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Employers Can Now Save by Comparing Health Care Prices | AJMC Employers can use price transparency data to reconsider their choice of carriers or plans, negotiate prices with their carriers, and steer employees toward high-quality, reasonably priced providers.

Glad to work with Raymond Tsai on this overview of how transparent #healthcare price data can empower employers to compare prices across insurance carriers www.ajmc.com/view/employe... #healthcare #healthpolicy #healthecon

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PBM reform was a start. Now make health plan claims transparent | Opinion "In no other area of business would a company spend millions of dollars without receiving an itemized invoice."

"The Trump administration could also build on the PBM reforms and proposed DOL rules by exploring whether similar transparency standards should apply to TPAs and claims administrators."
www.newsweek.com/pbm-reform-w...
#healthcare #healthpolicy #healthecon

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Employers Can Now Save by Comparing Health Care Prices | AJMC Employers can use price transparency data to reconsider their choice of carriers or plans, negotiate prices with their carriers, and steer employees toward high-quality, reasonably priced providers.

Raymond Tsai & I have a new article in Population Health, Equity & Outcomes about how transparent #healthcare price data helps employers compare actual negotiated rates, not just discounts, driving smarter purchasing www.ajmc.com/view/employe... #healthcare #healthpolicy #healthecon

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Payers' prior authorization denial rates go public: 5 notes - Becker's Payer Issues | Payer News For the first time, payers must publicly post data on how often they deny prior authorization requests, how quickly they process them and how often denials are overturned on appeal. The first reports...

For the first time, payers must publicly post data on how often they deny prior authorization requests, how quickly they process them, and how often denials are overturned on appeal. The first reports are due March 31. buff.ly/Gha941S #healthcare #healthpolicy #healthecon

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Hospitals feel the heat over anticompetitive contracting www.axios.com/2026/03/31/h... via @axios.com #healthcare #hospitals #healthpolicy #healthecon

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State regulators eye direct caps on hospital prices Fox and Murtagh noted that some states already impose controls on hospitals' prices, and that the controls can take different forms, such as a flat cap on prices or a limit on price increases.

"Hospitals accounted for 32% of U.S. health care cost growth between 2005 and 2024, and 61% of the cost growth was attributable to increased prices, rather than to an increase in the amount of care provided"
buff.ly/jfofQAR #healthcare #healthpolicy #healthecon

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The states pushing hospital price caps despite opposition State legislators say price caps take decisive action against out-of-control healthcare costs.

"The states pushing hospital price caps despite opposition" buff.ly/RQ0TCgH #healthcare #healthpolicy #healthecon

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What DOJ’s recent antitrust lawsuit means for health systems The Justice Department's lawsuits against New York-Presbyterian and OhioHealth sets the stage for litigation in other markets.

Hospitals' anticompetitive contracting policies increase #healthcare costs. DOJ has filed antitrust suits against New York-Presbyterian and OhioHealth, and may file in other states where large hospita systems have significant market power bit.ly/3NBQxkt #healthecon #healthpolicy

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Justice Department Sues New York-Presbyterian Hospital for Anticompetitive Contracts That Increase Healthcare Costs for New Yorkers The Justice Department’s Antitrust Division, together with the U.S. Attorney’s Office for the Southern District of New York, filed a civil antitrust lawsuit today challenging The New York and Presbyte...

The US DOJ is suing New York-Presbyterian Hospital "for anticompetitive contracts that increase healthcare costs for New Yorkers" www.justice.gov/opa/pr/justi... #healthcare #hospitals #healthpolicy #healthecon

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KT Canada e-Newsletter

KT Canada newsletter for March 12, 2026:

mailchi.mp/deb66268dd76...

#ImpSci #HealthEcon #EvidenceSynthesis

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Leapfrog Group’s legal defeat underscores challenges of rating hospital quality The legal battle underscores the complicated questions surrounding how best to evaluate hospital safety.

"Leapfrog Group’s legal defeat underscores challenges of rating hospital quality" www.statnews.com/2026/03/13/l... via @statnews.com #healthcare #healthpolicy #healthecon

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Health Care Affordability Lab at Yale | Yale Tobin Center Research and policy insights from Yale’s Health Care Affordability Lab advancing evidence-based solutions to lower costs and improve the U.S. health system.

The Peterson Center on Healthcare is supporting the launch of the Health Care Affordability Lab at Yale buff.ly/YCX3NiV #healthcare #healthpolicy #healthecon @yalehealthlab.bsky.social

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One-Third of Americans Cut Back to Cover Healthcare Expenses According to new West Health-Gallup research, millions of Americans report cutting back on expenses and delaying plans because of healthcare costs.

"One-Third of Americans Cut Back to Cover Healthcare Expenses:
Cost of healthcare also causing many to delay pursuing milestones and life-enhancing goals," buff.ly/adneysT #healthcare #healthpolicy #healthecon

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#econ #healthecon

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Leapfrog ordered to remove safety grade for 5 Tenet hospitals A federal judge has ruled against the Leapfrog Group in a suit brought by Tenet Healthcare subsidiary hospitals that said they were punished for not voluntarily submitting data to the hospital safe |…

"A federal judge has ruled against the Leapfrog Group in a suit brought by Tenet Healthcare subsidiary hospitals that said they were punished for not voluntarily submitting data to the hospital safety grading nonprofit." buff.ly/buq7L4c #healthcare #healthpolicy #healthecon

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🗞️ Read what Francis had to say about UK government ministers being officially given the power to change NICE's cost effectiveness threshold

This was confirmed after a public consultation for the #healthecon community raised concerns about the move & its threat to NICE's independence

Link 🔽

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Technical Improvements Could Strengthen Transparency in Coverage Data Center grantee Simple Healthcare provides recommendations for improving TiC data that commercial health plans are required to release.

