𝐓𝐡𝐞 𝐓𝐫𝐮𝐦𝐩 𝐚𝐝𝐦𝐢𝐧𝐢𝐬𝐭𝐫𝐚𝐭𝐢𝐨𝐧 𝐣𝐮𝐬𝐭 𝐬𝐢𝐠𝐧𝐚𝐥𝐞𝐝 𝐫𝐞𝐭𝐫𝐞𝐚𝐭 𝐨𝐧 𝟑𝟒𝟎𝐁 𝐫𝐞𝐟𝐨𝐫𝐦.
Site-neutral payments went live January 1.
Price transparency enforcement got delayed again.
And 1/3 of hospital M&A deals last year involved a distressed seller.
The system isn’t broken.
It’s working exactly as designed, just not for patients, physicians, or clinicians.
340B Rebate Pilot Retreat:
DOJ discussing returning HRSA’s pilot approvals for reconsideration. Upfront discounts stay.
Academic and large non profit health systems win.
FTC Blocks Edwards/JenaValve:
$945M TAVR-AR deal halted.
Edwards terminated.
Site-Neutral Now Live:
40% OPPS rate hits off-campus HOPDs.
Estimated $290M spending reduction.
Price Transparency Delayed to April: Requirements effective Jan. 1. Enforcement postponed. Again. Do you see the pattern?
Record Distressed M&A:
33% of 2024 deals involved distressed party. Consolidation accelerating.
The largest health systems aren’t absorbing struggling hospitals out of charity. They’re buying market share at a discount. (Subsidized bonds are nice….)
And the regulatory apparatus keeps giving them runway.
This is what happens when MedDevice, Pharma, Health Systems, and Insurance pays, sorry donates to, lawmakers $950M per annum vs patients ($0.00) and physicians ($7.0M).
There are other ways to win and they require coopetition. Can we pull it off?
The Rojas Report drops at 10:30am.