Thermo Fisher Scientific’s largest single-use technology manufacturing site opens in Greater Nashville

August 22, 2022 – Thermo Fisher Scientific Inc. (NYSE: TMO), the world leader in serving science, today opened its largest single-use technology manufacturing site in Greater Nashville. The $105 million, 400,000-square-foot facility enables the company to help meet rapidly growing demand for the bioprocessing materials needed to produce vaccines and breakthrough therapies for cancer and other diseases. This new site is part of Thermo Fisher’s $650 million multi-year investment to expand its bioprocessing production capabilities.  

“Customers depend on our best-in-class technologies, services and expertise. This continued investment in bioprocessing manufacturing allows us to better serve them in delivering greater supply through scalable solutions,” said Daniella Cramp, senior vice president and president, bioproduction, Thermo Fisher Scientific. “As the largest single-use manufacturing site in Thermo Fisher’s network and one of the largest in the world, the Lebanon facility near Nashville enables customers to bring medicines to patients faster than ever before.”   

The Lebanon facility will manufacture customizable, single-use BioProcess Containers and fluid transfer assembly systems that are in high demand by biopharma companies. The completed site will include 92,000 square-feet of clean room and will also include a dedicated line for the recently released Thermo Scientific DynaDrive™ Bioreactor. The site location is bringing critical materials closer to biopharma customers in the region, with Nashville among the top ten fastest-growing biotech hubs in the U.S.1  

The Lebanon site currently employs approximately 300 people, and the completed facility will create 1,400 new jobs in roles across engineering, procurement, quality, warehousing, site leadership and more. This site is part of Thermo Fisher’s global bioprocessing supply network that expands across 100 countries to help ensure critical medicines reach patients. The Thermo Fisher network of sites have enabled more than 12 billion COVID-19 vaccine doses and partnered with customers to supply its technology and materials for many currently approved COVID vaccines and therapeutics.  

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HOSPITALS SEE NEGATIVE MARGINS FOR SIXTH CONSECUTIVE MONTH

ANALYSIS  |  BY AMANDA SCHIAVO  |   AUGUST 01, 2022

Expenses are still weighing heavily on hospitals, health systems, and physician’s practices as the cost of care continues to rise.

Hospitals, health systems, and physician’s practices are still struggling under the weight of significant financial pressure, that the rise in patient volume and revenue can’t seem to outweigh.

The increase in patient volume and revenue has not been able to offset the historically high operating margins these organizations are facing, according to data from Kaufman Hall’s National Hospital Flash Report and Physician Flash Report. Hospitals, health systems, and physician’s practices dealt with negative margins in June for the sixth consecutive month this year.

“To say that 2022 has challenged healthcare providers is an understatement,” Erik Swanson, a senior vice president of data and analytics with Kaufman Hall, said in an email report. “It’s unlikely that hospitals and health systems can undo the damage caused by the COVID-19 waves of earlier this year, especially with material and labor costs at record highs this summer.”

The median Kaufman Hall year-to-date operating margin index for hospitals was -0.09% through June, for the sixth month of cumulative negative actual operating margins. However, the median change in operating margin in June was up 30.8% compared to May, but down 49.3% from June 2021.

Hospital revenues for June continued to trend upward, even as volumes evened out, according to the Kauffman Hall data. Organizations saw a 2.1% drop in patient length of stay. Both patient days and emergency department visits each dropped by 2.6% in June when compared to May. Hospital’s gross operating revenue was up 1.2% in June from May.

Expenses have been dragging down hospital margins for months, however, June saw a slight month-over-month improvement as total hospital expenses dropped 1.3%, despite this, year-over-year expenses are still up 7.5% from June 2021. Physician practices saw a drop in provider compensation, according to the Kaufman Hall data, however, this wasn’t enough to offset expenses. The competitive labor market for healthcare support staff resulted in a new high for total direct expense per provider FTE in Q2 2022 of $619,682—up 7% from the second quarter of 2021 and 12% from the second quarter of 2020.

