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A revolutionary approach to healthcare pricing
Since the 1980s, the U.S. has experimented with various forms of managed health care. But none of them has managed to control costs or improve health outcomes, argues Senior Fellow Hayden Rooke-Ley. The radical new idea from CAHPR researchers for delivering lower health care costs is actually quite old-fashioned: a return to fee-for-service.
This article reports on a study by Daniel R. Arnold, and colleagues who find that private equity-acquired gastroenterology practices significantly increase colonoscopy prices—by 4.5% more than independent practices—without improving care quality. Despite claims that consolidation boosts efficiency, the analysis showed no statistical difference in quality measures, raising concerns about affordability and access.
Lawmakers Seek to Close VA Loophole That Funnels Billions to Private Medicare Insurers
A bipartisan group of lawmakers has introduced legislation to stop Medicare Advantage insurers from collecting billions in federal payments for veterans who primarily receive care through the VA. Sparked by a Wall Street Journal investigation—supported by data from Brown University researchers—the bill aims to close a loophole that enabled an estimated $44 billion in excess payments from 2018 to 2021.
FTC study supports scrutiny of physician mergers, economists say
This article reports on a FTC study highlighting how roll-up acquisitions of physician practices—often led by private equity firms—can harm competition, raise prices, and reduce care quality. The study calls for increased scrutiny of serial acquisitions that fall below federal reporting thresholds, and experts say it could lead to stronger antitrust enforcement in healthcare markets.
Doctors and nurses at Madison primary care center want a union. It’s a sign of health care changes.
This article discusses how financial pressures, staffing shortages, and management decisions at Wisconsin’s Group Health Cooperative have led to a unionization effort by primary care providers, reflecting broader national challenges facing independent primary care.
States push hospital price caps to rein in spending
Several states are adopting hospital price caps to curb rising healthcare costs, citing limited success from other reforms. Supporters see savings, while hospitals warn of revenue loss and service cuts. See what CAHPR's Roslyn Murray, Ph.D. has to say.
Yashaswini Singh Named 2025 Aspen Ideas Health Fellow
Nominated by Arnold Ventures, Dr. Singh joined over 100 global fellows in Colorado in June 2025 to explore how market forces are reshaping health care at this year’s “Payoff: Investing in Health” conference by the Aspen Institute.
Oregon lawmakers vote to block rising corporate ownership of medical clinics
On Wednesday, the state House passed Senate Bill 951, the latest effort to expand Oregon’s prohibitions on corporate ownership in local care providers.
Community Focus: Brown University’s Andrew Ryan
This news video features Dr. Andrew Ryan, Director of CAHPR, discussing his study on Rhode Island’s hospital affordability standards, which led to significant hospital price and premium reductions—saving $1,000 per fully insured member by 2022.
Market Power
Professors Erin Fuse Brown and Yashaswini Singh warn that private equity’s focus on short-term returns is reshaping healthcare at the expense of patients and providers. From overburdened hospitals to ethical dilemmas in mental health care, their insights expose how profit-driven ownership can undermine clinical priorities and public trust.
Hospital price growth cap helped lower insurance premiums, Brown study shows
This article reports on a study by CAHPR researchers that found that Rhode Island’s 2010 hospital price growth cap significantly reduced hospital prices and lowered premiums for fully insured health plans by $1,000 per member annually by 2022. However, the policy had limited impact on the self-insured market due to federal ERISA regulations, and the resulting hospital revenue losses have raised concerns about financial sustainability and care quality.
Home health care workers are demanding better pay. Cuts to Medicaid could stand in their way.
The article discusses how home health care workers in Rhode Island are fighting for better wages and working conditions through unionization, but their efforts are at risk due to proposed federal Medicaid cuts. David J. Meyers, a health economist at Brown University, warns that such cuts could have a “massive, qualitative impact on people’s lives” and ultimately increase health care spending as unmet needs at home lead to more hospitalizations and emergency visits.
Brown University policy expert talks about the future of telehealth flexibilities
The article discusses Dr. Ateev Mehrotra, chair of the Brown SPH Department of Health Services, Policy and Practice, and his concerns that ongoing temporary telehealth policies are stifling innovation and investment, as he urges permanent federal solutions to ensure long-term access and growth.
Bill would limit hospital fees in Nevada’s public employee health system
A Nevada bill aims to cap hospital fees for the Public Employees’ Benefits Program to reduce costs, drawing on Oregon's model, which researcher Roslyn Murray of Brown University studied and found led to significant savings without shifting costs to private insurers.
New Medicare telehealth data drops as industry waits on Congress
The article discusses the looming expiration of pandemic-era Medicare telehealth expansions and the ongoing policy debate over their extension, including new research by Ateev Mehrotra and Jared Perkins who suggest that lowering reimbursement rates for telehealth could make its permanent expansion more financially and politically viable.
States consider raising health premiums for their employees
This news article highlights the study led by Dr. Roslyn Murray on potential savings achieved by capping state employee health plans while discussing how rising health care costs are squeezing state dollars.
The Danger of Trump's Deregulation Play — Healthcare without guardrails poses risks to patients and providers alike
The Trump administration's push for deregulation threatens to accelerate vertical integration in healthcare. Brown University professor, Dr. Christopher Whaley warns from existing research how this may lead to referrals to more expensive hospitals ultimately leading to higher costs, reduced competition, and financial strain on independent hospitals, particularly in rural areas as the article discusses.
NY hospital prices four times higher than doctor's offices, report finds
This article talks about the analysis conducted by CAHPR researchers who find that routine medical care costs four times more in New York’s outpatient hospital facilities than in doctor’s offices, largely due to added facility fees. Economist Christopher Whaley and other experts have long highlighted such pricing disparities, fueling legislative efforts like the proposed Fair Pricing Act to cap these costs.
Indiana Governor Appoints Business Leader To Shake Up Health Care
Gloria Sachdev has spent years challenging high hospital prices in Indiana, successfully pushing for healthcare cost transparency and legislative reforms. Her efforts, have led to a national report on hospital pricing and significant policy changes in the state.
Hospitals cry foul as public option enrollment rises
This article covers a Brown University study, published in Health Affairs, which found that the Colorado Option lowered average marketplace premiums by $101 per month since 2020, while exchange premiums nationally rose by 10%.
More primary care physicians are affiliated with hospitals, leading to increased patient costs
The article covers a study published in JAMA Health Forum by Yashaswini Singh and colleagues on the increasing affiliation of primary care physicians with hospitals and private equity firms, leading to higher patient costs without clear improvements in care quality or physician compensation.
Nearly half of buyers on individual market picked Colorado Option health plans for 2025
This article talks about two conflicting studies on the Colorado Option emerged—one, funded by the insurance industry, found only 2% of plans met the 10% premium reduction goal, while another, by Brown University researchers and backed by the Commonwealth Fund, highlighted it as a model, estimating $100 lower premiums than similar states without a public option.
Colorado hits record for health marketplace signup, though federal uncertainty is on the horizon
This article covers criticisms from Colorado’s Health Care Future, which argues that the program has failed to lower premiums, harmed competition, and reduced consumer choices, while the state cites a Brown University analysis showing it provides affordable coverage and limits premium increases driven by rising hospital and provider costs.
Hospital, PE-affiliated primary care docs charge higher prices than independents, study finds
This article discusses a study led by Dr. Yashaswini Singh and published in JAMA Health Forum on trends in physician practice ownership, showing a significant shift from independent practices to corporate ownership, as well as the associated price increases, with hospital and PE-affiliated practices charging higher fees, and its implications for healthcare costs and quality.