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Tuesday, Oct 31 2023

Full Issue

Study Finds How Dramatically Health Plan Rates Vary County To County

One of the first studies of insurer price data shines a sharp spotlight onto health care pricing and how where you live in the U.S. impacts how much you pay. Among other news, Healthpeak Properties is set to buy Physicians Realty Trust; a report on costs of unnecessary stents; and more.

One of the first studies of publicly available insurer price data found generally higher rates for office visits and medical procedures in the Upper Midwest and Southeast, and the lowest costs in the Central U.S. and Florida. The findings published in JAMA Health Forum could help shine a light on regional price variations and whether higher costs translate to more value in markets. (Goldman, 10/30)

More workplaces are offering at least one health plan that is free to employees or offers no-deductible coverage for certain services as many workers struggle to afford care. The number of large employers offering at least one free medical plan to employees increased from 11% this year to 15% in 2024 coverage, according to a new Mercer survey. (Reed, 10/30)

In other health care industry news 鈥

Healthpeak Properties Inc. agreed to buy Physicians Realty Trust in an all-stock transaction, creating a company with a 52 million-square-foot real estate portfolio. Under the terms of the agreement, each Physicians Realty share will be converted into 0.674 of a newly issued Healthpeak common share, the companies said in a statement Monday. The purchase price is about $2.64 billion based on Physicians鈥 closing price Friday. (Taub, 10/30)

Physician groups are pressuring the Centers for Medicare and Medicaid Services to forestall looming penalties associated with the Merit-based Incentive Payment System, citing systemic challenges facing doctors and the ongoing effects of the COVID-19 pandemic. MIPS, as the Medicare reimbursement program for physician services is known, makes doctors eligible for bonus payments or penalties based on factors such as quality, cost and electronic health record use. (Bennett, 10/30)

Changes to registration requirements for the offsite clinics of 340B-eligible hospitals represent the latest clash between providers, regulators and drugmakers amid the program鈥檚 exponential growth. The federal government on Thursday聽reversed a policy聽that streamlined 340B certification during the COVID-19 pandemic. ... 鈥淭he [policy] reversal is a gut punch to hospitals hoping for more permanent flexibility,鈥 said Susan Banks, a healthcare attorney at the law firm Holland & Knight. (Kacik 10/30)

Also 鈥

Hospitals place an unnecessary coronary stent in a Medicare beneficiary every seven minutes, costing taxpayers $800 million annually, according to a new analysis of claims data. Overuse of stents comes with hefty costs for patients and the federal government, and it can sometimes pose serious health risks. (Goldman, 10/31)

Need to see a doctor right away? Today, that can be challenging. The average wait for an appointment with a physician for new patients is 26 days, according to a 2022 survey of 15 metropolitan areas by the physician recruiting firm Merritt Hawkins. That鈥檚 the longest it has been since the company began doing the survey in 2004. In addition, 22 percent of adults 65 or older waited six days or more for a doctor鈥檚 appointment when they were sick, according to a 2021 survey of 11 high-income countries by the Commonwealth Fund, a nonprofit group. Only Canada had a higher percentage of long waits. (Levine, 10/30)

The U.S. health-care system is the costliest in the world and often difficult to navigate for many Americans. On Wednesday, Nov. 1 at 9:00 a.m. ET, Sen. Bill Cassidy (R-La.), Atul Gawande, USAID assistant administrator for global health, and top experts join Washington Post Live for a series of conversations about ways to improve the health-care system, enhance patient care and rein in costs. (10/31)

麻豆女优 Health News: Start Shopping: Enrollment Begins Nov. 1 For Most Obamacare Insurance Plans聽

For millions of Americans who buy their own health insurance through the Affordable Care Act marketplace, the end of the year brings a day of reckoning: It鈥檚 time to compare benefits and prices and change to a new plan or enroll for the first time. Open enrollment starts Nov. 1 for the ACA鈥檚 federal and state exchanges. Consumers can go online, call, or seek help from a broker or other assister to learn their 2024 coverage options, calculate their potential subsidies, or change plans. (Appleby, 10/31)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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