Unbiased Analysis of Today's Healthcare Issues

Archive for July, 2017

Universal Basic Income

Universal basic income is the idea that all individuals in a society should be guaranteed a minimum income.  The logic behind this approach is one of equity.  Many members of society feel that all individuals are entitled to some basic level of financial well-being regardless of their skills, ability or willingness to work. Current government […]

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Atul Gawande on AI

Tyler Cowen has one of his “Conversations” with Atul Gawande.  The interview is interesting throughout.  Below is an excerpt from their discussion on artificial intelligence. TYLER COWEN: …How far are we from having an AI that is capable of actually doing diagnosis to people? That is, they might speak into a Skype connection, something like Watson would […]

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Economic Burden of ACPA+ patients with Rheumatoid Arthritis

That is the topic of my most recent article in the Journal of Managed Care & Specialty Pharmacy along with co-authors Mahlet Gizaw Tebeka, Kwanza Price, Chad Patel, and Kaleb Michaud.  The abstract of the article–titled “The Economic Burden of ACPA-Positive Status Among Patients with Rheumatoid Arthritis“–is below. BACKGROUND: Anticitrullinated protein antibodies (ACPAs) are serological […]

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Why Medicaid patient access to physicians is limited.

In short, the reason is that Medicaid reimbursement rates for providers is too low.  Saurabh Jha, however, explains the point a bit more artistically in his Health Care Blog piece. Medicaid pays a cardiologist, with years of training, $25-40 for a consultation to manage a complex patient with multiple comorbidities, on polypharmacy, where the cardiologist […]

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Is VBID gaining a foothold?

The answer is maybe.  Value-based insurance design ties patient cost sharing to the notion of a treatment’s value.  Higher value treatments have lower cost sharing; lower value treatments have higher cost sharing.  The Incidental Economist writes: In his own practice, Dr. Fendrick feels as if standard insurance is working against him and his patients. “They are deeply […]

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Links

Patient-centered medical homes SLR. CBO expects US fiscal deficit to grow Eigenvectors and eigenvalues explained. The opioid crisis and the U.S. job market. Your right to your healthcare data.

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Is your state solvent?

That is the question that a new study by the Mercatus Center attempts to answer with their “Ranking the States by Fiscal Condition 2017 Edition.” They found that the most financially solvent states (from best to worst) are: 1. Florida 2. North Dakota 3. South Dakota 4. Utah 5. Wyoming Yet all is not perfect […]

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Did P4P work among VA Minorities with Hypertension?

Background Do pay-for-performance (P4P) programs work?  P4P programs pay paying providers (or health plans) more if they have better outcomes or follow specific best practices. Whether or not they lead to better outcomes has been much debated.  However, many P4P programs implemented in the real world have been evaluated using a pre-post design which could […]

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Value-Based Payments and Incentives to Improve Care

Please check out my latest publication in Value in Health titled “Value-Based Payments and Incentives to Improve Care: A Case Study of Patients with Type 2 Diabetes in Medicare Advantage“. This work is based on research conducted with my co-authors Jesse Sussell, Kata Bognar, Taylor T. Schwartz, John J. Sheehan, Wade Aubry, and Dennis Scanlon, […]

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Links

FDA lifting barriers to generic drug competition? Value based contracting. IPAB ends before it begins. RWJF: Better Care increases uninsured by 25 million What’s worse than high drug prices?

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