Healthcare.gov vs. Amazon.com

Which one is easier to use?  The answer to this is clear: Amazon.  Of course, health insurance is a much more difficult product for people to understand than most good at Amazon.  However, many policymakers may have underestimated the amount of customer service new enrollees in Healthcare.gov need.  The Washington Post reports: Just 13 percent of assistance…

What is China’s NMCS?

In 2003, China introduced the New Cooperative Medical Scheme(NCMS), a health insurance scheme for the rural population. What is the NCMS?  Hou et al. (2014) describe the NMCS as follows: As a voluntary and heavily subsidized scheme, it has seen extremely rapid growth of coverage in comparison with most new schemes in developing countries. By the…

How the FDA evaluates Cancer Drugs

The Food and Drug Administration (FDA) reviews and approves all drugs. But what criteria does the FDA use to evaluate new drugs? Namely that they are effective (i.e., improve health outcomes) and safe (i.e., have limited adverse health events). In a 2007 guidance document from the FDA’s Center for Drug Evaluation and Research (CDER) and…

Do EHRs increase “upcoding”?

Upcoding occurs when physician or hospitals artificially increase the patient’s severity of illness. For instance, a hospital may record additional comorbidities. In Medicare’s inpatient prospective payment systems (IPPS), Medicare reimburses hospitals more for caring for patients who are sicker. Some health policy experts worry that electronic health records (EHRs) will decrease the cost of documenting…