Midweek Update

Well that was fast. Yesterday the Senate Finance Committee challenged prescription benefit managers to lower insulin prices and today Cigna’s affiliate Express Scripts was the first to come through according to Healthcare Dive.

Fierce Healthcare reports on yesterday’s Congressional hearing on surprise billing. The FEHBlog’s preference is for the solution under which the hospital requires all doctors who provide care at the facility to participate in the health plans networks used by the hospital.

The Healthcare Payment and Learning Action Network has released a roadmap for high performance in alternative payment models. Check it out.

The Healthcare Cost Institute has informs us that

Where people receive health care matters, especially in terms of costs. The same services may have a much higher price tag when performed in one setting rather than another, but this price difference is rarely publicized to patients. To understand what settings people used and how prices differed, we looked at the utilization and average price paid from 2009 to 2017 for a set of services commonly performed in both physician office and outpatient settings. We found that:

  •     The share of these services performed in the outpatient setting increased between 2009 and 2017.
  •     For this set of services, the average price was always higher in an outpatient setting than an office setting.
A bipartisan group of Senators and member of Congress have introduced bills to remedy some of the high profile federal benefits problems that arose during the partial government shutdown earlier this year according to the Federal News Network. Congress already has enacted a bill that would ensure that federal employees are paid during furloughs arising from the last and future shutdowns (Pub. L. No. 116-1).