health Insurance Medicare 58

Health Populi

MARCH 13, 2018

Health Populi’s Hot Points: The big wild card in forecasting what prescription drug spending will look like in the U.S. is just how aggressive Dr. Alex Azar at the Department of Health and Human Services, and Dr. Scott Gottlieb at FDA, want to be regarding drug pricing.

Prescription Drug Pricing 67

Prescription Drug Pricing FDA Hospitals Medicare 67

Health Populi

JUNE 18, 2020

By demographics, more women than men are concerned about rising costs for the three health care spending categories the survey studied: drug prices, insurance premiums, and healthcare costs (medical care services spending). Furthermore, net spending on these expensive “specialty drugs” increased from $8.7

Prescription Drug Pricing 76

Prescription Drug Pricing COVID-19 Medicaid Medicaid 76

Health Populi

APRIL 26, 2019

Health Populi’s Hot Points: The third chart illustrates that pharma pricing is a unifying force across older voters across the three political parties. consumers to import cheaper prescription drugs from other countries. Yes, there’s the issue of price which the President and Secretary of HHS continue to discuss.

Prescription Drug Pricing 56

Prescription Drug Pricing Governance Medicare Medicare 56

Jane Sarashon

DECEMBER 20, 2023

health care ecosystem, basing shoppable services on price and convenience. Grocery stores with co-located pharmacies also provide health care services and, of course, vaccinations for those health citizens keen to protect themselves and loved ones from exposure to the coronavirus.

Prescription Drug Pricing 67

Prescription Drug Pricing Medical Billing Health Insurance Public Health 67

Health Populi

OCTOBER 15, 2021

Drug price negotiation, say by the Medicare program, is a unifying public policy in the current era of political schisms in America, based on the findings in a special Kaiser Family Foundation (KFF) Health Tracking Poll conducted in late September-early October 2021. This patient experience crosses political parties in the U.S.,

Prescription Drug Pricing 68

Prescription Drug Pricing Medicare Medicare COVID-19 68

Health Populi

AUGUST 28, 2019

These two surveys are: The Morning Consult’s poll published today finding growing support among Democratic voters for Medicare for All as the centerpiece for health reform in America; and, A recent study from Eligibility.com on “Medicare Myths Explained,” with the tagline, “How much do you know about Medicare?”

Medicare 94

Medicare Medicare ACA Prescription Drug Pricing 94

Health Populi

DECEMBER 20, 2019

So it is with scenario planning in health care, a key work-flow this time of the year for me with my clients spanning the health/care ecosystem from providers to payors to Big Food, electronics and tech, and financial services. CVS continues to integrate the acquisition of Aetna into the company’s product and service portfolio.

Public Health 93

Public Health Prescription Drug Pricing Medicare Medicare 93

Health Populi

NOVEMBER 7, 2018

Governors have health-coverage missions along with managing their portfolios of services for education, infrastructure, and other objectives for state residents. Another healthcare issue that should get traction in this legislative environment is prescription drug pricing.

Prescription Drug Pricing 39

Prescription Drug Pricing Medicaid Medicaid Medicare 39

Health Populi

JUNE 28, 2019

Sanders, noting his call for big new government benefits like universal health care through Medicare for All and free college tuition. Holt asked the Senator whether he expected Americans to welcome paying more taxes for these services. Bennet argued for universal health care (in a public/private system) but not for Medicare for All.

Medicare 70

Medicare Medicare Health Insurance Governance 70

Drug & Device Law

OCTOBER 10, 2022

The manufacturer sought to cover Medicare patients’ Part D cost-sharing obligations for the drug – which were estimated at approximately $13,000 per year – but the OIG said “no thanks,” and the Second Circuit has affirmed that outcome. The problem is, as stated before, the drug is expensive; an annual course costs $225,000.

Medicare 52

Medicare Medicare FDA Prescription Drug Pricing 52