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Welcome to Gist Insights, where we share our thinking on healthcare trends and key issues facing the industry, and provide actionable guidance for CEOs and senior executives.
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Preparing for generations of Medicare growth

by Gist Healthcare, Sep 24, 2021

The healthcare industry is now at the peak of the long-awaited transition of the Baby Boom generation into Medicare. The “greying” of the Boomers will…

Preparing for generations of Medicare growth

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Physician burnout persisting above pre-pandemic levels

In this week’s graphic, we highlight new data from the 2024 Medscape Physician Burnout & Depression Reporton the sustained high rates of physician burnout. In 2023, nearly half of physicians reported feeling…

Financial distress increasingly prevalent in health system M&A deals

This week’s graphic highlights data from Kaufman Hall’s recently released 2023 Hospital and Health System M&A Report on the current dynamics in health system mergers and acquisitions (M&A) activity. After a slowdown…

Providers exiting insurance networks over contracting impasses

In this week’s graphic, we highlight new data on the increase in payer-provider contracting disputes covered by the media. From 2022 to 2023, there was a 69 percent increase in the number of…

Expanding beyond patient experience 

In this week’s graphic, we highlight the importance of broadening the domain of health system experience initiatives beyond patients to include consumers and even employees. While reimbursements tied to HCAHPS…

Providers threaten to leave MA networks amid contentious negotiations  

This week’s graphic highlights increasing tensions between health systems and Medicare Advantage (MA) plans as they battle over what providers see as unsatisfactory payment rates and insurer business practices. On…

Health systems risk being reduced to their core

This week’s graphic features our assessment of the many emerging competitive challenges to traditional health systems. Beyond inflation and high labor costs, health systems are struggling because competitors—ranging from vertically integrated…

Taking stock of a decade of Medicare ACOs 

In this week’s graphic, we showcase recent data from Health Affairs highlighting the progress made by the Centers for Medicare and Medicaid Services’ (CMS) flagship value-based payment initiative, the Medicare Shared Savings…

CMMI increased Medicare spending in its first decade

In this week’s graphic, we highlight the recent Congressional Budget Office (CBO) analysis of the budgetary impact of the Center for Medicare and Medicaid Innovation (CMMI), which has gotten off to a…

Increased expenses, especially labor, impacting hospital margins 

Workforce shortages, supply chain disruptions, expensive new drugs, and high inflation have all greatly increased hospitals’ expenses. These rising costs are the top cause of the tenuous state of hospital margins today.…

Uneven operating margin recovery for national health systems

Using data from Kaufman Hall’s latest National Hospital Flash Report and publicly available investor reports for some of the nation’s largest health systems, the graphic below takes stock of the state of…