Costs Can Go Up Fast When E.R. Is in Network but the Doctors Are Not By Elisabeth Rosenthal The New York Times, September 28, 2014 Patients have no choice about which physician they see when they go to an emergency room, even if they have the presence of mind to visit a hospital that is […]
Underinsured ACA Enrollees Strain Community Health Centers Kaiser Health News, Daily Health Policy Report, September 26, 2014 Obamacare enrollees are straining the finances of community health centers around the country, some health center leaders say. The issue is that many lower-income patients with insurance coverage through the federal and state exchanges bought bronze-tier plans with […]
How to fix Obamacare The Economist, September 20, 2014 It is now nearly a year since the roll-out of Obamacare. Ironically the “socialist” Mr Obama did not do the one thing that might have cut taxpayers’ costs dramatically: introduce a European “single payer” health-care system. Instead he tried to tweak America’s system in two ways […]
U.S. hospital chain HCA must face class action over 2011 IPO By Jonathan Stempel Reuters, September 23, 2014 HCA Holdings Inc, one of the largest U.S. hospital chains, must face a shareholder class-action lawsuit accusing it of concealing revenue declines and its routine performance of unnecessary cardiac procedures prior to its $4.35 billion initial public […]
The Cost of Defensive Medicine on 3 Hospital Medicine Services By Michael B. Rothberg, MD, MPH; Joshua Class, BS; Tara F. Bishop, MD, MPH; Jennifer Friderici, MS; Reva Kleppel, MPH, MSW; Peter K. Lindenauer, MD, MSS JAMA Internal Medicine, September 15, 2014 The overuse of tests and procedures because of fear of malpractice litigation, known […]
After Surgery, Surprise $117,000 Medical Bill From Doctor He Didn’t Know By Elisabeth Rosenthal The New York Times, September 20, 2014 Before his three-hour neck surgery for herniated disks in December, Peter Drier, 37, signed a pile of consent forms. A bank technology manager who had researched his insurance coverage, Mr. Drier was prepared when […]
This academic survey of human resource officers at Fortune 500 companies shows that they plan to address rising costs of their health benefit programs by increasing the financial burden on their employees. Check the key findings from the survey listed above. Each one is bad news for the employees.
F.T.C. Wary of Mergers by Hospitals By Robert Pear The New York Times, September 17, 2014 As hospitals merge and buy up physician practices, creating new behemoths, one federal agency is raising a lonely but powerful voice, suggesting that consumers may be victimized by the trend toward consolidation. Hospitals often say they acquire other hospitals […]
Is All “Skin in the Game” Fair Game? The Problem With “Non-Preferred” Generics By Gerry Oster, PhD, and A. Mark Fendrick, MD AJMC.com, September 17, 2014 The new blockbuster drug sofosbuvir (Sovaldi) is offering hope to many patients with hepatitis C, but treatment is expensive and many insurers are demanding that patients shoulder a large […]
Why the Geographic Variation in Health Care Spending Can’t Tell Us Much about the Efficiency or Quality of our Health Care System By Louise Sheiner Brookings Institution, September 2014 Abstract This paper examines the geographic variation in Medicare and non-Medicare health spending and finds little support for the view that most of the variation is […]
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