Cost & Affordability
Expert articles and analysis related to cost & affordability.
AI Summary — Last 7 Days
CMS under the Trump administration is signaling a more aggressive affordability agenda through specialty and drug-cost models: the proposed CJR-X mandatory bundled payment expansion would push hospitals and MSK providers deeper into downside-risk joint replacement episodes, while CMS also extended the GENEROUS Medicaid drug-pricing model deadline amid strong manufacturer interest. The week’s through-line is that VBC is moving from policy consensus to performance pressure—specialty-care partnerships, oncology episode evidence, and MSK total-cost strategies are being judged on whether they can reduce avoidable utilization and Medicare/Medicaid spending without sacrificing outcomes (CJR-X analysis, [GENEROUS deadline extension](https://www.healthcarefinancenews.com
Related Articles
Poll: The Cost of Health Care Remains at the Top of the Public’s List of Economic Concerns, Even as Concerns About Gas Prices Climb
Health care costs continue to top the public’s list of economic anxieties, even as fuel prices and economic uncertainty rose following the start of the Iran war, a new KFF Health Tracking poll finds. ...
KFF Health Tracking Poll: Health Care Costs and the Midterms
This KFF poll finds that health care costs continue to top the public’s list of affordability worries, even as concerns about gas prices have risen in recent weeks, with two-thirds of the public expre...
Site-neutral payment debate intensifies in hospital affordability hearing
Site-neutral payment is at the forefront of the debate on policy levers to enhance affordability in the hospital industry, as indicated during a congressional hearing Tuesday. The House Ways and Means...
STAT+: Health system CEOs get off easy at Congressional hearing on affordability
Committee members largely blamed the other party’s health care policies for driving U.S. health care prices to levels inaccessible to many Americans.
Congress Grills Hospital CEOs on Rising Health Care Costs
CEOs face congressional hearing on high hospital prices
The CEOs of four health systems testified before the House Ways and Means Committee Tuesday in a hearing about the high price of healthcare. Sam N. Hazen, CEO of HCA Healthcare; Wright Lassiter III, p...
An Urgent Care Treated Her Allergic Reaction. An ER Monitored Her — For $6,700.
A bug bite and an allergic reaction ultimately sent a North Carolina woman to the emergency room, where she had a couple of brief chats with a doctor and a dose of medicine. Now she questions why the ...
Unchecked Provider Pricing Practices are Making Health Care Unaffordable
Unchecked Provider Pricing Practices are Making Health Care Unaffordable AHIP
America Can’t Lower Healthcare Costs Without A Moonshot
America Can’t Lower Healthcare Costs Without A Moonshot Forbes
HOPCo’s total cost of care approach to VBC in MSK care
HOPCo’s total cost of care approach to VBC in MSK care Advisory Board