Excellent point. My take is that the tiger that hospitals enabled is now eating their face. The big multi-billion hospitals that make up the US News top ten either just have or are re-negotiating their deals with United Healthcare, and the feedback from all of them is (1) the new deal is squeezing their revenues, and (2) the next time th…
Excellent point. My take is that the tiger that hospitals enabled is now eating their face. The big multi-billion hospitals that make up the US News top ten either just have or are re-negotiating their deals with United Healthcare, and the feedback from all of them is (1) the new deal is squeezing their revenues, and (2) the next time they have to renew, the contract will be even worse, and they will suffer badly. I don't know if Mass General ever had to do layoffs, but L word is starting to be whispered in these big institutions. These top hospitals in Minneapolis (Mayo) Boston (Harvard), Baltimore (JH) and New York (Columbia/Cornell) see Medicaid patients at a loss, but that helps their PR and helps them keep their tax free non-profit status as both schools and charities. But when private insurance reimbursement starts to slide down towards 50%, we could have a major hospital collapse of Lehman Brothers proportions. These huge hospitals rely on the oligarch class to survive. Americans will come around and ask for single payer when it is well too late.
Excellent point. My take is that the tiger that hospitals enabled is now eating their face. The big multi-billion hospitals that make up the US News top ten either just have or are re-negotiating their deals with United Healthcare, and the feedback from all of them is (1) the new deal is squeezing their revenues, and (2) the next time they have to renew, the contract will be even worse, and they will suffer badly. I don't know if Mass General ever had to do layoffs, but L word is starting to be whispered in these big institutions. These top hospitals in Minneapolis (Mayo) Boston (Harvard), Baltimore (JH) and New York (Columbia/Cornell) see Medicaid patients at a loss, but that helps their PR and helps them keep their tax free non-profit status as both schools and charities. But when private insurance reimbursement starts to slide down towards 50%, we could have a major hospital collapse of Lehman Brothers proportions. These huge hospitals rely on the oligarch class to survive. Americans will come around and ask for single payer when it is well too late.