Unbiased Analysis of Today's Healthcare Issues
Here are some questions to get your weekend reading started. Can Yelp predict hospital mortality? Can AI solve a radiologist shortage in the UK? How do we get the LA/Long Beach port back up and running? Why is CMS in Baltimore rather than DC? What to do when you’re down to your last diaper?
If you are on Medicare, how much will you pay for insulin? The answer is in the graph below (via MedPAC’s Payment Basics) Seem confusing? Well it is. Medicare Part D beneficiaries have a deductible, then the standard coverage phase with 25% cost sharing, then a coverage gap where beneficiaries pay 25% of cost (manufacturers…
Created by Section 3021 of the Affordable Care Act (ACA), the Centers for Medicare and Medicaid Innovation (CMMI; aka The CMS Innovation Center) has been tasked with creating new reimbursement strategies to improve quality and decrease costs. Over the past decade, CMMI has tested over 50 new payment models, and in just the last 3…
Cost sharing is just that, sharing in the cost of providing a health care service. While health insurers often pay for a large share of health care cost (for those covered), individuals also contribute through deductibles, copayments and coinsurance. The goal of cost sharing is to reduce moral hazard. Moral hazard occurs when the price…
Check out FTI Consulting’s Center for Healthcare Economics and Policy‘s new services sheet here. The cover page and overview of some of our HEOR services are below. More details on the full scope of health economics services that we offer can be found here.
A taste of their own medicine? Impact of COVID-19 on mental health. COVID-19 vaccines work for veterans. No mandate but make the unvaccinated pay their own way? Patient-focused drug development.
Research by D. Mark Anderson, Kerwin Kofi Charles & Daniel I. Rees in the NBER report provides some useful graphs looking at how various public health interventions have impacted health outcomes in the U.S over the last century. Specifically, the authors show that public health interventions aimed at improving the health of the municipal water…
The 2021 Nobel Prize in Economics goes to David Card, Joshua Angrist and Guido Imbens due to their work on “natural experiments” and how this econometric technique can inform important research questions in labor economics. From the Nobel Prize press release: Using natural experiments, David Card has analysed the labour market effects of minimum wages, immigration and…
That is the question posted by Ganguli et al. (2021). The define low value care as one of 41 specific services. They then use data across 556 health systems serving more than 11m beneficiaries to answer this question. Which types of low value care are most commonly used? The most common low-value services were preoperative…
Favorite paper. Covered California’s out-of-pocket drug max Google moves to first price auction. FDA on RWD for regulatory decision-making. NBA and health care fraud.