Keckley Report May 15, 2023
While Congressional leaders play chicken with the debt ceiling this week, antipathy toward hospitals is mounting. To be fair, hospitals are not alone: drug companies and PBMs share the distinction while health insurers, device companies, medical groups and long-term care providers enjoy less attention…for now.
Hospitals are soft targets. They’re also vulnerable. They operate in a sector that’s labor intense, capital intense and highly regulated by federal, state and local governments. They’re high profile: many advertise regionally/nationally, all claim unparalleled clinical excellence and unfair treatment by health insurers.
Hospitals operate locally, so storylines like these get attention
- In Minnesota, Mississippi and Pennsylvania, hospitals are in court alleging under-payments and/or adverse coverage policies by dominant insurers in their markets.