Health Costs, Health Insurance, Hospitals

At Catholic Hospitals, a Mission of Charity Runs Up Against High Care Costs for Patients

Catholic health systems like CommonSpirit Health, Ascension, PeaceHealth, Trinity Health, and Providence St. Joseph pay their chief executives millions of dollars a year. CommonSpirit Health’s then-CEO Lloyd Dean earned roughly $28 million in 2022; he was among nearly three dozen executives who pulled down more than $1 million that fiscal year, according to the health system’s tax filings. Elsewhere, Rod Hochman, CEO of Providence St. Joseph Health, earned $12.1 million. Ascension CEO Joseph Impicciche was paid $9.1 million, according to corporate tax filings.

Health Costs, Health Insurance, Health Policy, Hospitals

Why Many Nonprofit (Wink, Wink) Hospitals Are Rolling in Money

“Hospitals are some of the biggest businesses in the U.S. — nonprofit in name only,” said Martin Gaynor, an economics and public policy professor at Carnegie Mellon University. “They realized they could own for-profit businesses and keep their not-for-profit status. So the parking lot is for-profit; the laundry service is for-profit; they open up for-profit entities in other countries that are expressly for making money. Great work if you can get it.”

Drugs, Health Insurance, Health Policy

States struggle to help patients navigate insurance hurdle known as ‘step therapy’

Millions of Americans have experienced similar frustrations under protocols known as step therapy, or fail-first policies. Insurance companies, and the pharmacy benefit management companies that handle prescriptions for them, often refuse to cover a specific drug until after the patient has tried cheaper alternatives. Insurers argue that step therapy — taking drug treatment one step a time — prevents wasteful spending by directing patients to less expensive, but still effective, treatments.

Health Insurance, Medicare

Older Americans Say They Feel Trapped in Medicare Advantage Plans.

Medicare pays private insurers a fixed amount per Medicare Advantage enrollee and in many cases also pays out bonuses, which the insurers can use to provide supplemental benefits. Those extra benefits work as an incentive to get people to join the plan but that the plans then restrict the access to so many services and coverage for the bigger stuff.”