That is one trend as reported in Modern Healthcare. Being able to better managed health care spend across medical and pharmacy is one reason. In 2018 alone, about 76% of hospitals with over 600 beds operated a specialty pharmacy, in comparison to a little under half in… Read More »Health systems bringing specialty pharmacy in-house
Supply of Medical Services
Accountable Care Organizations (ACOs) aim to use coordinated care to increase quality and lower cost. While everyone likes the sound of integrated care, it may be less clear how ACOs are aiming to achieve these goals. In a recent Health Affairs blog post, Micklos and… Read More »How are ACOs trying to lower cost?
Urgent care centers are on the rise. Back in 2013, there were only 6,100, but this number increased to 9,616 by late 2019 a 7.9% average annual increase. The rise of urgent care could have positive or negative impacts on overall health care spending. On… Read More »Does the arrival of urgent care centers reduce the acuity of visits at nearby EDs?
Health systems have been touted by some to be a cure to many of our health care systems ills by providing integrated, high quality care. Others claim that health systems are just a way for providers to big up prices through more bargaining power. Either… Read More »The rise of the health systems
Haven was a high-profile effort whereby three industry titans–Amazon, Berkshire Hathaway and JP Morgan–created a joint venture with the hope of lower costs and improving quality. Today, Haven announced it is shutting down in February. What happened? I don’t know the answer, but below are… Read More »A Haven No More
What is better: public or private health care systems? This is a difficult question to answer. If we compare the British against the US health care systems, they differ for a large number of reasons beyond just public vs. private. Additionally, one must specify what… Read More »Private health care = higher quality
How much are hospital CEOs getting paid? A paper by Mulligan et al. (2020) provides the answer: Between 2010 and 2015, mean hospital CEO compensation (in 2015 US$…) increased 7.8%, from approximately $639,000 to $689,000 (p = .05), and median compensation increased from $431,000 to… Read More »Hospital CEO pay
Integrated delivery networks. IDNs. Accountable Care Organizations. ACOs. Systems of care. Health systems. Whatever you call them, many health policy experts claim that they are the best way for the U.S. health care system to deliver high quality care in a cost-effective manner. But is… Read More »On the promise and peril of health systems
The Oncology Care Model is slated to end soon. Specifically, the last set of six-month episodes would initiate no later than December 31, 2020 and thus all episodes will be completed in June 30, 2021. Nevertheless, CMS is proposing a successor to the Oncology Care… Read More »The Oncology Care Model is dead. Long Live the Oncology Care First Model.