Decade of Data Provides Insights into Malpractice Claims and Patient Safety

Surgeries and diagnoses generate the most medical malpractice claims, a recent report on a decade of malpractice data says. Despite advances in patient safety since the publication of the landmark report To Err Is Human: Building a Safer Health System more than 20 years ago, medical errors continue to draw thousands of malpractice claims annually. The recent report, which was published by Coverys, says malpractice claims that the company handled over the past decade show the quest to improve patient safety is far from over.

COVID-19 and the ACA Will Dominate Biden’s Early Regulatory Agenda

Now that President-Elect Joe Biden has been declared the winner of the election, he is making the transition from campaigning on healthcare issues to governing. It remains unclear how much Biden will be able to accomplish in Congress, as control of the Senate will come down to two runoff elections in Georgia that will be held in January. Still, the likely change in executive branch will have big implications for the healthcare industry.

Even If Biden Wins, Divided Congress Stifles Chance for More Progressive Health Policies

Results of this week’s election are not finalized and may be uncertain for weeks, but the most likely scenario points to mostly incremental change, a positive for payer and provider sectors.

How Costly Are Common Health Services in the United States?

It is well documented that the U.S. is an outlier among peer countries when it comes to health spending, and recent Peterson-KFF analysis finds that the cost of inpatient and outpatient care is the primary driver behind this gap in health expenditures. In addition, countless news articles have highlighted extremely high medical bills sent to patients, often resulting from balance billing from out-of-network providers. However, the actual costs of specific healthcare services in the U.S. are often hard to track down and can vary widely between plans and across the country. In this analysis, Peterson-KFF explores the average cost of several common healthcare services in the U.S.

What US Medicine Needs to Do to Finally Embrace Capitation

For decades, health care executives and policy makers have voiced the need for the health care industry to reward value over volume. While there have been promising alternative payment pilots, a vast majority of the US health care system remains financed through fee-for-service payments, meaning that more office visits, hospitalizations, or procedures will generate more revenue and margin. The coronavirus pandemic has challenged this decades-long business model. As elective procedures and office visits declined, health systems across the country lost billions of dollars. Hospitals, integrated health systems, and even independent practices are now facing a financial crisis when patients and families need them most.

How Will the Vertical Merger Guidelines Apply to Healthcare?

With the Vertical Merger Guidelines released on June 30, 2020, the DOJ and FTC offer expanded guidance on an important and wide-ranging set of business combinations. In particular, the Guidelines illustrate how competitive harm and procompetitive benefits may occur from mergers between firms “at different stages of the same supply chain,” “at different stages of competing supply chains,” or that produce complementary products.

U.S. Physicians Split on Future of Payer Landscape, Survey Shows

A new survey of U.S. physicians shows that they have differing views on how the payer market needs to evolve, but a vast majority agree that affordable insurance is necessary to provide access to high-quality care while reducing costs.

Election 2020: Watching the Key Races for Healthcare

The race for the presidency and control of the Senate were undecided on Election Day, leaving big questions about the nation’s direction on healthcare policy unanswered.

Health-Care M&A Deals in Q3 Impacted by Covid-19; Election Could Shape Q4

The volume of announced and closed merger and acquisition deals in the health-care sector in September (201) accelerated to end Q3, up from 166 in August and just shy of the year-to-date high in January (213). The surge over the past month suggests that investment activity may be on the upswing following a few months of slowed activity resulting from the pandemic. In total, announced/closed deals in Q3 totaled 497, up from 354 in Q2 and a record-setting deal volume in Q1 (476). Physician practices and services saw increased deal volume (23) from August (19). Totals for the sector in Q3 (48) increased nearly 80% from Q2 (27) as transactions increasingly have trended upward over the past two months.

Five Forces That Will Reshape the Future of Healthcare

Gallup has conducted research in the field of healthcare for decades, including just before and during the pandemic. A recent review of this research uncovered five forces that are paramount for any healthcare organization’s survival — through the current crisis and beyond.