Top 10 hospital and payer trends to watch in 2023

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As 2022 comes to an end, Healthcare Finance News editors reflect on how much has changed over the past year and what that means for trends in 2023. The public health emergency is ongoing and will remain in place past January 11, 2023, putting the popularity of home health and telehealth in the balance. Hospitals continue to see surges, this time from a combination of COVID-19, flu and Respiratory Syncytial Virus; CEOs and CFOs carry on juggling finances, inflation, increased expenses for labor as well as shortages and the need to determine investments in digital health, AI and automation. And, as always, the demand for interoperable systems and price transparency grows.

Here are the Top 10 trends from 2022 that are likely to influence hospital and payer decisions in 2023:

  • The end of the public health emergency: What happens next?
  • Technology, digital health and automation: Strategies to streamline, reach patients and goals.
  • Hospital finances: Cutting expenses, where to save?
  • The retail competition: Amazon, CVS, Walgreens, UnitedHealth move into primary care.
  • Payers: Meeting the Transparency in Coverage rule that goes into effect January 1, 2023.
  • Hospital at home checks the boxes: an aging demographic and a less expensive alternative.
  • Medicare Advantage: Who’s in, who’s out?
  • Telehealth: Fad or future?
  • Mergers, acquisitions and partnerships.
  • Interoperability for providers and payers.

See the stories below to take a closer look at how and why those trends will continue into 2023. Then check back on this page every week through the end of the year for more coverage.

Top reason for delaying care is now cost, not COVID-19, patients say.

Patient at doctor's office reception desk

Photo: Luis Alvarez/Getty Images

Hospitals must aspire to ease care access, says Cleveland Clinic physician and Qualtrics CMO.

Humana plans CenterWell expansion of 30-35 senior primary care clinics.

CenterWell building sign

Photo courtesy CenterWell Senior Primary Care

Its Primary Care Organization will continue to grow by 30-50 centers per year through 2025, Humana says.

Lacking notice, hospitals can expect PHE to extend beyond January 11.

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The deadline for HHS to give providers a 60-day notice was Friday.

Health systems need to balance their service offerings against dwindling financial resources.

Martin McGahan, left, and Peter Urbanowicz are managing directors with the consulting firm, Alvarez & Marsal.<br />

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Hospitals’ service line rationalization is that they are like department stores, all things to all people.

Oscar Health and Bright Health are curbing MA expansion, for now.

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Bright Health is exiting the ACA market to focus on ACO Reach, and CEOs at both companies are looking at partnerships.

Walgreens-backed Village MD to acquire Summit Health-CityMD for $8.9B.

Walgreens and VillageMD entrances<br />

Photo courtesy of Walgreens

The deal is being made with investments from Walgreens Boots Alliance and Evernorth, the health services subsidiary of Cigna.

Patients satisfied with virtual primary care, though more work needs to be done.

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Photo: Geber86/Getty Images

Nearly four in five Americans said virtual primary care allowed them to take charge of their health, the survey showed.

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