Tag Archives: healthcare costs

The Healthcare Efficiency Myth – What Really Happens When Doctors And Hospitals Join Forces

For much of the history of U.S. medical care, hospitals and physicians have existed as separate financial entities. Physicians in the U.S. have typically been self-employed, as solo or group practitioners and not as hospital employees. An internist like me … Continue reading

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Guess Who Is Struggling to Pay Their Medical Bills!

Here is a picture from the Kaiser Family Foundation showing which Americans were most likely to report problems paying medical bills last year. The sad news is that just about any way you divide it, a hell of a lot … Continue reading

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Need More Evidence the U.S. Healthcare Market Is Screwed Up?

In a healthy consumer market, people compare the price and quality of goods inside whether it’s worth paying extra money to get the best possible products. In healthcare, it’s often almost impossible to figure out what things cost. And when … Continue reading

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An Easy (But Politically Complicated) Way To Save Billions Of Dollars On Medical Care

I sometimes worry that my wife Paula won’t be able to see me grow old. Not that I expect to outlive her. She is four years my junior and has the blood pressure of a 17-year-old track star. It’s her … Continue reading

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Specialty Drugs at Especially High Prices

There have been many wonderful new medications in the past decade or so, drugs that finally bring hope for many people with serious illnesses like rheumatoid arthritis, multiple sclerosis and even some advanced cancers. But these drugs often come at … Continue reading

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Here’s Why Insulin Is So Expensive, And How To Reduce Its Price

She drew the life-saving medication into the syringe, just 10cc of colorless fluid for the everyday low price of, gulp, several hundred dollars. Was that a new chemotherapy, specially designed for her tumor? Was it a “specialty drug,” to treat … Continue reading

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Here’s How a Great Doctor Helps Her Patient Make a Cost-Conscious Treatment Decision

Sometimes in my research on physician/patient communication, I come across a doctor who is so good with her patients, I have to share their bedside manner with you. The most recent example is a (to remain unnamed) oncologist in the … Continue reading

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More Coverage of Our Research on Out-Of-Pocket Cost Conversations

Here is a nice summary of our research, published by an excellent reporter at The American Journal of Managed Care: A new qualitative study of clinical meetings between physicians and patients pointed out certain behavioral concerns that stand in the … Continue reading

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Physicians Can’t Stop Overtreating Diabetes And Hypertension

Aggressive control of blood pressure has saved millions of lives, and has prevented millions of people from experiencing heart attacks, strokes and kidney failure, among other things. Admittedly, controlling blood pressure is not the sexy part of medical care, but … Continue reading

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More Coverage of Our Out-Of-Pocket Expenses Research

My colleagues and I have been doing lots of research lately on how physicians and patients discuss out-of-pocket expenses during clinic encounters. One of our recent publications has been getting lots of attention, with this being the latest example. I … Continue reading

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