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

The imposing cost of a single opioid overdose

http://www.metrowestdailynews.com/article/20160521/NEWS/160528946

Framingham firefighter Joe Sylvester, left, holds a Narcan nasal spray as  firefighter Jose Funes looks on at the Loring Street station Tuesday.   (Daily News and Wicked Local Staff Photo/Ken McGagh)

A five- or six-figure bill that doesn’t even include the hospital stay.

http://www.fiercehealthfinance.com/story/imposing-cost-single-opioid-overdose/2016-05-23?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiWWpCalpUWXpNREJtWkRjMiIsInQiOiIxSmJGXC9ScEZZSU5icXBzQ2FpYjNER0ljaVV0VGFIRHBVd2RRaEcxNU56elwvbkw5aHkwYTZNaHppSDFlOUlDSndYS1N4dDAzN3l0N0hZbUlMWnh6ZWUyUllqRFhPTHJ1TWxRNUh0bzRCMDBrPSJ9

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.

Hospitals work to fine-tune payer mixes, but finding savings is no easy task

http://www.healthcarefinancenews.com/news/hospitals-work-fine-tune-payer-mixes-finding-savings-no-easy-task

Temple University Hospital (handout photo)

For systems with more traditional payer mix scenarios, increasing the share of commercial business can be a boon.

Wyeth and Pfizer Agree to Pay $784.6 Million to Resolve Lawsuit Alleging That Wyeth Underpaid Drug Rebates to Medicaid

https://www.justice.gov/opa/pr/wyeth-and-pfizer-agree-pay-7846-million-resolve-lawsuit-alleging-wyeth-underpaid-drug-rebates

DOJ Building

http://www.fiercehealthpayer.com/antifraud/story/pfizer-pays-785-million-resolve-drug-pricing-allegations/2016-05-02?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiTWpVd1lqSTNZalZsWWpReCIsInQiOiJINE9BNitVSm1VYUR3NFVOZG1YMFFiVFQ2d2lmRGtEZ01NdjVpY0x2bmZUSmxTVFFcL2NcL3FMTmlGaXJqRFhSUHI2Tm1yK0Q1MHU1R3U2OWlGQ3NVYU9uTll2VXMxcEJSdUxlcGlYSjJEV1ZBPSJ9

CMS finalizes 85 percent medical loss ratio for Medicaid private managed care plans

http://www.healthcarefinancenews.com/news/cms-issues-final-rule-private-medicaid-plans?mkt_tok=eyJpIjoiWkRjM1pHWXhaamRtTjJJdyIsInQiOiIrNU1UM0tidlREYndvZ05BQ1hESEZUaFZUV3Jkd0lDVnZTRVhkaWQ3cTZ2ZHJIMk9SZ0ZSSEZGdDhKK3BJS3V4RkkzdDcrR2Y1MDd1K0FabllGQ1p2ZjdGanAybDlCUFJBRWo4eFVRK1IwRT0ifQ%3D%3D

Insurers must spend at least 85 percent of their Medicaid revenue on medical care to improve quality.

Study finds that 23 percent of diabetes treatment cost is avoidable

http://www.revenuecycleinsights.com/news/study-finds-23-percent-diabetes-treatment-cost-avoidable?mkt_tok=eyJpIjoiWldFNU1tWTBaR1JqTXpnNSIsInQiOiJLaDg2S09aMU56ektiYytVNFZKTWduSzlvXC8rSjRreTZzS1h0RWpINzJ6XC8zYjdKbFVOMXIwRXFCQ1RuTVNldVwvaks4YnNNTE9UeVwvMGVKenczVm9WZGRkVlVvWXBWT1BHT08yR0NvVGVqaVE9In0%3D

It is estimated that 1 out of 3 people can be expected to develop the disease in their lifetime. The majority of diabetes patients were found to experience at least one potentially avoidable complication, with a cost averaging  $1,043 per year for patients with private insurance and $1,869 for those with Medicaid. The authors believe the results illustrate the value of using analytics on patient data, supporting the objectives of population health initiatives to identify opportunities for improving treatment while lowering cost.

CMS may ban Theranos founder Elizabeth Holmes for 2 years, sanction company, WSJ says

http://www.healthcarefinancenews.com/news/cms-may-ban-theranos-founder-elizabeth-holmes-2-years-sanction-company-wsj-says?mkt_tok=eyJpIjoiT0RZMFptTmtNMlJsTUdVMiIsInQiOiJuZjAwWEdTaDd6S0hXT0NjTlwvMXlTZ0oySVBWN3RFUFBcL1JGeDVWMFBSMEp4ekR6cFJXUjRhOEIrUkNVbEZuZFlBanQ0a3FPZ2Nzem1QbnQzZUxITDRKTlFVcjFTazRpc2ZVb0doR0lQTGRBPSJ9

If the company doesn’t respond to the satisfaction of the regulators, CMS will impose the sanctions.