“Given the trends in the data, physician practices need to focus on efficiency in the second half of 2022,” Matthew Bates, managing director and Physician Enterprise service line lead with Kaufman Hall, said in the email report. “Amid historically high expenses, shifting some services away from physicians to advanced practice providers like nurse practitioners or physician assistants could help rein in the costs of treating an increased patient load while taking some of the weight off the shoulders of physicians.”

Amanda Schiavo is the Finance Editor for HealthLeaders.

New three-year quality initiative aims to eliminate rural health disparities

The American Heart Association will provide 700 rural hospitals with resources to promote consistent, timely evidence-based care

DALLAS, July 26, 2022 — A new three-year initiative by the American Heart Association® aims to eliminate rural health disparities by helping hospitals and clinicians provide high-quality, consistent, timely and appropriate evidence-based care.

People who live in rural communities live an average of three years fewer than urban counterparts and have a 40% higher likelihood of developing heart disease (14.2%) compared with their counterparts in small metropolitan (11.2%) and urban (9.9%) areas, a gap that has grown over the past decade.[1] Additionally, rural communities face a critical shortage of health care professionals, including public health workers, which negatively impacts care. This leaves many people vulnerable to increased morbidity and mortality that could be prevented with appropriate identification and treatment.

The American Heart Association, the world’s leading nonprofit organization focused on heart and brain health for all, is launching its Rural Health Care Outcomes Accelerator to provide up to 700 rural hospitals with no-cost access to Get With The Guidelines® quality programs for coronary artery disease, heart failure and stroke. In addition, the American Heart Association will launch a rural recognition program for these hospitals to assist in communicating their commitment to care excellence with the communities they serve.

“Patients and health care professionals in rural areas face unique challenges and opportunities — this project aims to improve equitable cardiovascular care for all Americans, regardless of where they live,” said Karen E. Joynt Maddox, MD, MPH, volunteer expert for the American Heart Association, co-author on “Call to Action: Rural Health: A Presidential Advisory From the American Heart Association and American Stroke Association” and co-director of the Center for Health Economics and Policy at the Institute for Public Health at Washington University in St. Louis, Missouri.

The Association will convene rural clinical experts and leaders over three years to develop and publish rural quality and outcomes research. Participating hospitals also will have access to professional education, an online rural community network that encourages peer-to-peer connection and provides resources to support model practice sharing, and collaborative innovation.

“This new initiative will help ensure all Americans living in rural areas have the best possible chance of survival and the highest quality of life attainable,” said Tim Putnam DHA, MBA, EMT, FACHE, volunteer expert for the American Heart Association, past president of the National Rural Health Association (NRHA) and former CEO of Mary Margaret Mary Health in Batesville, Indiana.

Addressing the unique health needs of people in rural America is critical to achieving the American Heart Association’s 2030 impact goal for equitably increasing healthy life expectancy nationwide. Innovative approaches like this are key to improving rural health across the nation.

Visit the Rural Health Care Outcomes Accelerator project website to learn more. Interested hospitals can sign up online to receive more information.

Additional Resources:

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About the American Heart Association

The American Heart Association is a relentless force for a world of longer, healthier lives. We are dedicated to ensuring equitable health in all communities. Through collaboration with numerous organizations, and powered by millions of volunteers, we fund innovative research, advocate for the public’s health and share lifesaving resources. The Dallas-based organization has been a leading source of health information for nearly a century. Connect with us on heart.orgFacebookTwitter or by calling 1-800-AHA-USA1.  

For Media Inquiries: 214-706-1173

Michelle Rosenfeld: 214-706-1099; michelle.rosenfeld@heart.org

For Public Inquiries: 1-800-AHA-USA1 (242-8721)

heart.org and stroke.org


[1] American Heart Association issues call to action for addressing inequities in rural health. February 10, 2020. https://newsroom.heart.org/news/american-heart-association-issues-call-to-action-for-addressing-inequities-in-rural-health; American Heart Association. Public Health AmeriCorps to address health inequity in rural communities. April 6, 2022. https://newsroom.heart.org/news/public-health-americorps-to-address-health-inequity-in-rural-communities.

