Unbiased Analysis of Today's Healthcare Issues

Archive for July, 2017

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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Quality of your (Social) Life

Many metrics purport to measure individuals quality of life.  Tools such as the EQ-5D and SF-36 do so largely based on functional status.  Using other surveys on individual preferences, one can estimate patient utility for any given functional status level (i.e,. EQ-5D or SF-36 score).  What these scores ignore, however, is the social component of […]

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Quotation of the Day

On this Fourth of July, I will actually quote a British man to describe the state of a country. “Healthy citizens are the greatest asset any country can have.” ― Winston S. Churchill

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CBO Scores Better Care

The Congressional Budget Office (CBO) recently scored the Better Care Reconciliation Act of 2017.  What did they conclude? The good news: The Better Care Reconciliation Act of 2017 is a fiscally responsible bill.  According to the Congressional Budget Office (CBO), Better Care cuts taxes by $701 billion between 2017-2026 but would also cut spending by […]

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