A new white paper from Simple Healthcare provides recommendations for improving the Transparency in Coverage (TiC) data that commercial health plans are required to release buff.ly/bn2ysET #healthcare #healthpolicy #healthecon

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Do doctors treat poorer patients differently? Our study in Tunisia found they do – in subtle ways Health inequality is not only about who reaches a health facility. It is also about what happens once patients are inside the consultation room.

🏥 Do doctors treat poorer patients differently? #healthecon

Our former PhD student Dr Rym Ghouma, and current co-Director Tim Powell-Jackson, discuss Rym’s PhD research which tackles this #PublicHealth question

Read more 🔽
theconversation.com/do-doctors-t...

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Authors note that by limiting cohort to community-onset only the values may be underestimates of true SAB economic burden.
Lack of difference b/w MRSA and MSSA impart importance of #IPC for all bacteraemia rather than focusing efforts just on #AMS.

#healthecon #AMR #IDEpi

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Ten patients had MRSA. Median LoS was 11 days, with mean costs of A$56 984.
Whilst 46 patients had MSSA. Median LoS was 8 days, with mean costs of A$52 180.
No statistical significance in difference of costs between MRSA and MSSA
#healthecon #AMR #IDEpi

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Primary outcome was mean and total cost per SAB hospitalisation, secondary outcomes were national SAB cost burden. All $ amounts are in AUD.
Distribution was +ve skewed: 60% of cohort total cost was ≤A$40 000. Mean $ per hospitalisation per patient was A$53 037. Median LoS: 9 days
#healthecon #AMR

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Costs included in the analysis include direct costs of diagnosis & management + indirect costs of hospital operation such as utilities, teaching, maintenance, and depreciation. Costs followed the National Hospital Cost Data Collection (NHCDC) specifications for cost centres & line items #healthecon

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KT Canada e-Newsletter

KT Canada newsletter for Feb. 25, 2026:

mailchi.mp/886351ad58a8...

#ImpSci #HealthEquity #HealthEcon

@sporalliance.bsky.social @andreatricco.bsky.social

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No Surprises Act system hits employer plans hard The average determination took 91 days and cost $445, and providers won 80% of the time.

"The No Surprises Act independent dispute resolution system is expensive, slow and usually favors the health care providers." buff.ly/T94GYvQ #healthcare #healthpolicy #healthecon

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2026 Healthcare Price Transparency Forum - Program | Self-Insurance Institute of America, Inc. The Self-Insurance Institute of America, Inc. (SIIA) is a membership-based association that aims to protect and promote the interests of companies involved in the self-insurance/captive industry. Our…

I’m looking forward to the conversation about price transparency and fiduciary responsibilities at today’s SIIA conference buff.ly/p5z6Rnc #healthcare #healthecon #healthpolicy

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Patients hit dead ends with insurance 'ghost networks.' Now, some are suing. A recent lawsuit is challenging one company, EmblemHealth, over its so-called ghost network of mental health providers.

Patients are suing insurers over 'ghost networks.' buff.ly/IlHzaeM. Research by
@publicagenda.bsky.social explores how challenges finding in-network #healthcare providers affect people's mental health, relationships, work, physical health, and finances buff.ly/B54i3ek #healthpolicy #healthecon

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"Cancer treatment costs declined as much as 8.2% in cities where most hospitals published complete pricing data for oncology services." www.valueinhealthjournal.com/article/S109... #healthcare #healthecon #healthpolicy

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Federal Register :: Request Access Due to aggressive automated scraping of FederalRegister.gov and eCFR.gov, programmatic access to these sites is limited to access to our extensive developer APIs. Please visit FederalRegister.gov API…

Departments of HHS, Labor, and Treasury extended the public comment period for the Transparency in Coverage (TiC) proposed rule to March 2, 2026. The rule can be accessed here: buff.ly/tsApCwF. The notice can be accessed here: buff.ly/vaHUgMh #healthcare #healthpolicy #healthecon

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Report shows weak hospital and health plan price transparency across 10 US markets A recent report on health industry price transparency identified fees hidden from employers — raising questions on what else was concealed.

"Report shows weak hospital and health plan price transparency across 10 US markets"
buff.ly/ljP6SJU #healthcare #healthecon #healthpolicy

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2026 Healthcare Price Transparency Forum - Program | Self-Insurance Institute of America, Inc. The Self-Insurance Institute of America, Inc. (SIIA) is a membership-based association that aims to protect and promote the interests of companies involved in the self-insurance/captive industry. Our ...

I'm looking forward to this conversation about health plan sponsors' and vendors' fiduciary duties at the Self-Insurance Institute of America's price transparency forum on Feb 26 www.siia.org/i4a/pages/in... #healthcare #healthpolicy #healthecon

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