Unbiased Analysis of Today's Healthcare Issues

Archive for the 'Supply of Medical Services' Category

Is Health Care Exceptional?

Many health care wonks claim that health care is a market unlike any other. Unique features make it unsuited to be governed by a market economy. However, research research by Amitabh Chandra, et al. (2013) claims that healthcare providers act like firms in most any other industry. The conventional wisdom in health economics is that large […]

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Hospitals moving to the ‘burbs

The ACA offers States the option to expand Medicaid eligibility to millions of Americans.  The goal of the expansion was to increase poor and middle class Americans’s access to affordable health care.  However, access to acute care may be getting more difficult for poor individuals. A recent article looking at Milwaukee’s hospital market describes how hospitals are […]

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Will a VA scandal happen in England?

The VA scandal of long wait times is now well-known. Part of the reason why patients were left off official wait lists–ironically–was because VA senior staffers wanted to reduce wait times. Senior VA staff monitored wait times closely to check for any upticks. Some of the VA management at the Phoenix hospital believed the only […]

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Memorial Day and the VA

Memorial Day is a day to remember those who have served the country.  However, it is also important to remember the veterans who currently living and address their needs.  The issue receiving the most press is the long VA wait times.  I discuss the issue below. According to Vox.com, the VA rules aim to “ensure patients […]

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Is current hospice care inadequate?

In recent years, demand for palliative rather than interventionist end-of-life in hospices has grown dramatically. More than a million patients each year use hospice facilities. In fact, in some cases terminally patients live longer in hospice than in more intensive care settings. However, hospice are generally most attractive when they provide treatment if patients face […]

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The uselessness of volume-based hospital analysis

Do hospitals with higher volumes have better outcomes? If hospitals specialize or providers learn-by-doing, hospitals with more admissions or more procedures may have higher quality. A paper by Hentschker and Mennicke (2014) examine just this question and find: We define hypothetical minimum volume standards in both conditions and assess consequences for access to hospital services […]

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Do you live in an area with hospital competition?

Likely not.  At least according to some research by William Vogt.  In an NIHCM Issue Brief, Dr. Vogt states: The inpatient hospital market in the United States was transformed by a wave of hospital consolidation during the 1990s, which witnessed more than 900 mergers and acquisitions. Many cities came to be dominated by two or three large hospital systems, and […]

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30-day readmission rates

AHRQ has put together a nice infographic, which I show below.

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AMA wants more money for docs

File under “least shocking development of the day”: The American Medical Association opposes cuts to physician salaries. In a letter on Monday, the AMA stated that it expreses: …strong support for the “SGR Repeal and Medicare Provider Payment Modernization Act of 2014” (H.R. 4015/S. 2000)…Previous Congresses have spent more than $150 billion over the past […]

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Health Care Workers and Informal Payments

In many developing countries, making informal payments to health care workers is common.  Lewis (2000) estimates the frequency of informal payments in selected Asian and Central/Eastern European countries as: Armenia: 91%; Azerbaijan: 78%; Kyrgyz Republic: 75% Poland: 78%; Russia: 74% Vietnam: 81%; Do these payments work?  Would people be better off if these bribes were made […]

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