Nathan Eddy
Revenue reductions linked to Medicare Advantage denials surged by 55.7%, while those from commercial payers rose by 20.2% since 2022.
In-person visits for mental health services dropped by 39.5%, while telehealth visits surged by 1019.3% over the prior year.
Bon Secours Mercy Health asserts that Anthem's denial practices have intensified since July 2021.
Compared to a year ago, all nursing vacancies have skyrocketed, growing as much as 351%
The decline in funding follows a significant boom in 2021, when U.S. digital health startups raised $29.1 billion.
Key factors include an evolving payer mix, spurred by MA plans, and shifts in sites of care, driven by virtual care and home-based services.
Researchers argue quality measures must connect directly to reimbursement.
Authors said the major insurers are padding their bottom lines by disguising profits as costs.
The ordinance noted hospitals, health systems and clinics are facing staffing shortages that could jeopardize the availability of care.
The ordinance covers institutions including hospitals, doctor groups, affiliated clinics and nursing facilities.