Accounting & Financial Management
Declining physician payments and rising operational costs place emergency medicine at financial risk, RAND finds.
This translates to $25 billion for MA insurers in 2026.
While the current climate is putting a "chill" on healthcare decision-making, hospital volumes and operating margins remain steady.
The companies say the new platform will transform how employers manage their health benefits programs.
A decline in personnel costs, particularly a continued drop in contract labor use, is contributing to the improvement.
The overhaul consolidates 28 divisions of the agency to 15, including a new Administration for a Healthy America.
Hospitals that are already struggling will lose funding, say the Democratic state treasurers of Republican-proposed cuts.
Frederick Health Hospital and Palomar Health had weaker balance sheets and little cushion for added stress, says Fitch.
The PBM says the payment model more closely aligns with the costs pharmacies often face due to "manufacturer pricing actions."
Inpatient revenue has grown at a faster rate than outpatient revenue, signaling a shift in hospital utilization patterns.