Unbiased Analysis of Today's Healthcare Issues

Archive for June, 2011

Share of Federal Budget Spent on Health Care Jumped in 2009

In 2008, 38 percent of the federal government’s revenue was spent on health care.  In 2009, however, this figure jumped to 54 percent of total revenues.  Although federal health spending only increased by 17.9%, a decline in revenues of a similar magnitude caused this large change.  Surprisingly, state and local spending on healthcare barely budged.  In […]

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Friday Links

How to staff hospitals in Libya. Antibiotic Resistance. Learning by doing. Does the U.S. have a Rx Drug shortage? HHS identifies new carcinogen. Drug testing in Florida.

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Risk Scores and provider size

At a recent AcademyHealth presentation, Cheryl Damberg discussed her research to design a P4P program for implementation for Integrated Healthcare Association (IHA).  One thing I noticed about the presentation was that smaller provider groups had patients with lower risk scores (i.e., healthier patients).  Is it really the case that small providers treat much healthier patients? […]

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A Political Cavalcade

The latest edition of the Cavalcade of Risk is up at Political Calculations.

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Certificate of Need Stringency

Many states have certificate of need (CON) laws which restrict providers supply for certain procedures.  A paper presented by Vivan Ho at AcademyHealth claimed that there were 37 states with a CON law for at least one procedure.  Following up earlier research which found that CON laws decreased quality, Dr. Ho found that dropping CON […]

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Negotiating Power

On Monday I attended a talk at AcademyHealth on the impact of market consolidation on the cost of health care.  Particularly interesting was Robert (Bob) Berenson’s analysis of the effect of provider consolidation on negotiating power and health care prices.  Particularly, provider have been gaining market power of late, according to recent CTS site visits. […]

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AcademyHealth Annual Research Meeting

I am currently at AcademyHealth’s Annual Research Meeting (ARM) in Seattle.  I arrived on Saturday where I presented a poster at the Health Economics interest group.  I presented this report, which is currently available through the CMS website.  Regular posting will resume tomorrow.

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Friday Links

E Coli in Europe.  Problem identified? Medicare, Shared Savings, and Accountable Care Organizations. Why Groupon ≠ Spam. Are smoking bans effective? The global war on drugs has failed. – Kofi Annan

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HWR Posted

John Irvine and Matthew Holt have posted this week’s issue of Health Wonk Review at The Health Care Blog (THCB for insiders). Check it out!

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Federal Medicaid Spending: The Worst is Yet to Come

As the economy worsened, Medicaid enrollment has risen.  In the short-run, however, States have been able to avoid large increases in Medicaid spending because the Federal government has footed the tab.  According to the HHS: “Over the past three years, despite rising enrollment due to the economic recession, nationwide State spending on the Medicaid program […]

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