Thermo Fisher Scientific Showcases New Clinical and Research Lab Solutions at AACC 2022

The advanced tools and technologies enable improved flexibility and productivity for diagnostics development and support advanced allergy and autoimmune testing and drug monitoring

CHICAGO, July 25, 2022 – AACC 2022 Thermo Fisher Scientific Inc., the world leader in serving science, is showcasing innovative diagnostic technologies, assays and a complement of solutions for researchers developing new diagnostics. During the 74th American Association for Clinical Chemistry Annual Scientific Meeting and Clinical Laboratory Exposition (AACC 2022), being held at the McCormick Place Convention Center in Chicago, July 2428, Thermo Fisher is exhibiting within booth #1413.

“Our latest platform and workflow innovations give clinical laboratories and researchers greater flexibility and assurance as they respond to new and existing diagnostic challenges,” said Gianluca Pettiti, executive vice president, Thermo Fisher Scientific. “By minimizing hands-on time, reducing time-to-results, and improving analytical performance, we’re enabling the science that shapes the future of diagnostics, as we all work toward improving patient outcomes.”

Enabling Clinical Research Lab Agility and Responsiveness
The Applied Biosystems TaqMan-SARS-CoV-2 Mutation Panel* enables labs to build their own custom panel from a menu of verified real-time PCR assays. This meets the evolving needs of customers and public health agencies seeking to rapidly identify and survey current mutations as well as emerging variants.

To support labs as they move beyond COVID testing, Thermo Fisher is evolving its respiratory testing menu and improving automation to accelerate research. The Applied Biosystems TaqPath COVID-19, Flu A, Flu B Combo Kit** helps labs expand their existing COVID-19 testing menu for respiratory samples while maintaining workflow simplicity and without increasing operational costs.

Also featured at AACC is the new Thermo Scientific KingFisher SpeciTRAX Sample Transfer System, which provides researchers in infectious diseases and genetics with an automated sample-handling system, including new features, such as an automated decapper, that relieve the sample processing bottleneck for increased throughput.

A new interface with the Inpeco S.A.’s FlexLab Total Laboratory Automation system (TLA), enables primary tubes on the Inpeco LAS to be transported directly to the Thermo Scientific Cascadion SM Clinical Analyzer*** for automated loading, pre-treatment and analysis. This first-of-its-kind integration enables fully automated, gold-standard LC-MS/MS technology to improve clinical lab productivity.

New Technology and Assays
The Thermo Scientific DRI Fentanyl II Drugs of Abuse Assay*** is now available on medium to high-throughput instruments, including the Indiko Plus and Mindray BS-480, Mindray BA-800M. Labs of any size can now accurately test for multiple drugs of abuse at high volume using fully automated analyzers. Thermo Fisher’s broad and complementary offering of screening to confirmatory solutions also includes the Thermo Scientific Tox Explorer Collection, an all-in-one LC-MS/MS solution for toxicology.

Enhanced Allergy and Autoimmune Testing
The Thermo Scientific EliA RNA Pol III and EliA Rib-P*** tests have received U.S. FDA clearance for aiding in the diagnosis of Systemic Sclerosis and Systemic Lupus Erythematosus. These tests are part of a broader EliA portfolio of connective tissue disease tests that help provide a clearer clinical picture for patients.

*The Applied Biosystems Taqman-SARS-CoV-2 Mutation Panel and Thermo Scientific KingFisher SpeciTRAX Sample Transfer System are “For Research Use Only. Not for use in diagnostic procedures.”
**The Applied Biosystems TaqPath COVID-19, Flu A, Flu B Combo Kit is “ For Emergency Use Authorization (EUA) Only. For prescription use only. For in vitro diagnostic use.”
***The Thermo Scientific Cascadion SM Clinical Analyzer , the Thermo Scientific DRI Fentanyl II Drugs of Abuse Assay and the Thermo Scientific EliA RNA Pol III and EliA Rib-P are “For In Vitro Diagnostic Use.”

Workshops at AACC

Thermo Fisher is hosting multiple workshops during AACC designed to give attendees more in-depth information on the applications and benefits of its advanced solutions.

