Economics

This channel highlights factors that impact hospital and healthcare economics and revenue. This includes news on healthcare policies, reimbursement, marketing, business plans, mergers and acquisitions, supply chain, salaries, staffing, and the implementation of a cost-effective environment for patients and providers.

Former ACA Marketplace enrollee: ‘This is ridiculous—$1,200 and an $8,000 deductible for a healthy person. Really?’
A new KFF survey shows almost 10% of people who had an Obamacare Marketplace plan in 2025 decided to head into 2026 with no coverage at all. Another 28% re-enrolled but with a different—presumably lesser—plan.
Healthcare price transparency startup earns $40M in seed funding, bringing the total to $95M
San Diego-based Turquoise Health was founded in 2020 and has evolved to be a healthcare pricing engine used to develop health plan networks and contract rates. The company said its end goal is complete price transparency to make it easier for all organizations and patients to navigate the U.S. healthcare system.
EP advocacy group details 6 key policy issues
The Heart Rhythm Society's advocacy arm is monitoring such issues as prior authorization, outpatient payment policies and cancelled research funding.
Consolidation, competition, consumer costs: Healthcare econ experts break it all down, make it make sense
Market forces like competition cannot stem the urge to merge among and between payers and providers, so neither will they staunch the price hikes in premiums.
MGMA outlines path and pitfalls in CMS 2030 value-based care push
The Center for Medicare and Medicaid Innovation (CMMI) has tested nearly 40 APMs, of which only two turned out to be successful, which does not bode well for meeting a 2030 deadline to transition to value-based payments.

Former ACA Marketplace enrollee: ‘This is ridiculous—$1,200 and an $8,000 deductible for a healthy person. Really?’

A new KFF survey shows almost 10% of people who had an Obamacare Marketplace plan in 2025 decided to head into 2026 with no coverage at all. Another 28% re-enrolled but with a different—presumably lesser—plan.

Healthcare price transparency startup earns $40M in seed funding, bringing the total to $95M

San Diego-based Turquoise Health was founded in 2020 and has evolved to be a healthcare pricing engine used to develop health plan networks and contract rates. The company said its end goal is complete price transparency to make it easier for all organizations and patients to navigate the U.S. healthcare system.

EP advocacy group details 6 key policy issues

The Heart Rhythm Society's advocacy arm is monitoring such issues as prior authorization, outpatient payment policies and cancelled research funding.

Consolidation, competition, consumer costs: Healthcare econ experts break it all down, make it make sense

Market forces like competition cannot stem the urge to merge among and between payers and providers, so neither will they staunch the price hikes in premiums.

Video interview with Anders Gilberg, MGA, senior vice president, government affairs at Medical Group Management Association (MGMA), explains various value-based payment models the Centers for Medicare and Medicaid Services (CMS) is experimenting with, but notes out or more than 30 models, only two have actually saved Medicare money.

MGMA outlines path and pitfalls in CMS 2030 value-based care push

The Center for Medicare and Medicaid Innovation (CMMI) has tested nearly 40 APMs, of which only two turned out to be successful, which does not bode well for meeting a 2030 deadline to transition to value-based payments.

AI artificial intelligence stethoscope doctor

Not all AI is created equal—experts caution against 'useless' applications

“If we are not careful, we run the risk of spending more time admiring these novelty-driven tools than advancing the real frontiers of radiology.”

Cardiology practice, cardiologists pay $4.75M to resolve DOJ fraud allegations

The physicians allegedly performed medically unnecessary ablation procedures as part of a years-long fraud scheme.

money maze benjamin franklin reimbursement medicare

Radiology groups push UnitedHealthcare and Cigna to update payment policies for key service

The American College of Radiology, Society of Interventional Radiology and others are concerned about how the two commercial insurers regulate peripheral nerve stimulation.