Unbiased Analysis of Today's Healthcare Issues

Archive for September, 2012

The Effect of Spain’s Budget Cuts on Spanish Healthcare

The Spanish deficet is at 8% of GDP.  Large provinces such as Catalunia, Andalucia, Valencia and Castilla y Leon are seeking bailouts.  Banks need almost 60 billion euros in bailouts. Spain has an overall unemployment rate of 21.5%, but its youth unemployment rate is 45%!  Prime Minister Mariano Rajoy said 16.5 billion euros (about $21.5 […]

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Creativity

“Nothing will stop you being creative so effectively as the fear of making a mistake.” – John Cleese.

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Quotation of the Day: Winning

“What the ancients called a clever fighter is one who not only wins, but excels in winning with ease.” ― Sun Tzu, The Art of War To understand the relationship between Sun Tzu and NBA coaching, see Wages of Wins.

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California: Mandatory Enrollment of Seniors and the Disabled into Managed Care

In 2010, CMS approved California’s “Bridge to Reform” waiver request that authorized the state to expand its mandatory managed care to seniors and people with disabilities covered by Medi-Cal.  Authorized under a Section 1115 waiver, the policy affected nearly 400,000 Medi-Cal enrollees, including 240,000 who were moved from fee-for-service into managed care between June 2011 […]

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Health Wonk Review

Yours truly leads off the latest edition of the National Playoff Edition of the Health Wonk Review at Wing of Zock.  If you don’t know what the ‘Wing of Zock’ is, read this book (highly recommended!).

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Excellence

“We are what we repeatedly do. Excellence, then, is not an act, but a habit.” ~ Aristotle “For me, pushing myself is way more about ‘It’s hard to make something that’s interesting.’ It’s really, really hard, and I’m sure we don’t succeed with every story on every show. Basically, anything that anyone makes…It’s like a […]

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Wednesday Links

The best Meth anywhere. I agree. Which benefits are essential?  Accpuncture? Healthcare utilization and future prices. COBRA subsidies: not enough? Supply and Demand.

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Secret to Winning Swing States in the Presidential Election

“Memo to Romney and Obama: First guy to come out publicly in favor of deposing Goodell will carry Wisconsin in November.” —Ryan Flippo, regarding NFL replacement referees blown call in Packers-Seahawks game (evidence). As a lifelong Packers fan and Wisconsin native, this may not be far from the truth.

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Quality Measure Reliability: Continuous and Binary Measures

How do you measure whether a quality measure is reliable?  What does the term “reliable” even mean? In the world of quality measurement, reliability is the ability to confidently tell the difference between a high-performing individual (or physician or hospital) and a low-performing individual.  One can think of reliability as a signal-to-noise measure; if the […]

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Effect of Outpatient PPS on Medicare Volume

Implemented on August 1, 2000, Medicare’s Outpatient Prospective Payment System (OPPS) classifies hospital outpatient services into approximately 800 ambulatory payment classifications (APCs) based on clinical and cost similarity. Medicare reimburses the hospital the same amount for each APC–with adjustments for local labor costs, certain hospitals, and outlier cases–regardless of the mix of services provided. How […]

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