Thinking Beyond the Test workshop is a workshop that broadly discusses the role of clinical laboratories in impacting patient care. The workshop is on Tuesday, July 26 from 7:00 a.m. to 8:30 a.m. in Regency Ballroom B.Register here.

MAS Controls Ortho VITROS Users Group Meeting features a discussion on how Thermo Scientific MAS Quality Controls – using LabLink software on Ortho VITROS platforms – can help enhance productivity, improve clinical outcomes and reduce costs. The workshop is on Tuesday, July 26 from 7:00 a.m. to 8:30 a.m. in Regency C and D. Register here.

LC-MS/MS as a First Line Screening Assay workshop will discuss how the use of LC-MS/MS for early diagnosis is imperative for early treatment and disease prevention. The workshop is on Wednesday, July 27 from 7:00 a.m. to 8:30 a.m. in Regency Ballroom E. Register here.

From COVID-19 and Beyond workshop covers the benefits of PCR and multiplex testing as the industry moves beyond COVID. This workshop is on Wednesday, July 27, from 7:00 a.m. to 8:30 a.m. in Regency Ballroom C. Register here.

For more information on all the Thermo Fisher products and solutions exhibited at AACC 2022, please visit: thermofisher.com/aacc.

About Thermo Fisher

Thermo Fisher Scientific Inc. is the world leader in serving science, with annual revenue of approximately $40 billion. Our Mission is to enable our customers to make the world healthier, cleaner and safer. Whether our customers are accelerating life sciences research, solving complex analytical challenges, increasing productivity in their laboratories, improving patient health through diagnostics or the development and manufacture of life-changing therapies, we are here to support them. Our global team delivers an unrivaled combination of innovative technologies, purchasing convenience and pharmaceutical services through our industry-leading brands, including Thermo Scientific, Applied Biosystems, Invitrogen, Fisher Scientific, Unity Lab Services, Patheon and PPD. For more information, please visit www.thermofisher.com.

Ultrasound Elevated – Mindray Debuts New Leading-edge Ultrasound Machine Focused on Women’s Health

Mindray expands its portfolio with a new innovative, dedicated OB/GYN ultrasound machine, the Imagyn I9.

Mahwah, N.J. – June 28, 2022 – Mindray, a global leader and developer of healthcare technologies and solutions for ultrasoundpatient monitoring, and anesthesia, announced the launch of a new ultrasound product to address the unique demands of busy OB/GYN practices — the Imagyn I9 Ultrasound Machine. The Imagyn I9 Ultrasound System is Mindray’s first dedicated OB/GYN product slated to meet the rigorous demands of OB/GYN practices. The new system has unique design elements that focus on usability and ergonomics within the OB/GYN space, including elevated transducer ports, a fully free-floating user interface, and customizable E-Ink keys.

Powered by Mindray’s revolutionary ZONE Sonography® Technology+ (ZST+) and leveraging AI-enhanced technologies, the Imagyn I9 Ultrasound System uses auto clinical scenario identification and automation at every point, from imaging optimization to planes acquisition, quantification, and creating an automated workflow. The Imagyn I9 Ultrasound System provides a full-stack smart solution for efficient women’s health, covering wide-ranging applications from pre-pregnancy to obstetric to post-partum.

“As we continue to strengthen our position in women’s health, the addition of the Imagyn I9 Ultrasound Machine shows our dedication to advance medical technologies to make healthcare more accessible,” said Wayne Quinn, President of Mindray North America. Quinn continued, “We are pleased to introduce the first dedicated OB/GYN ultrasound system powered by our revolutionary ZST+. This milestone will tremendously impact women’s health clinicians and empower them to deliver high-quality care with peace of mind.”

Mindray develops meaningful ultrasound solutions to help clinicians provide timely answers and elevate patient care. Mindray’s innovative, accessible ultrasound machines deliver exceptional image quality with a suite of artificial intelligence (AI) enhanced technologies to help clinicians improve reproducibility, optimize productivity, and achieve consistency. The Imagyn I9 Ultrasound System features innovative design elements such as an intelligent iConsole control panel, a 2-hour continuous scanning battery, and quiet operation. Breaking the mold of conventional ultrasound systems and bringing ease-of-use and ergonomics into the limelight, the Imagyn I9 Ultrasound System provides an entirely new experience driven by innovation.

