Insurance giant UnitedHealth is strengthening its effort to steer patients receiving outpatient surgery away from hospitals and toward cheaper physician offices or ambulatory surgery centers, Modern Healthcare reports.

The big picture: This is part of a growing effort to address the fact that hospitals charge higher prices for the same outpatient services than other facilities.

  • A rule by the Trump administration that would require Medicare reimbursement for a procedure to be the same regardless of the site of care was recently overturned in court.
  • Hospitals hate such efforts, which threaten their revenue, and are fighting them tooth and nail.

What they're saying: "There is considerable excess spending on care delivered in sub-optimal, high-cost settings that can and should be provided in higher quality, consumer responsive and more cost-effective sites," CEO Dirk McMahon said in an earnings call on Tuesday.

Context: Beginning in November, in most states, United won't pay for certain planned surgeries performed in an outpatient hospital setting unless they've been reviewed and the location deemed necessary.

Go deeper: Hospitals' increasing revenue from outpatient testing

Go deeper

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Dion Rabouin, author of Markets
1 hour ago - Economy & Business

CEO confidence skyrockets on expectations of layoffs and wage cuts

U.S. consumers remain uncertain about the economic environment but CEOs are feeling incredibly confident, the latest survey from the Conference Board shows.

Why it matters: Confidence among chief executives jumped 19 points from its last reading in July, rising above the 50-point threshold that reflects more positive than negative responses for the first time since 2018.

Louisville officer: "Breonna Taylor would be alive" if we had served no-knock warrant

Breonna Taylor memorial in Louisville. Photo: Brandon Bell/Getty Images

Sgt. Jonathan Mattingly, the Louisville officer who led the botched police raid that caused the death of Breonna Taylor, said the No. 1 thing he wishes he had done differently is either served a "no-knock" warrant or given five to 10 seconds before entering the apartment: "Breonna Taylor would be alive, 100 percent."

Driving the news: Mattingly, who spoke to ABC News and Louisville's Courier Journal for his public interview, was shot in the leg in the initial moments of the March 13 raid. Mattingly did not face any charges after Kentucky Attorney General Daniel Cameron said he and another officer were "justified" in returning fire to protect themselves against Taylor's boyfriend.

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