Trilliant Health's annual trends report traces primary care shortages, payment gaps and looming price caps to incentives no single stakeholder has reason to fix.
News|Slideshows|April 15, 2024
The impact of unaffordable health care: a slideshow
Author(s)Jeffrey Bendix
Medical debt affects many aspects of life beyond just the bank account
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About 100 million people in the U.S. have medical debt, and the collective amount they owe exceeds $220 billion. But what do those staggering numbers mean for the health and well-being of ordinary Americans? To shed some light on that question PayZen, a developer of health care payment solutions, surveyed 1,007 people who'd had a hospital visit or surgical procedure over the past two years about the affordability and accessibility of their care. Here is a snapshot of their findings.
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EBRI data show employer plans pay hospital outpatient departments about twice what physician offices receive for the same physician-administered drugs, and the commercial market has barely begun to address the gap.
Why physicians owe tax on their share of practice profit rather than the cash they take out, and how entity type, footnotes and late K-1s can change the final bill.
From a same-day payment cut to AI-run prior authorization in traditional Medicare, MGMA's government affairs team laid out what Washington has in store for physicians next year.
MGMA members described capping Medicare Advantage contracts and favoring commercial patients, while one Texas practice leader reluctantly called Medicare her best payer.
At an MGMA Government Affairs town hall, attendees raised extrapolated audits, employer plans beyond state reach and denials with no reason codes.
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