Tag Archives: price of care

Health Policy Updates: November 11 2017

The USA has a public health problem with gun violence. This is a pretty hot-button issue, with a lot of differing opinions and differing values. One thing that seems very clear from the data, however, is that the notion that privately-owned guns help prevent gun crime is a myth.

Continue reading Health Policy Updates: November 11 2017

Health Policy Updates: May 24 2014

The government pays academic medical centers for training residents. But do we residents cost medical centers more than we generate? That is, do we really create any net costs that need a subsidy? And if so, is the current system the best way to compensate the medical centers?
http://www.nejm.org/doi/full/10.1056/NEJMp1402468?query=featured_home
The conventional wisdom is that increasing GME funding is key to addressing any physician shortages…But we would argue that DME financing does little to offset the cost of training physicians — that residents essentially pay the full cost of their training, while the DME program simply transfers money to recipient hospitals.”

Having health insurance is one thing, but having health insurance that PAYS is another. What do we know about health plans that have a high degree of “cost-sharing” (ie, high copays, high co-insurance)?
Although some people will find it easier to get insurance in the state exchanges than they might on the individual market before this year, many of the less expensive plans have particularly high levels of cost sharing.”
And more here:
This is obviously pretty in-depth, but if you have ever wanted the facts on health care systems in other countries, you can find it in this report. I’ve been looking over just the outline tables in the first few pages, and have gotten a lot out of those.
Why does health care cost more in the Unites States? It is because we have more people with chronic disease? Nope. Take a look at the country comparisons above – the USA is significantly younger than other developed nations, we smoke less, and we aren’t as far ahead in obesity as you would expect. We aren’t sicker. It’s just that the same treatments cost more here:
We found that rising costs of treatment accounted for 70 percent of growth in real average health care spending from 1980 to 2006…An important policy implication is that programs to better manage chronic diseases may only modestly reduce average spending growth.”