Imagyn I9 Ultrasound System Advanced Technologies Highlights:

  • Sound Speed Compensation (SSC): Automatically detects and analyzes different tissue characteristics to determine and apply the optimal sound speed needed for improved image quality. This unique, one-touch, intelligent algorithm improves lateral, spatial, and contrast resolution and imaging at depth.
  • Glazing Flow: Provides optimal visualization by intuitively and dynamically displaying a 3D effect to blood flow with high definition and clarity, especially for tiny and overlapping vessels. This technology can also be applied post-processing.
  • Smart Face: Delivers a fast and intelligent optimization for fetal face with a simple one-touch operation. It can immediately remove occlusions such as cord, placenta, uterus, and extremities in the volume data to generate an optimal view of the fetal face, reducing the need for time-consuming manual adjustments.
  • Smart Planes CNS: Provides a robust and user-friendly solution to automatically detect planes and calculate frequently used measurements of the central nervous system (CNS) in fetal brain examinations with one-touch. By automating these measurements, exam times decrease, allowing more time to focus on anatomy.

The Imagyn I9 Ultrasound is available immediately through Mindray’s trusted partners. Mindray’s ultrasound solutions, including the Imagyn I9, command the industry’s best investment protection and total cost of ownership with a standard 5-year warranty and Mindray’s exclusive Living Technology™ promise that provides customers with easily upgradable software enhancements. Through innovative solutions like the Imagyn I9, Mindray continues to drive its mission forward, advancing medical technologies to make healthcare more accessible.

About Mindray

Mindray is a leading developer, manufacturer, and supplier of medical device solutions and technologies used in healthcare facilities around the globe. We believe we can change lives by making the most advanced healthcare technology attainable for all. We do this by empowering healthcare professionals through innovative, high-value solutions that help create the next generation of life-saving tools across three primary business segments: patient monitoring and life support, in-vitro diagnostics, and medical imaging. Mindray maintains its global headquarters in Shenzhen, China; Mindray North America is headquartered in Mahwah, New Jersey. Our Ultrasound Innovation Center is located in San Jose, California with additional facilities in major international markets around the world. For more information, please visit http://www.mindray.com.

Biden officials to keep private the names of hospitals where patients contracted Covid

Despite a spike in infections earlier this year, U.S. officials opted to guard the institutions’ names, citing privacy.

Nurses care for a COVID-19 patient in a hospital.

One concern held by some federal health officials is that the disclosure could embarrass hospitals and lead them to stop reporting their information. | Mario Tama/Getty Images

By RACHAEL LEVY

06/25/2022 07:00 AM EDT

The Biden administration during the Omicron wave considered publicly releasing data detailing how prevalent Covid-19 spread was inside individual hospitals, but ultimately chose to keep that information private, according to two people familiar with the discussions

The decision to withhold the names, based partly on concerns about duplicative data and partly on fears of embarrassing hospitals, denies patients the opportunity to steer clear of health systems with poor track records and allows facilities to avoid public scrutiny, patient advocates say.

Covid cases and hospitalizations have fallen from their winter peak and the administration pushes personal responsibility to combat infection, but many disability-rights advocates are encouraging the government to make the information public, arguing it is necessary to make safe choices, especially for people with chronic conditions and weakened immune systems.

“Not knowing what the likelihood of getting transmission in the hospital really impacts an individual’s ability to quote unquote ‘make a personal decision’ on their risk levels,” said Mia Ives-Rublee, a disability rights advocate who has a lung condition that makes her more susceptible to Covid.

Over the four weeks ending June 19, U.S. hospitals reported an average of 1,457 patients per week had caught Covid during their stay, according to a POLITICO analysis of data from the Department of Health and Human Services. That follows a record month in January when more than 3,000 patients each week were infected while in the hospital.

Though the higher numbers have subsided, the risk remains real for a subset of the population with compromised immune systems who must weigh getting check-ups and treatments for potentially serious issues “versus maybe getting Covid and ending up on the ventilator,” Ives-Rublee said.

