Frustrated by high hospital prices, a large union’s health fund, which oversees benefits for 200,000 SEIU workers and their families, is determined to rein in spending after an analysis of its claims data showed about 59% of its healthcare spending goes toward hospitals, according to Cora Opsahl, director of the 32BJ Health Fund.
Through a government program aimed at helping low-income patients, some hospitals buy medications at reduced prices. They can sell them to patients and their insurers for much more.
32BJ Health Fund held its fall conference to address the challenges of increased hospital pricing and brought to light data-backed solutions endorsed by legislators and national policy experts.
In this healthcare podcast, I am speaking with Cora Opsahl, who directs the 32BJ Health Fund. This is the second conversation I’m having with Cora (last one was EP372), but these two conversations are not really linear—so listen in whatever order you want to.
The heroic work of doctors, nurses and other frontline health-care industry staff throughout the pandemic has been nothing short of amazing. But while they’ve been busy saving lives, a more troubling trend has played out behind the scenes in recent years
In this healthcare podcast, I am speaking with Cora Opsahl, who directs the 32BJ Health Fund.
Important to know about Cora’s background is this: In previous roles, she’s worked deep in the inner workings of the healthcare industry. So, she came to 32BJ armed with a BS meter that is finely tuned, which is, unfortunately, an essential skill for anyone trying to help the patients and members relying on them to successfully navigate the healthcare industry.
New York’s private hospitals have been steadily raising their prices, putting affordable, quality health care out of reach for hardworking New Yorkers. Recently, the state Legislature passed the Hospital Equity and Affordability Law to create a more informed and equitable health care system. As legislators, we are honored to have fought alongside the Coalition for Affordable Hospitals to have moved the Heal bill along.
Forces in New York City, California and elsewhere are leading a new push to rein in hospital prices, reviving a health cost fight that’s been on hold for most of the COVID-19 pandemic.
Report: Private Hospitals Overcharge NYC Government Over $2B Annually by Jasmine Pennic 03/18/2022 Leave a Comment Private Hospitals Overcharge NYC Government Over $2B Annually What You Should Know: – The 32BJ Health Fund, a self-insured fund that provides care for 32BJ SEIU members and their dependents, today released a report that lays bare the stark price disparities between Medicare and private hospitals, and outlines solutions to both reins in prices and holds hospital systems accountable for these practices. – The report, titled, ‘Hospital Prices: Unsustainable and Unjustifiable’ found that hospital prices are dramatically rising, the main driver in the overall increased cost of care that is leaving patients without reliable and affordable access to potentially life-saving procedures. Key Findings Amid the report’s key findings that could have national implications is that if New York City’s healthcare cost utilization and expenditure breakdown mirror the Fund’s, then it may be paying more than $2 billion per year above what Medicare pays for the same hospital services. These taxpayer funds could provide critical services and programs at the height of an affordability crisis and also stave off the need for job cuts.