FAH Urges MedPAC Not to Recommend Site-Neutral Payment Policies

The Federation of American Hospitals submitted a letter to the Medicare Payment Advisory Commission (MedPAC) today, urging the group to stop considering site-neutral payment policy recommendations for inpatient rehabilitation facilities (IRFs) and skilled nursing facilities (SNFs).  The implementation of these policies on payment systems could ultimately lead to the opposite of the intended outcome: poorer patient care. Several problems are associated with the potential payment policy recommendation, which the FAH letter outlines: There is a lack of reliable clinical evidence and quality data. The Urban Institute study heavily relied upon by MedPAC has serious data flaws and limitations. A recent [...] Read More »

New Report: “No Evidence” Of Provider Consolidation Boosting Hospital Price Growth

The Altarum Institute released its December monthly Health Sector Economic Indicators report December 12th, which includes key hospital price data, and an observation on what those data are telling us about hospital realignment.  In its monthly assessment of key health care economic data points, the Altarum Institute is able to provide comparison of year-on-year changes in health care price indices, accounting for new information and trends, and offer insights on the state of the industry. In this month’s report, covering data through October, there is a key conclusion on the impact of hospital realignment on hospital price growth—namely that there [...] Read More »

Significant Insurer Concentration Evident Again in New GAO Study

In a study released December 1, the Government Accountability Office (GAO) revealed research showing significant, sustained concentration in the private health insurance market from 2010 to 2013, with concentration even increasing in many states. The market share numbers among insurers once again are staggering, proving continued concentration among just a handful of insurance companies. The study examined three segments of each state’s health insurance markets: individual, small group and large group, finding, “…in 2013, enrollment was concentrated among the three largest insurers in most states. Specifically, in each of the three market segments, the three largest insurers had at least [...] Read More »