Unbiased Analysis of Today's Healthcare Issues

Archive for June, 2015

ACA and narrow networks

One way for insurers to reduce health care costs is to restrict patient access to only lower cost providers.  This phenomenon is known as narrow networks.  On the one hand, narrow networks can promote efficiency by driving down provider price and directing patients to the highest value physicians.  Alternatively, if insurers use narrow networks to direct patients […]

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Monday Links

A good death. The cost of atrial fibrillation. Not a chance. CON. King.

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Obamacare subsidies stand

Although I mentioned on Wednesday that there are some bills pending that could strip away some aspects of the Affordable Care Act (i.e., medical device tax, IPAB), the core components of the ACA were upheld by the Supreme Court. The BBC reports: In a 6-3 decision, the justices said that tax subsidies that make health […]

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Obamacare’s slow repeal?

While we are waiting for the King v. Burwell verdict, which could repeal large sections of Obamacare, the house of representatives has already approved rolling back some ACA provisions. Modern Healthcare reports: Lawmakers postponed final passage of the proposed Protecting Seniors’ Access to Medicare Act despite a majority voting in favor of the bill. The […]

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ACA leading to health insurance consolidation?

That is what Bloomberg is reporting: Insurance companies are looking at mergers to cut costs and keep profits expanding as a surge in enrollment from the the Patient Protection and Affordable Care Act. Humana, which is exploring a sale after being approached by Cigna about a potential deal, Bloomberg News reported last month, Analysts have been […]

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Claims-based Measures of Disability

How does one measure disability?  This is a difficult question.  Many health economists face an even more difficult question: how does one measured disability in claims? A paper by Ben-Shalom and Stapleton attempts to answer this question using six definitions: Chronic Illness and Disability Payment System (CDPS). Developed by Rick Kronick  et al. 2000 (one […]

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End of Week Links

Google’s HealthKit. Cancer breakthroughs. Doctor as writer. R. Organ chips.

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Covered California and Adverse Selection

The Affordable Care Act requires all individuals to be offered the same premium regardless of health status. Although there are some ratings bands based on age and smoking status, most people who purchase insurance on health insurance exchanges receive the same premium for any given insurance product from any given insurance company. The insurance products […]

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Quotation of the Day

“Everything is vague to a degree you do not realize till you have tried to make it precise.” Bertrand Russell HT: The Browser

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Funding Physician Medical Education

Each year, more than $15 billion of taxpayers’ money is spent to support physicians in residency training. About one-third of this amount comes from Medicaid, the Department of Veterans Affairs, and the Health Resources and Services Administration. The remaining nearly $10 billion flows through the Medicare program, primarily to academic medical centers via a complex […]

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