Based on a recent Capitol Hill hearing, hospital price reform could come in some way to healthcare soon.

About The Podcast:

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in space, offering analysis, insights, and predictions on the changing state of healthcare in America.

About The Episode:

On this episode, Marc discusses hospital price reform. Based on a recent Capitol Hill hearing, site neutral payments and other hospital price reform could come in some way to healthcare soon.

Key Takeaways:

While other entities in healthcare have faced price reform, hospitals largely have been untouched over the years due to their powerful lobby.

Hospitals are about one-third of all healthcare payments.

But a recent Capitol Hill hearing signaled that price reform could be coming to hospitals too.

Recent studies have shown that hospital prices are driving overall healthcare costs and that efficient hospitals can make money at Medicare rates.

Consolidation in the hospital industry, too, is driving up prices.

Support for site neutral payment reform is growing on Capitol Hill.

For the first time, hospitals have signaled that some reform may be merited if done judiciously.

Given major cuts coming to the healthcare industry impacting providers, caution is merited.

But tackling price reform throughout healthcare, especially with hospitals, is important.

Connect With Marc:

Marc on LinkedIn

Marc on Twitter

THL Podcast

Resources:

THL's Newsfeed

THL's Blog

The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance

Healthcare affordability is at a crisis point. It is not just a midterm political issue. Systemic reform is needed.

About The Podcast:

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in space, offering analysis, insights, and predictions on the changing state of healthcare in America.

About The Episode:

On this episode, Marc discusses the healthcare crisis. Affordability is at a crisis point. It is not just a midterm political issue. Systemic reform is needed.

Key Takeaways:

Healthcare affordability is the single biggest issue in healthcare today—and one of the biggest issues facing Americans overall.

The uninsured and underinsured population is surging.

Annual cost trends, and thus premiums and out-of-pocket costs, are also going up considerably.

And Americans skip care due to this. That means greater costs later.

America has a massive price problem.

Drug price reform has begun under Trump, but it has yet to hit the commercial sector.

Democrats focus on expanding coverage and benefits. The GOP focuses on stripping down the same. Neither tackles price nor the real issues.

Trump's affordability czar comes too late to save them in November or make great impact. But a reform agenda is needed urgently.

Focus on price, consolidation and primary care.

Connect With Marc:

Marc on LinkedIn

Marc on Twitter

THL Podcast

Resources:

THL's Newsfeed

THL's Blog

The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance

The Trump Administration is on a VBC reform model fury. It deserves credit but there are potholes ahead on its reform map.

About The Podcast:

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in space, offering analysis, insights, and predictions on the changing state of healthcare in America.

About The Episode:

On this episode, Marc discusses the Trump administration's VBC reform model fury. It deserves credit but there are potholes ahead on its reform map.

Key Takeaways:

Medicare FFS is badly in need of reform and CMS has been introducing VBC payment models for a number of years.

The Trump administration has been on a model fury, seeking to set its mark on healthcare reform.

It is introducing reforms leveraging technology and expanding VBC payments.

But the model fatigue of the past is setting in again with numerous new models and aggressive timeframes.

The tech-enabled ACCESS model was extended to obtain more tech company participants.

The ACO LEAD model may not get the volume CMS hoped for, either.

The GLP-1 BALANCE model has been paused because too few plans expressed interest.

BALANCE holds great promise, short-term costs in return for long-term savings and better health.

But it comes at a tough time for plans, which are in the midst of a financial recovery.

The Trump administration's vision is commendable but may need some tactical adjustment.

Connect With Marc:

Marc on LinkedIn

Marc on Twitter

THL Podcast

Resources:

THL's Newsfeed

THL's Blog

The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance