Health Insurance Exchange Decisions…So Far!
But in this partisan world, not all states are going ahead with the idea of creating these exchanges. The Washington Post’s Sarah Kliff has a nice summary, in one simple picture, of where things stand:
Lyndon Johnson’s advisers were worried. They were drafting a Medicare proposal, a major component of Johnson’s war on poverty. But the cost of this program was turning out to be much larger than expected. By their estimates, in the first year alone, they would face $400 million more in expenditures than they had budgeted for….
Over half of Medicare spending is concentrated in 10% of patients. With Medicare expenditures rising at an unsustainable clip, reigning in the costs of those patients is key to controlling healthcare spending. So who are those patients and what expenses are they racking up? (To read the rest of the article, please visit Forbes.)
In a recent Forbes post, I wrote about geographical variation in healthcare expenses, and pointed out that a lot of this variation occurs after people leave hospitals. That’s when people end up in nursing homes, rehabilitation facilities and the like. Well it turns out, not only is there great variation in these expenses, but these…
I have been writing quite a bit about healthcare price transparency lately. And so have a lot of other people. Many of us have been pointing to insane variation in how much hospitals charge for their services. Walk across the street, and you might see the price of a routine healthcare service rise two or threefold. But…
For most Medicare patients in United States right now, Medicare pays for hospital stays on the basis of what are called Diagnostic Related Groups or DRGs. You get diagnosed with pneumonia, and your hospital gets payment to treat a typical case of pneumonia. Name the diagnosis, and the hospital will know what it gets paid….
In a recent post, I pointed you towards a very nice article by Jason deBruyn about controversies over the role of nurse practitioners in providing primary care. A recent study in the journal Health Affairs showed that when states loosen up their regulations over what nurse practitioners can do, the percent of people receiving primary…