In a March meeting with the CDC, Ives-Rublee and other patient advocates requested more transparency on hospitals’ transmission, but the conversations went nowhere, she said.

“We are frustrated with the lack of progress that we’ve seen in terms of addressing concerns for folks who are extremely at risk for Covid,” Ives-Rublee said.

Other advocates told POLITICO they intend to keep pressing the administration ahead of what the Centers for Disease Control and Prevention predicts could be another fall surge in Covid cases.

“A majority of voters want HHS to level with us – tell us how much coronavirus is spreading in the particular hospital we go to,” said Matthew Cortland, an immunocompromised disability rights activist who ran a recent poll on the issue for Data for Progress, a left-leaning think tank. “But that transparency is inconvenient for the powerful hospital lobby.”

The American Hospital Association wants facilities’ infection numbers to stay private. “Reporting aggregate data is the most appropriate approach given the very low occurrence of hospital onset COVID-19,” Nancy Foster, an executive with the AHA, said in a statement.

Throughout the pandemic, many hospitals chose not to implement measures that could have dramatically decreased transmission, according to workers, health executives and patients around the country.

Many facilities no longer require masks for visitors or staff, despite CDC recommendations. Even where masks are required, workers and visitors usually don surgical masks, among the least protective ones available, instead of N95s. Hospitals follow CDC guidelines, which allow Covid-positive staff to return while infectious. Industry executives insist their protocols are adequate and that some Covid transmission is inevitable; the AHA says hospitals’ measures are generally safe.

U.S. health officials have debated the merits of identifying hospitals’ infections since the Trump administration began collecting the information in 2020, according to three current and former officials who were granted anonymity to speak candidly about internal deliberations.

The figures only include patients who test positive after a minimum hospital stay of 14 days to ensure a patient didn’t contract the virus before admission. The government’s tallies are likely less than the total because hospitals don’t report people who test positive after being discharged.

Trump-era officials decided to keep hospitals’ names private, fearing that outing them might discourage people from seeking health care, according to two former health officials, one of whom worked in the Trump and Biden administrations. Also, a Trump HHS spokesperson confirmed the thinking.

But more than two years into the pandemic, with the availability of vaccines and treatments, Biden officials no longer worry that most patients are avoiding care, according to one of the people involved in more recent discussions. Some U.S. health officials want the same kind of transparency that exists for other hospital-acquired infections, they say. For years, the U.S. government has collected patient infection rates for various pathogens and published scores for each hospital on a website for patients.

Yet the CDC and Office of the Assistant Secretary Preparedness and Response, the two agencies that could make the data public, have declined to release it. POLITICO filed freedom of information requests in April but federal officials have not yet provided the records.

A HHS spokesperson said in a statement the agency wouldn’t release the names for “privacy concerns” but declined to specify what the privacy concerns were.

One concern held by some federal health officials is that the disclosure could embarrass hospitals and lead them to stop reporting their information, according to one U.S. health official who has discussed the matter with the CDC and CMS. But, that concern isn’t universally held.

Some CDC officials have argued internally that the information — as hospitals currently provide it — is not a good measure of risk, according to two CDC officials who have reviewed the data, who were granted anonymity to speak about internal debates. That’s because facilities report snapshots each day of the number of patients who currently have hospital-acquired Covid, meaning some patients are counted again in the following days as they remain in the facility.

The CDC didn’t respond to comment requests.

Allan James Vestal contributed to this report.

Biden officials to keep private the names of hospitals where patients contracted Covid – POLITICO

‘Let’s get this done,’ Mark Cuban tells Biden on Medicare savings study

Paige Twenter – Updated Friday, June 24th, 2022

Medicare recipients could have saved up to $3.6 billion on generic drug costs in 2020 if Medicare paid the same prices as investor Mark Cuban’s pharmacy, according to a study published June 20 in Annals of Internal Medicine. Mr. Cuban tweeted the results, urging President Joe Biden and other elected officials to “have your people call my people and let’s get this done.”

The pharmacy, Mark Cuban Cost Plus Drug Co., has quickly gained speed from about 100 generic drugs at its launch in January to more than 700 generic drugs six months later. 

