Unbiased Analysis of Today's Healthcare Issues

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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Our vets deserve better

The VA has been at the forefront of innovation in integrated care delivery.  ViSTA is the VA’s award winning IT system.  The VA has been aggresive in making sure veterans use generic drugs when these are available. Even if the VA provides high quality care, veterans are having increasing problems accessing this care. The issue […]

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What are “conditions specific to military service”?

Just before Memorial Day, a Maryland congressman recently proposed shrinking the scope of services the VA provides to veterans.   How would he do this? He proposes a model: …where the VA is not the place of general health care for the veterans, but the place of highly-specialized care where skilled professionals are particularly well-equipped to […]

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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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Heroes without Health Insurance

This weekend is Memorial Day Weekend.  It is a time to celebrate the service of current and former members of the military. Although military veterans garner a lot of attention around Memorial Day, some veterans are not having their needs met the rest of the year. A recent study, for instance, finds that many veterans […]

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4th of July and Medical Spending

Reducing Medicare and Medicaid spending is not only America’s number one health care goal, it should also be its top overall budget priority.  Finding ways to cut Medicare costs is vital. Although the CBO projects that Medicare and Medicaid spending will top $850 billion in 2011, we should not forget about another federal health care […]

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Non-VA VA Care

Veterans Affairs is is responsible for administering programs of veterans’ benefits for veterans, their families, and survivors.  In 2009, the VA had a budget of $87.6 billion and employed nearly 280,000 people at hundreds of Veterans Affairs medical facilities, clinics, and benefits offices. The VA is often held up a the model for integrated care. […]

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Memorial Day Weekend Post: The Best Care Anywhere

In the past, I have commented on an article by Phillip Longman describing the quality of care at the VA.  Mr. Longman recently wrote a book titled The Best Care Anywhere.  The book claims that “the long-maligned Veterans Health Administration has become the highest-quality healthcare provider in the United States.” Gooznews interviews Mr. Longman.  Below are some […]

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In Support of Corporate Medicine

Arnold Kling and Michael Cannon believe that the idea of the physician as a lone independent craftsment is out-of-date.  The authors contend that healthcare quality would improve and costs would drop if physicians adopted a more corporate environment.  Larger organizations, such as the Mayo Clinic, Kaiser Permanente and Veterans Affairs all benefit from economies of […]

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