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Archive for July, 2015

Happy Birthday Cost-Effectiveness Research! – It’s a shame no American politicians know or care

0
July 29, 2015

To finish out a long title, let’s throw in insurance company executives, hospital administrators, most U.S. health economists, and most doctors. Very few events in the advance of medical knowledge have a definite start date. Cost-effectiveness research is an exception. The very first cost-effectiveness studies in medicine appeared in the July...
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One of the Challenges for Direct Primary Care

1
July 22, 2015

The AAFP’s Health is Primary document makes an unusually bold statement for a bunch of family physicians that payment reform is the key to all other reforms. This new-found courage to actually stand up for ourselves is refreshing, though I had some serious concerns with the document that were previously published, and...
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What You Won’t Hear on the Campaign Trail

2
July 13, 2015

I’ve been listening to some of the campaign speech summaries recently, both on the Republican and Democratic sides. A common theme is a stagnant middle class with shrinking jobs and a growing wage gap compared to the wealthiest few percent of Americans. The politician’s silence on a key set of facts...
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Obamacare Costs Rising

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July 5, 2015

In a post I wrote about 7 months ago, I stated that it was too soon to tell what the real effect of Obamacare on the overall cost of healthcare/health insurance was going to be. Unstable membership populations, loss-leader offerings by insurance companies, and other factors means that it will probably take...
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