October 2011

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For nursing homes at least, patients do not seem to have much choice.  According to an article by Grabowski and Town:

The introduction of the NHQI was generally unrelated to facility quality and consumer demand. However, nursing homes facing greater competition improved their quality more than facilities in less competitive markets…The lack of competition in many nursing home markets may help to explain why the NHQI report card effort had a minimal effect on nursing home quality. With the introduction of market-based reforms such as report cards, this result suggests policy makers must also consider market structure in efforts to improve nursing home performance.

In general, there are many reasons why patients do not respond to provider report cards.  It could be the case that the provider is a monopoly, and thus the patient has little choice of providers.  Alternatively, patients may not be aware of the quality metrics.  One would thing that high quality providers, however, would spend money advertising their high quality ratings to make patients aware of their services.  In other cases, the patients may not be the ones directing care choices.  Providers may be the ones who are the de facto selectors of care.

Patients could also not believe that the CMS quality ratings are very useful.  They may prefer other sources of information on medical quality such as their friends, relatives, or physicians.  Thus, it may be the physician who actually chooses to which nursing home the patient will go.  If the physician has incentives to sent the beneficiary to nursing homes in the network or simply does not wish to spend the time analyzing nursing home quality, then patients may be less likely to be allocated to high quality nursing home.

 

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Nyjer Morgan (a.k.a.) Tony Plush comes through with the game winning hit and the Brewers win 3-2 over the Arizona Diamondback to advance to the NLCS.  Go Brew Crew!!!

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I will be hosting Grand Rounds on Tuesday, October 11.  If you wish to participate, please follow these instructions.

  • Submit your post by 11:59pm ET on Sunday.
  • Send the post to: jason@healthcare-economist.com
  • Include the following in your email: your name, your blog’s name, the title of your blog post, a brief, 1-2 sentence summary, and (most importantly) a link to your blog post.
  • Topics include anything to do with medicine or health care.  Make it interesting!

 

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CMS has a wealth of publicly available summary statistics regarding enrollment, spending, treatment patterns, cost sharing and other topics for both Medicare and Medicaid beneficiaries.  This information can be accessed through the Medicare & Medicaid Statistical Supplement website.  The site includes statistics on the following topics:

  • Personal Health Care Expenditures
  • Medicare Enrollment
  • Medicare Program Payments
  • Medicare Cost Sharing
  • Medicare Short Stay Hospitals
  • Medicare Skilled Nursing Facilities
  • Medicare Home Health Agencies
  • Medicare Hospices
  • Medicare Physician Services
  • Medicare Hospital Outpatient Services
  • End Stage Renal Disease
  • Medicare Managed Care
  • Medicaid
  • Medicare Part D

There is data available from 2001 to 2010.

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Many health policy researchers talk about bending the cost curve; this means reducing the rate of health care spending below GDP growth.  U.S. health spending, however, has consistently grown faster than GDP for nearly a century.  Woodward and Wang show that this relationship is surprisingly stable over time, even after the advent of large government entitlements.

…simple extrapolations of trends observed in the years before Medicare and Medicaid are surprisingly accurate. For example, if one extrapolates the relationship between 1950 and 1960 to the per capita GDP in 2008, the error in predicted per capita NHE in 2008 is 8.6%. Or if one extrapolates the trends defined by the relationship between per capita NHE and per capita GDP in 1929 and 1965 to the per capita GDP in 2008, the error in predicted NHE in 2008 is 11.8%.

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Colorado Health Insurance Insider hosts a Colorado Nature Edition of the Cavalcade of Risk.  Check it out.

 

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Health Insurance premium inflation is back.  According to the Kaiser Family Foundation Employer Health Benefits Survey 2011, health insurance premiums for single individuals was $5,429 for single individuals and $15,073 for a family plan.  Premium growth for single and family plans was below 6 percent per year over the last 5 years (2005-2010). However, between 2010 and 2011, premiums grew 7.5 percent for single plans and 9.5 percent for family plans.

Many economists may think that inflation is a driver, but the overall inflation rate in 2011 was only estimated to be 2.1 percent.

Additional Information from the EHBS is below.

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A recent Health Economics article by Hsiou and Pylypchuk (2011) examines differences in preventive care and hospitalization use between the United States and Taiwan.  The authors find the following:

The rate of preventive care use is much higher in the USA than in Taiwan, whereas the use of hospital and emergency care is about the same. Results of our decomposition analysis suggest that higher levels of education and income, along with inferior health status in the USA, are significant factors, each explaining between 7% and 15% of the gap in preventive care use.

Today I review some additional information about the Taiwanese health care system.  This information adds to my earlier review.

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