Tag Archives: Health Care Cost Crisis

The RUC, Health Care Finance’s Star Chamber, Remains Untouchable

Brian Klepper Posted 2/1/13 on The Health Affairs Blog On January 7, a federal appeals court rejected six Georgia primary care physicians’ (PCPs) challenge to the Centers for Medicare and Medicaid Services’ (CMS) 20-year, sole-source relationship with the secretive, specialist-dominated federal advisory … Continue reading

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Posted in Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Physicians, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , | 1 Comment

Niseritide, the “Lost Decade”, and the Pinto

Patricia Salber First posted 7/14/11 on The Doctor Weighs In Eric Topol, MD wrote an interesting commentary in the July 7, 2011 issue of the New England Journal of Medicine, titled “The Lost Decade of Nesiritide.” Nesiritide is a drug … Continue reading

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Posted in Analytics, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , , | Leave a comment

Secret Shoppers: Needing A Weatherman To Know Which Way The Wind Blows

Brian Klepper Every now and then, a well-intentioned administration does something relatively harmless but so hare-brained and openly foolish that it takes our breath away. The Obama Administration’s primary care “secret shopper” plan fit this bill, and has already been … Continue reading

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Posted in Benefits, Brian Klepper, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , | Leave a comment

Health Costs Haunt the US’ Long Term Budget Outlook

Jane Sarasohn-Kahn First published 6/24/11 on Health Populi “With the aging of the population and growing health care costs, the budget outlook, for both the coming decade and beyond, is daunting,” reports the Congressional Budget Office (CBO) in the2001 Long-Term Budget Outlook report. … Continue reading

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Posted in Analytics, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , | Leave a comment

Why Primary Care Needs A New Organization

Paul M. Fischer First published on 6/15/11 on MedPage Today A few weeks ago, the Board of the American Academy of Family Physicians (AAFP) announced that, for now, it would continue participating in the Relative Value Scale Update Committee (RUC), the … Continue reading

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Posted in Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , , , , , , , , , , | Leave a comment

Means Testing Medicare Premiums

by Patricia Salber First published 6/14/11 on The Doctor Weighs In With all of the hullabaloo about health reform, the Ryan plan and other Medicare-related excitement, I somehow missed a major change in how Medicare is doing business – which … Continue reading

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Posted in Analytics, Benefits, Consumerism, Medical Management, Policy/Law/Regulation, Quality, Reform | Tagged , , , | 1 Comment

Neither Dems Nor Reps Care Proposals Are Supported By Past Performance

Robert Laszewski First published 6/07/11 on Health Policy and Marketplace Review I call your attention to Ezra Klein’s column in the Washington Post this morning. In it he cites data that has been out there for a long time but Ezra puts … Continue reading

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Some Of My Best Friends Are In Private Equity

Paul Levy First published 6/2/11 on Not Running a Hospital Like moths to a flame, private equity investors are quick to pounce on those sectors of the economy that have the potential for higher than average returns. Such investors also … Continue reading

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An Important Article in the New York Times

Today’s NY Times has a terrific op-ed by Rita Redberg MD, a Professor of Medicine at the University of California in San Francisco, that clearly describes the massive waste that occurs in Medicare (and the rest of health care) from incentives … Continue reading

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Posted in Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality | Tagged , , , , | 2 Comments

The Ryan Plan

Richard Young First published 5/22/11 on American Health Scare It’s been interesting watching the political maneuvering since Newt Gingrich criticized the plan to reduce the federal budget deficit proposed by the House Budget Committee Chair Paul Ryan of Wisconsin. After … Continue reading

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Health Care Reform Revisited – The Elephant in the Room: Part 1

Sean Sullivan, JD First published 5/17/11 on the Institute for Health and Productivity Blog I had the pleasure week-before-last of attending one of my favorite health care events – the CAPG 2011 Annual Conference in Palm Desert, California (just a few … Continue reading

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Posted in Analytics, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality | Tagged , , , , , | 1 Comment

Average Annual Health Costs for a US Family of Four Approach $20,000, With Employees Bearing 40%

Jane Sarasohn-Kahn First published 5/11/11 on Health Populi Health care costs have doubled in less than nine years for the typical American family of four covered by a preferred provider health plan (PPO). In 2011, that health cost is nearly $20,000; … Continue reading

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Why Your Stitches Cost $1,500

Via: Medical Billing and Coding

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Posted in Analytics, General, Quality | Tagged | Leave a comment

Bin Laden, Patriotism and Our Health Care Crisis

Michael Millenson First published on 5/2/11 on the Forbes Blog In the near-decade since the Sept. 11, 2001, terror attacks, the “War on Terror” has cost the United States about $1.3 trillion, according to the National Center on Defense Information. By comparison, it … Continue reading

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Controlling the Medicare Budget – Time To Fast Forward to 1999

Roger Collier First published 4/28/11 on Health Care Reform Update The Congressional Budget Office estimates that the government deficit will exceed one and a half trillion dollars this year, with federal health care annual expenditures expected to hit the trillion … Continue reading

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