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Nonprofit Hospitals and Charity Care
November 7, 2024 Two new reports throw light on the level of charity care actually provided by nonprofit hospitals in the US.As noted in US Nonprofit Hospitals Have Widely Varying Criteria To Decide Who Qualifies For Free And Discounted Charity Care (Luke Messac, Alexander T. Janke, Lisa Herrup Rogers, Imani Fonfield, Jared Walker, Elijah Rushbanks, Nora V. Becker, and Ge Bai, US Nonprofit Hospitals Have Widely Varying Criteria To Decide Who Qualifies For Free And Discounted Charity Care, Health Affairs 2024 43:11, 1569-1577): "Hospital charity care is the provision of free or discounted services to low-income patients.5 Historically, a large part of the justification for nonprofit hospitals’ tax-exempt status rests on…
Doximity Releases 2024 Physician Compensation Report
October 16, 2024 The physician networking, communications, and staffing company Doximity has released its 2024 Physician Compensation Report.According to Doximity, "Doximity found that after several years of modest or declining growth, the average pay for doctors increased nearly 6% in 2023, rebounding from a decline of 2.4% in 2022."The report noted that "In 2023, the gender pay gap for physicians decreased to 23%, marking a slight improvement from the 26% reported in 2022. Despite this progress, the pay gap remains significant, with women physicians earning nearly $102,000 less than men physicians, on average, after controlling for specialty, location, and years…
Commonwealth Fund Releases Newest Installment of its Mirror Mirror Series of National Health System Comparisons
September 21, 2024 The Commonwealth Fund has released the newest installment of its Mirror Mirror series, which compares various national health systems with the US.According to Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System:"Key Findings: The top three countries are Australia, the Netherlands, and the United Kingdom, although differences in overall performance between most countries are relatively small. The only clear outlier is the U.S., where health system performance is dramatically lower."Conclusion: The U.S. continues to be in a class by itself in the underperformance of its health care sector. While the other nine countries differ in…
Baker Institute Report Examines Hospital Prices, Costs, and Profits
Rice University's Baker Institute for Public Policy has issued a new report on hospital finances. The report, entitled Prices Versus Costs: Unpacking Rising US Hospital Profits, compares "the commercial operating costs, net patient revenue from commercial patients, and commercial operating profits of hospitals with different price levels to examine if higher prices are charged to cover higher costs, or instead to generate higher profits."They concluded:"We find that belonging to the highest inpatient price quartile is associated with 17% higher costs per adjusted discharge and 36% higher commercial revenue per adjusted discharge. These differences result in a 69% higher commercial operating…
Healthcare in the US Becoming Less Affordable
July 23, 2024 The ability of Americans to access affordable healthcare has declined in recent years, according to a new report by Gallup and the nonprofit West Health.According to the report, entitled Tracking Healthcare Affordability and Value: The West Health-Gallup Healthcare Affordability Index and Healthcare Value Index:"Cost security among U.S. adults has dipped to its lowest level in 2024, down six points since 2022 to just 55%. This decline is driven primarily by adults aged 50 to 64 (down eight points to 55%) and 65 and older (down eight points to 71%). Younger adults under the age of 50, after…
NY Times Investigative Series on Pharmacy Benefit Managers and High Prescription Drug Costs
June 21, 2024 The New York Times has begun a new series about how pharmacy benefit managers prioritize their own interests at the expense of patients, employers, and the public. Part one, entitled "The Opaque Industry Secretly Inflating Prices for Prescription Drugs," was published June 21, 2024. According to the Times:"The three largest pharmacy benefit managers, or P.B.M.s, act as middlemen overseeing prescriptions for more than 200 million Americans. They are owned by huge health care conglomerates — CVS Health, Cigna and UnitedHealth Group — and are hired by employers and governments."The job of the P.B.M.s is to reduce drug…
Journalism Organizations Plan Webinar Series on Business of Healthcare
February 14, 2024 The Association of Health Care Journalists and Investigative Reporters & Editors, with the support of the NIHCM Foundation, are hosting a series of free webinars for journalists on the business of healthcare.The series is entitled "Follow the Money: The Business of Health Care." The first webinar, “Using HospitalFinances.org and other tools to tell money stories,” will be 1-2 pm eastern on Wednesday, March 27. Here's the rest of the schedule:April 24, 1-2 pm eastern: “Digging into pricing: What does health care cost?”June 26, 1-2 pm eastern: “Coverage 101: Understanding private health insurance and Medicare/Medicaid plus a new tool for…
US Healthcare Spending in 2022: $4.5 Trillion
January 2, 2024 According to the federal Centers for Medicare and Medicaid Service (accessed January 2, 2024): "US health care spending grew 4.1 percent to reach $4.5 trillion in 2022, faster than the increase of 3.2 percent in 2021 but much slower than the rate of 10.6 percent in 2020. The growth in 2022 reflected strong growth in Medicaid and private health insurance spending that was somewhat offset by continued declines in supplemental funding by the federal government associated with the COVID-19 pandemic."In a related article published in the journal Health Affairs ("National Health Expenditure Accounts Team. National Health Care…
Baker Institute: More Texans Insured Thanks To The ACA
November 23, 2023 Rice University's Baker Institute for Public Policy reports that more Texans have health insurance coverage now thanks to the Affordable Care Act. According to the Institute's November 14 issue brief, entitled Looking at the Numbers: 10 Years of Data on the Affordable Care Act Reveal Benefits for Texans:"When the ACA was enacted in 2010, Texas had the highest uninsured rate (23.7%) in the country — 5.6 million people. The Texas Health and Human Services Commission estimated that full implementation of the ACA could cut the uninsured rate in half, with 36% or 2 million people gaining subsidized…