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Prime 10 hospital and payer developments to look at in 2023

by cleocincr
December 5, 2022
in Health care
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Photograph: Pict Rider/Getty Photos

As 2022 involves an finish, Healthcare Finance Information editors replicate on how a lot has modified over the previous 12 months and what meaning for developments in 2023. The general public well being emergency is ongoing and can stay in place previous January 11, 2023, placing the recognition of residence well being and telehealth within the stability. Hospitals proceed to see surges, this time from a mixture of COVID-19, flu and Respiratory Syncytial Virus; CEOs and CFOs keep it up juggling funds, inflation, elevated bills for labor in addition to shortages and the necessity to decide investments in digital well being, AI and automation. And, as all the time, the demand for interoperable programs and worth transparency grows.

Listed below are the Prime 10 developments from 2022 which are prone to affect hospital and payer selections in 2023:

  • The tip of the general public well being emergency: What occurs subsequent?
  • Know-how, digital well being and automation: Methods to streamline, attain sufferers and targets.
  • Hospital funds: Slicing bills, the place to avoid wasting?
  • The retail competitors: Amazon, CVS, Walgreens, UnitedHealth transfer into main care.
  • Payers: Assembly the Transparency in Protection rule that goes into impact January 1, 2023.
  • Hospital at residence checks the bins: an getting old demographic and a cheaper different.
  • Medicare Benefit: Who’s in, who’s out?
  • Telehealth: Fad or future?
  • Mergers, acquisitions and partnerships.
  • Interoperability for suppliers and payers.

See the tales beneath to take a better have a look at how and why these developments will proceed into 2023. Then examine again on this web page each week via the tip of the 12 months for extra protection.

Prime purpose for delaying care is now price, not COVID-19, sufferers say.

Patient at doctor's office reception desk

Photograph: Luis Alvarez/Getty Photos

Hospitals should aspire to ease care entry, says Cleveland Clinic doctor and Qualtrics CMO.

Humana plans CenterWell enlargement of 30-35 senior main care clinics.

CenterWell building sign

Photograph courtesy CenterWell Senior Major Care

Its Major Care Group will proceed to develop by 30-50 facilities per 12 months via 2025, Humana says.

Missing discover, hospitals can anticipate PHE to increase past January 11.

A COVID-19 test strip in a hand

Photograph: Violeta Stoimenova/Getty Photos

The deadline for HHS to present suppliers a 60-day discover was Friday.

Well being programs have to stability their service choices in opposition to dwindling monetary sources.

Martin McGahan, left, and Peter Urbanowicz are managing directors with the consulting firm, Alvarez & Marsal.<br />

Photograph: Courtesy Alverez & Marshal

Hospitals’ service line rationalization is that they’re like shops, all issues to all folks.

Oscar Well being and Brilliant Well being are curbing MA enlargement, for now.

Person with calcualtor and papers<br />

Photograph: Kittiphan Teerawattanakul EyeEm/Getty Photos

Brilliant Well being is exiting the ACA market to give attention to ACO Attain, and CEOs at each firms are partnerships.

Walgreens-backed Village MD to accumulate Summit Well being-CityMD for $8.9B.

Walgreens and VillageMD entrances<br />

Photograph courtesy of Walgreens

The deal is being made with investments from Walgreens Boots Alliance and Evernorth, the well being providers subsidiary of Cigna.

Sufferers glad with digital main care, although extra work must be performed.

A telehealth visit via laptop<br />

Photograph: Geber86/Getty Photos

Almost 4 in 5 Individuals mentioned digital main care allowed them to take cost of their well being, the survey confirmed.



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