Private equity firms are increasingly taking over small medical groups and nabbing hospital contracts in the process. To fight back against this growing trend, a group of providers formed the Association for Independent Medicine (AIM). AIM argues that practices like rolling smaller groups into larger companies or the sale-leaseback model are hurting providers and patients.
Recent increases in high-intensity emergency department (ED) billing in the US have put payers and providers at odds. A recently published study in Health Affairs investigates the underlying causes of this growth, looking at data from the Nationwide Emergency Department Sample. Almost half the increases come down to administrative changes and higher utilization by older adults. Another reason for the recent increase in high-intensity billing, the authors argue, comes down to coding changes.
The Allegheny Health Network and Highmark Health have announced a new partnership with Ceder to help revamp and consolidate their patient payment information, combining payer and provider prices together. The teamup between the payer and provider is intended to improve the patient financial experience and reduce medical bill-related confusion.
Taking on a more holistic approach to care requires consideration of a patient’s social determinants of health (SDoH). Amongst these factors is whether the patient’s basic needs are being met. A recent survey of 75 provider systems found that most providers are considering SDoH, but these efforts tend to be directed at specific patient groups rather than the whole.