The researchers from the Program on Regulation, Therapeutics and Law at Boston-based Harvard Medical School and Brigham and Women’s Hospital identified 89 generic drugs for which they could compare prices between Mark Cuban Cost Plus Drug Co. and Medicare Part D plans.

If Medicare Part D plans matched Mr. Cuban’s prices for 77 of the 89 generic drugs, 37 percent of Medicare’s $9.6 billion 2020 drug costs could have been slashed, the study found. Twelve drugs did not cost less. 

The researchers found the best results with esomeprazole, a drug that treats acid reflux heartburn, which could have saved CMS up to $293 million if Medicare paid the same amount as Cost Plus Drug Co. Medicare paid $1.77 per pill. Cost Plus Drug Co. gets it for $0.19. 

Cost Plus Drug Co. sells its products with a $3 pharmacy dispensing fee, $5 shipping fee and a 15 percent profit margin. 

“Our sole mission is to be the low-cost drug provider for as many drugs as we can possibly offer,” Mr. Cuban told Becker’s. “That is counter to most business interests, particularly over a long period of time.”

‘Let’s get this done,’ Mark Cuban tells Biden on Medicare savings study (beckershospitalreview.com)

Supreme Court Sides With Hospitals on Medicare Reimbursement (1)

June 15, 2022, 9:20 AM

The U.S. Supreme Court said the federal government improperly cut more than $1 billion a year in Medicare reimbursements to hospitals in a ruling that limits regulators’ power to control what the program pays for some drugs.

The justices on Wednesday unanimously sided with the American Hospital Association in a clash over drug reimbursement rates for facilities that serve low-income communities.

Writing for the court, Justice Brett Kavanaugh said the Department of Health and Human Services improperly calculated reimbursement rates using a methodology Congress authorized only in limited circumstances.

The federal government said the rate cuts, which started in 2018, were designed to more closely track the cost to hospitals of acquiring the drugs.

But Kavanaugh said that under the 2003 law that expanded Medicare to cover prescription drugs, HHS generally must tie the reimbursement rate to each drug’s average sales price. The law lets HHS use a drug’s acquisition cost only if regulators have conducted a survey to determine what hospitals are paying, Kavanaugh said.

The government argued that HHS could rely on a separate provision that says regulators can make “adjustments” to rates.

The justices declined the Biden administration’s call to apply a legal doctrine known as Chevron deference. Under that approach, which some conservative justices have questioned, courts defer to federal agencies on the meaning of ambiguous statutes.

The case is American Hospital Association v. Becerra, 20-1114.

Supreme Court Sides With Hospitals on Medicare Reimbursement (1) (bloomberglaw.com)

Atlanta system 1st in US to face CMS fines for price transparency violations

Andrew Cass and Marissa Plescia – Thursday, June 9th, 2022

Atlanta-based Northside Hospital is the first health system in the nation to be fined by CMS for violating federal price transparency laws, CMS told Becker’s. 

Northside was fined more than $1 million, according to CMS. Northside Hospital Atlanta, the health system’s flagship facility, was fined $883,180, according to CMS. Northside Hospital Cherokee in Canton, Ga., was fined $214,320.

CMS said Northside Hospital Atlanta didn’t have a searchable list for consumers posted in a prominent manner that clearly identified the location of the hospital concerned, according to the report. CMS said “no consumer-friendly list of standard charges was found,” for Northside Hospital Cherokee. 

Northside told the Atlanta Journal-Constitution last year that the information required by the federal government would not actually be useful to consumers because it lacked context, according to the report. Prices paid by patients can vary depending on factors like insurance contract negotiations. 

CMS also said Northside didn’t include all required services in a machine-readable file, and services weren’t included in a single file, according to the report. 

As of early June, CMS has issued about 352 warning notices to hospitals that were found out of compliance with price transparency rules, which went into effect Jan. 1, 2021. CMS has also sent 157 requests for a corrective action plan to hospitals that received a warning and had not made any corrections. There have been 171 hospitals who have had their cases closed after addressing issues.

