Let's all feel sorry for hospitals; according to a survey from The Advisory Board denials of claims by payers are increasing and hospitals are losing appeals more often, resulting in $3.5 million less annual revenue for the median-sized hospital.
A Sherlock & Co. analysis finds that premiums for group health benefits are expected to be up 7.2% and for individual plans, up 21%. After design changes, this may decline to 5.6% and 18.2%, respectively. Medical trend is anticipated to be in the 5% range for group business and 12% for the individual one, suggesting healthy profits for insurers.
TractManager, which offers contract management and analytic services to health plans and providers, is acquiring Hayes, Inc., which does economic and other analyses of new technology for plans.
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.