Quote of the Day Category

2015 Milliman Medical Index

In: Quote of the Day

2015 Milliman Medical Index Milliman, May 2015 In 2015, the cost of healthcare for a typical American family of four covered by an average employer-sponsored preferred provider organization (PPO) plan is $24,671 according to the Milliman Medical Index (MMI). The amount will almost certainly surpass $25,000 in 2016. This year, the growth rate has again […]

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Is Blue Cross Blue Shield an illegal cartel?

In: Quote of the Day

Antitrust Lawsuits Target Blue Cross and Blue Shield By Anna Wilde Mathews The Wall Street Journal, May 27, 2015 Blue Cross and Blue Shield health insurers cover about a third of Americans, through a national network that dates back decades. Now, antitrust lawsuits advancing in a federal court in Alabama allege that the 37 independently […]

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Assembly passes universal health care bill By Dan Goldberg  Capital New York, May 27, 2015 The state Assembly on Wednesday voted for a single-payer health bill, the first time in more than two decades the chamber has taken up the measure. The vote was 89-47, an overwhelming but largely symbolic step toward universal health insurance. […]

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The bureaucratic waste of ACA quantified

In: Quote of the Day

The Post-Launch Problem: The Affordable Care Act’s Persistently High Administrative Costs By David Himmelstein and Steffie Woolhandler Health Affairs Blog, May 27, 2015 Last year we, and many others, drew attention to the chaotic and costly roll out of the Affordable Care Act’s (ACA) exchanges. The chaos is mostly over (unless King prevails over Burwell), […]

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Health, Medicine and Justice: Designing a Fair and Equitable Healthcare System By Joshua Freeman, M.D. I hope that this book complements the others (by Donohoe, Geyman, Young, and others), offering a perspective that combines a physician’s knowledge of medical care and how it is delivered, a scholar’s understanding of the organization of the health system, […]

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Atul Gawande and the overutilization narrative

In: Quote of the Day

Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it? By Atul Gawande The New Yorker, May 11, 2015 Could pointless medical care really be that widespread? Six years ago, I wrote an article for this magazine, titled “The Cost Conundrum,” which explored the problem of […]

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The harm done by the overutilization narrative

In: Quote of the Day

Overutilization, Overutilized By Deborah Levine and Jessica Mulligan Journal of Health Politics, Policy and Law, April 2015 Abstract Overutilization is commonly blamed for escalating costs, compromising quality, and limiting access to the US health care system. Recent estimates suggest that nearly one-third of health care spending in the United States is a result of unnecessary […]

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The Problem of Underinsurance and How Rising Deductibles Will Make It Worse By Sara R. Collins, Petra W. Rasmussen, Sophie Beutel, Michelle M. Doty The Commonwealth Fund, May 20, 2015 Abstract New estimates from the Commonwealth Fund Biennial Health Insurance Survey, 2014, indicate that 23 percent of 19-to-64-year-old adults who were insured all year — […]

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BCBS warns of higher premiums for 2016

In: Quote of the Day

Health Plans Poised to Ask for Higher Premiums for 2016, Blue Cross Executive Warns By Sara Hansard Bloomberg BNA, Health Care Blog, May 14, 2015 Look for health plans to request higher rates for 2016, a Blue Cross and Blue Shield Association (BCBSA) executive warned May 13. Costs for health plans in 2014 were higher […]

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Money matters: Billing and payment for a New Health Economy PricewaterhouseCoopers (PwC), Health Research Institute, May 2015 At a glance The nation’s healthcare billing and payment system is an artifact of an earlier age. Much can be done to improve the system in the short term, but in the long term, structural change is needed […]

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