CMS told Becker’s the Northside hospitals received a notice and a corrective action plan request, but neither hospital submitted a plan, and both remained noncompliant.

“CMS expects hospitals to comply with the hospital price transparency regulations that require providing clear, accessible pricing information online about the items and services they provide,” Meena Seshamani, MD, PhD, CMS deputy administrator and director of the Center for Medicare, told Becker’s. “This enforcement action affirms the Biden-Harris administration’s commitment to making healthcare pricing information accessible to people across the country, and we are committed to ensuring that consumers have the information they need to make fully informed decisions regarding their healthcare.”

Atlanta system 1st in US to face CMS fines for price transparency violations (beckershospitalreview.com)

Deferred care, inflation fuel mounting cost pressure for Americans’ healthcare

Becker’s Hospital Review by Molly Gamble

Americans aged 50 and older are feeling the pressure of healthcare costs, with 4 in 10 concerned about their ability to pay for care and others forgoing treatment altogether, skipping prescriptions or cutting back on daily living expenses to afford healthcare.

The findings come from a survey of 6,663 U.S. adults conducted by West Health and Gallup in September and October 2021. 

Increased use of general healthcare —driven by care deferred in 2020 that was provided in 2021 — may be driving up costs, leaving Americans finding the cost burden of healthcare more extreme than what they remembered pre-pandemic. At the same time, a fragile economy and rising consumer costs are intensifying the squeeze. Healthcare costs have grown at a rate double that of Americans’ incomes for decades, but inflation reaching a 30-year high and intensifying global supply chain shortages have households across every income bracket feeling cost pressures in new ways.

“Nearly two years into the COVID-19 pandemic, we are beginning to see the long-term impact on healthcare costs emerge,” the survey states. “Significantly worsening trends uncovered in recent months underscore the urgency of the U.S. healthcare cost crisis today and the dire projections for the coming years.”

“The growing burden of cost is coupled with worsening and widespread pessimism about any kind of solution or reprieve,” survey authors noted. “The power for change, U.S. adults report, lies in the hands of the U.S. Congress and with American businesses. There is also a shared expectation that costs will continue to climb in the year ahead, leaving Americans resigned to the idea that the burgeoning cost crisis — which is estimated to have claimed the lives of more than 12 million Americans this year alone — will persist.” 

Here are six key takeaways from the 31-page survey: 

1. The financial burdens of healthcare are especially palpable for Americans aged 50-64, who are old enough to experience health problems but too young to qualify for Medicare. Of this age bracket, 26 percent of survey respondents said they or a member of their household recently did not seek treatment because of its cost. Twelve percent of adults 65 and older said the same. 

2. Eighteen percent of Americans aged 50-64 and 11 percent of Americans aged 65 and older said they or a family member skipped prescribed medication in the last year to save money. 

3. A sizable minority of Americans aged 65 and older make daily sacrifices to afford healthcare. About 1 in 4adults in this age bracket cut back on at least one basic need to pay for healthcare, including reduced spending on food (9 percent), reduced spending on over-the-counter drugs (13 percent), cutbacks on utilities (6 percent) and reduced spending on clothing (19 percent). 

4. The financial stress and sacrifices to shore up money for healthcare was even more prevalent for Americans aged 50 to 64, with 3 in 10 forgoing at least one basic need. This includes reduced spending on food (14 percent), reduced spending on over-the-counter drugs (15 percent), and reduced spending on clothing (26 percent). Similar to the adults aged 65 and older, 8 percent of those aged 50-64 reduced spending on utilities to pay for healthcare.

5. Black Americans aged 50-64 are more likely than white Americans to report forgoing at least one basic need asked about in the survey (38 percent to 29 percent, respectively).

6. The growing burden of cost is coupled with worsening and widespread pessimism about healthcare. Nearly half of Americans (48 percent) report that COVID-19 made their view of the U.S. healthcare system worse. This percentage grows larger the younger the age group, with 58 percent of those under the age of 30 saying they feel this way compared to 38 percent of adults 65 and older.

Deferred care, inflation fuel mounting cost pressure for Americans’ healthcare (beckershospitalreview.com)