Complaining about health care prices is nothing new. The medical component of CPI has been higher than the overall CPI for decades. As far back as 1989 Gerry Anderson and colleagues showed "It's the Prices, Stupid" that explained why our national spending was so high compared to other countries. More recently, Elizabeth Rosenthal detailed those prices in an series of reports in The New York Times. She recently followed those up with her incisive book An American Sickness. Dr. Rosenthal also illustrated some of the clever techniques used to wring the most money out of our pockets, such as the upcoding industry and tacking facility fees onto visits. As the saying goes, if you're sitting at a poker table and you can't figure out who the sucker is, it's you.
Patient Protection and Affordable Care Act (ACA)
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How VA Reform Turned Into a Fight Over Privatization
In 2014, the Department of Veterans Affairs was mired in a scandal. An inspector general’s report had found “systemic” manipulation by government officials to hide lengthy and growing wait times at its medical centers. Veterans were waiting months for appointments, and dozens may have died because they could not get treated in time. Spurred to action, Congress created a program aimed at temporarily alleviating the strain on the VA: Veterans who lived more than 40 miles from a health-care facility or who had to wait more than 30 days for an appointment could take their benefits outside the system and seek treatment from private doctors...
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Kangaroos, Insurance Companies, and the Rising Cost of Healthcare
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Millions of Americans Live Nowhere Near a Hospital, Jeopardizing Their Lives
As a nurse practitioner, Wanda Liddell knew it was a medical emergency when she saw one of her patients struggling to breathe last month. But in her backcountry town of Cross City, Florida, the ambulance took 30 minutes to arrive. Even worse, it was another 45 miles to the nearest hospital. Liddell faces this situation often and always wonders, what if? She is one of many medical providers working in towns 30 miles or more from a hospital, a distance that can make the difference between life or death...
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Public Health Tech: The Future of Health Tech You Never Heard Of
Digital Health has experienced a glorious boom in the last decade and is expected to reach $379.3 Billion by 2024 with 25% of the growth occurring between 2016 and 2024. Patient management can now be done on user-friendly platforms; physicians can remotely monitor their patients with mobile devices and telemedicine; and personal trackers and genetic testing are allowing patients easier access to their own health data. Clearly, we understand the kind of power technology has on improving the delivery of care and management of disease...
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Scenarios for Health Care Reform (Part 1 of 2)
All reformers in health care know what the field needs to do; I laid out four years ago the consensus about patient-supplied data, widespread analytics, mHealth, and transparency. Our frustration comes in when trying to crack the current hide-bound system open and create change. Recent interventions by US Republicans to repeal the Affordable Care Act, whatever their effects on costs and insurance coverage, offer no promise to affect workflows or treatment. So this article suggests three potential scenarios where reform could succeed, along with a vision of what will happen if none of them take hold...
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Study: Medical Homes Saved North Carolina Nearly $1 Billion
The idea of medical homes — a method of coordinating medical services that relies on primary care physicians to manage patients’ care — has been around for more than 40 years. North Carolina, a leading innovator in the field, has used medical homes to improve care and lower costs in its Medicaid program since 1991. Read More »
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The HITECH Era in Retrospect
At a high level, the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 accomplished something miraculous: the vast majority of U.S. hospitals and physicians are now active users of electronic health record (EHR) systems. No other sector of the U.S. economy of similar size (one sixth of the gross domestic product) and complexity (more than 5000 hospitals and more than 500,000 physicians) has undergone such rapid computerization...
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The New Health IT Arms Race Between The US And EU
If you were to ask anyone in the United States what “health access” meant to them, you would get a different answer. In the UK, for most people, it means the ability to access National Health Service (NHS) amenities.
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What’s Next for Health Care? Confused Congress Should Look to Indian Country
Senate Republicans campaigned against Obamacare for seven years. Yet there was never an alternative that had support from a majority of their own party. The problem is simple: Many (not all) Republicans see health care programs that help people—the Affordable Care Act, Medicaid, etc.—as welfare. Others look at the evidence and see these programs that are effective: insuring people, creating jobs, supporting a rural economy, and actually resulting in better health outcomes. Evidence-based success stories...
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Wyoming Wants State-Based Health Reform
The governor wants to have “a Wyoming solution for healthcare reform and believes very strongly that this is not an issue that we can ignore, but it’s an issue that we need to work on and move the ball forward,” she said during a recorded town hall meeting.
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