Jefferson Health Sues Aetna As Providers’ Frustration with MA Grows

Jefferson Health in Philadelphia is suing Aetna over a new Medicare Advantage payment policy that hospitals say unfairly reduces reimbursements for legitimate inpatient stays. The case highlights a broader clash between providers and Medicare Advantage plans over “downcoding” short hospital stays and controlling costs. The post Jefferson Health Sues Aetna As Providers’ Frustration with MA…

Read More

You Say “AI,” I Hear “Organoid”

By KIM BELLARD I must admit, ever since I learned about, and wrote about (OI May Be the New AI), “organoid intelligence” over three years ago, I’ve been looking to do a follow-up. I mean, sure, AI is in a very exciting stage, but that stage no longer seems like the future; it seems more…

Read More

Private Equity in the Hospital Industry

That is the title of a recent paper by Gao, Kim, and Sevilir (2025). The authors examine 1218 hospital merger and acquisition (M&A) deals in the hospital industry between 2001 and 2008. The authors focus solely on M&A deals with for-profit entities as they argue that they want to examine whether private equity (PE) specifically…

Read More