Unbiased Analysis of Today's Healthcare Issues
According to a paper by Rodriguez et al. (2022), the answer is ‘yes’. They use data from the 2017–18 National Survey of Healthcare Organizations and Systems (NSHOS), to determine if a physician practice has a “robust set of care management capabilities.” The specific capabilities that were used to determine whether the health system was robust…
The concept of moral hazard is well-known. If patients pay a small share of drug or other medical cost, they may decide to overuse such services. Physicians, however, may also have an incentive to overprescribe if either their reimbursement is tied to prescriptions written. For instance, CMS pays physicians 103% of wholesale acquisition cost (WAC)…
Alternative payment models (APM) are the new trend of the past few decades. High quality, efficient providers should be paid more; low-quality, less efficient providers should be paid less. These APM reimbursement arrangements, however, are typically paid at the health system level and it is unclear whether these incentives trickle down to individual physicians. A…
Over time, physicians are less likely to operate in solo or small group practices. In fact, the share of physician-owned practices has fallen below 50% in recent years. A key question then is how does a physician’s environment or the group they have join affect their practice patterns? Previous research has found that a physician’s…
The Government Accountability Office (GAO) last week published a report evaluating the Merit-based Incentive Payment System (MIPS). MIPS is an approach for CMS to pay physicians caring for Medicare beneficiaries based not just on volume but on value. MIPS evaluates provider value along four dimensions: (1) quality, (2) improvement activities, (3) promoting interoperability, and (4)…
That is the title from a study from Lee and Bagley (2011). They examine the potential impact of direct to consumer advertising (DTCA) and the impact of physicians decisions not to prescribe a patient-preferred drug on patient retention. A total of 818 of 2,988 participants in a national telephone survey (27.4%) who had received DTCA…
Health systems have been touted by some to be a cure to many of our health care systems ills by providing integrated, high quality care. Others claim that health systems are just a way for providers to big up prices through more bargaining power. Either way, it is not entirely clear to what extent health…
What is better: public or private health care systems? This is a difficult question to answer. If we compare the British against the US health care systems, they differ for a large number of reasons beyond just public vs. private. Additionally, one must specify what one means by public vs. private. Is this public vs.…
Physicians are increasingly becoming parts of larger and larger practice. Further, many physicians are shifting from firm owners to employees. In recent years, private equity investments have helped to accelerate this trend. A paper by Brusch et al. (2020) reviews this trend among women’s health practices (i.e., o bstetrics/gynecology (OB/GYN) or fertility services). They look…
The answer is ‘maybe’. Some are scarred by the distance between the hype and reality of electronic health records (EHR), which promised both improved efficiency for practices and superior patient health outcomes. In practice–especially in the short-turn–EMR resulted in a lot of both direct and data entry cost to practices with limited interoperability and modest…