A warning on hospital mergers: After California allowed big chains to grow, prices

http://www.latimes.com/business/hiltzik/la-fi-hiltzik-california-hospitals-20160613-snap-story.html?utm_campaign=CHL%3A+Daily+Edition&utm_source=hs_email&utm_medium=email&utm_content=30727033&_hsenc=p2ANqtz-_lSFFriq5yA5SisvjbMwODLDPAQmVwWrr_t6XuMvz-oA2lMa5974U7UAJiXhUp_HB_zXoS9iYPUKey6BSklKM–HtzoA&_hsmi=30727033

Big California hospital chains not only raised prices faster than inflation, but gave competitors room to raise their own prices.

Hospital prices … increased substantially in California during a period of low overall price inflation, low economic growth, and declining demand.— Melnick and Fonkych, USC

As Hospital Chains Grow, So Do Their Prices For Care

http://www.healthleadersmedia.com/finance/hospital-chains-grow-so-do-their-prices-care?spMailingID=9073752&spUserID=MTMyMzQyMDQxMTkyS0&spJobID=941690582&spReportId=OTQxNjkwNTgyS0#

Dollars

As health care consolidation accelerates nationwide, a new study shows that hospital prices in two of California’s largest health systems were 25 percent higher than at other hospitals around the state.

Payment Methods and Benefit Designs:How They Work and How They Work Together to Improve Health Care

http://www.urban.org/research/publication/benefit-designs-how-they-work/view/full_report

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This Obamacare Repeal Plan Cripples State Budgets—and Economies

http://www.thefiscaltimes.com/2016/06/14/Obamacare-Repeal-Plan-Cripples-State-Budgets-and-Economies

If Republicans finally make good on their vow to repeal the Affordable Care Act — but without adopting a suitable replacement — 24 million Americans would be removed from the health care insurance rolls in 2021. And federal spending on health care would decline by $927 billion over the next decade, according to a provocative new study by the Urban Institute and the Robert Wood Johnson Foundation.

Are Freestanding Emergency Rooms Driving Up Costs?

http://healthcare.dmagazine.com/2016/05/18/are-freestanding-emergency-rooms-driving-up-costs/

Freestanding ER2

In most affluent corners of North Texas, these centers have become as ubiquitous as Starbucks. They’ve sprouted near households whose families are insured through private insurance plans and sold as a boon to a community in need of emergency services. (A Texas Tribune study found that these neighborhoods have incomes 49 percent higher than the state’s average). In 2010, there were about 20 freestanding ERs in Texas. Now, just six years later, there are north of 215, galvanized by a 2009 state law that allowed them to become licensed emergency rooms.

Health Care Costs for Average American Family Now Exceed $25,000 a Year

http://www.thefiscaltimes.com/2016/05/24/Cost-Health-Care-Average-American-Family-Now-Exceed-25000-Year?utm_campaign=541c47950e351dbe08037e5f&utm_source=boomtrain&utm_medium=email&bt_alias=eyJ1c2VySWQiOiJkYzYxNmI4YS03YTE4LTYyZjAtZWI5Ni02Mzk3ZDdkNDM4YWMifQ%3D%3D

How Health Care Factors Into the Presidential Campaign

http://blogs.wsj.com/washwire/2016/04/06/how-health-care-factors-into-the-presidential-campaign/?utm_campaign=KFF-2016-Drew-WSJ-April-6-health-presidential-campaign&utm_medium=email&_hsenc=p2ANqtz-_jUVxiLFykqI9M8jDv5Egwn6DLgLg0exdZlssEVDrrjrflOw4n1yiezfjQ19MmdVixjXyflQ8-vsKKmjB4zlsq1x0Zlg&_hsmi=28151425&utm_content=28151425&utm_source=hs_email&hsCtaTracking=0e6c294a-87bf-418b-9e9b-27c7bd1c5e89%7C19877ff1-2138-41ce-953d-d8c504e9aee8

Healthcare Voter Poll

Health care has faded into the background of the election campaign as Donald Trump himself has become the issue on the Republican side and the debate between Hillary Clinton and Bernie Sanders over health care has shifted to other topics. This doesn’t mean that health will be the No. 1 or No. 4 factor when Democrats and Republicans vote in November. As the chart also shows, issue priorities are closely bunched, and my experience has been that voters cast ballots in presidential elections on the basis of their overall views of the candidates rather than candidates’ specific positions on issues.

When people say health care is an extremely important voting issue, they aren’t always thinking of the ACA. Among Republicans who say health is “extremely important” to their vote, about equal shares are thinking about the ACA as are thinking about issues such as access to care and health-care costs. Nor are Democrats always intending to support the ACA when they cite health as a voting issue. They are more likely to cite improving access or addressing costs generally as their reason for naming health a top voting issue.

Health insurers not responsible for rising premiums, exec says

http://www.fiercehealthpayer.com/story/health-insurers-not-responsible-rising-premiums-exec-says/2016-05-24?utm_medium=nl&utm_source=internal&mkt_tok=eyJpIjoiTkdWa01HVmtOREV3T0RjMiIsInQiOiJVbXRHeEQ4RW5YakFSN1YrWFdiNldSSGhSMDJFRGxVSU9veUcyV3RcL080Y3FMbGZ6RjFzajVPTmgzbnpWXC9yQ1g5ZWpcL09tWVdoT2xBTFpKY29Qd3RHTnVkOEYwdXdLdFwvZHFFbnZ6M1drMnc9In0%3D

Premium Dollar Distribution

http://www.bizjournals.com/albany/news/2016/05/23/insurance-industry-not-to-blame-for-medical-costs.html

Here’s Why Your Health Insurance Premiums Are Going Up Again

http://www.thefiscaltimes.com/2016/05/09/Here-s-Why-Your-Health-Insurance-Premiums-Are-Going-Again?utm_campaign=541c47950e351dbe08037e5f&utm_source=boomtrain&utm_medium=email&bt_alias=eyJ1c2VySWQiOiJiODQwZDVjNy05MjczLWRiOTUtOTVmMi01OGI0MTc4NzFkYjIifQ%3D%3D

A new report from the American Academy of Actuaries outlines the trends that will impact health insurance premiums next year. “There are both upward and downward pressures on premiums for 2017, but for the individual and small group markets as a whole, the factors driving premium increases up dominate,” senior academy health fellow Cori Uccello said in a statement.

Click to access IB.Drivers5.15.pdf

Are High Out-Of-Pocket Costs Forcing Patients To Settle For Substandard Care?

http://www.forbes.com/sites/peterubel/2016/05/13/are-high-out-of-pocket-costs-forcing-patients-to-settle-for-substandard-care/#1fe3b594713a

Rosemary Myers and her husband came to the oncology clinic with no major treatment decisions to make. Her breast cancer had metastasized to her brain many months ago, but after the metastasis was removed surgically, it had not shown signs of recurrence in any follow-up tests. So today’s visit wasn’t going to involve talking about chemotherapy or radiation; it wasn’t going to center upon end-of-life decision-making. Myers (a pseudonym) was here to see if her doctor could improve her quality of life. Eventually, that quality-of-life discussion would focus on the cost of Myers’ care.