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Posts Tagged ‘ healthcare costs ’

The Waste of Freestanding ERs and Retail Clinics

2
October 22, 2017

I have written about both issues before: freestanding ERs and retail clinics. Two recent studies continue to show how useless they both are in helping create a better more efficient healthcare system. The freestanding ER study  examined the number of these facilities and population characteristics where they locate. They identified 360 freestanding...
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Ways to Improve Family Physician Quality – Measure Other Aspects of Primary Care Capacity Associated With Better Outcomes

4
July 9, 2017

In our recent paper criticizing how industrial Quality Improvement has been misapplied to primary care, we didn’t just complain, we made suggestions for a better way forward. This was under the assumption that regulators and payers will continue to insist on some kind of numeric reporting of outcomes by physicians or...
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Ways to Improve Family Physician Quality – Measure When Physicians Do Not Order Tests or Treatments

0
June 29, 2017

In our recent paper criticizing how industrial Quality Improvement has been misapplied to primary care, we didn’t just complain, we made suggestions for a better way forward. This was under the assumption that regulators and payers will continue to insist on some kind of numeric reporting of outcomes by physicians or...
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Trumpocare/Obamacare – Visa/Mastercard

1
May 9, 2017

Our national useless dialogue on the future of healthcare in the U.S. continues. Trumpocare has a long way to go before it potentially becomes law, so no one knows  what it will finally look like. Obamacare is in a death spiral anyway. I’ve written about it before, and still believe this...
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The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 2 – A Poor Foundation

0
January 26, 2017

The AAFP’s recent statement on Advanced Primary Care calls for adopting the “five key functions of the Comprehensive Primary Care Plus Initiative.” This was an experiment under Obamacare where CMS tried to create innovative primary care payment approaches, which was mostly patterned after NCQA PCMH thinking. It started in 2012. Mathematica Policy...
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Primary Care Physicians are the Most Cost Conscious

0
November 18, 2016

A recent survey of physicians asked several questions about prescribing practices. The primary report was that only primary care physicians cited costs as one of the most important considerations in their prescribing habits. Out of 10 factors, all of the ologists ranked cost as the sixth or less most important consideration. Pulmonologists...
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More Clarity on the Cost of Obamacare

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October 31, 2016

I have written before about predictions of the actual costs of Obamacare and the probable death spiral of increasing costs and decreasing participants. Several recent reports have brought more clarity to the cost realities. Recently regulators across the country approved rate hike requests by Obamacare insurance companies even greater than they...
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MedPAC Says ACO Savings ‘Incredibly Unsatisfying’

1
October 24, 2016

A key part of Obamacare is not going so well. But before I continue, I assume that some of my readers won’t know some of the acronyms, so I’ll define them. An ACO is an Accountable Care Organization, which was created in the PPACA (Obamacare). The spirit of an ACO was...
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The Cost of Opaque Costs to Deliver a Baby

0
September 25, 2016

How much does it cost to deliver a baby in the U.S.? Just don’t do it in Sacramento. Castlight Health released a report based on claims data looking at the actual cost of delivering  a baby across the country. In other words, it’s how much money actually changed hands, not the inflated...
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The Cost of Health Information Technology

2
September 11, 2016

From the mid- to late-2000s, lots of pundits got into the business of shoving electronic medial records (EMRs)down doctors’ throats. There were a few incentives from the Feds to help with the upfront costs, but it was a pittance of what it really costed hospitals and physician practices. And there was...
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