YouToons and Obamacare

The Kaiser Family Foundation describes how Obamacare will affect your health insurance coverage in a simple cartoon featuring the “YouToons”.  Vastly simplified, and a bit slanted towards a positive view of the legislation, but overall a good summary to health wonk novices of how the Affordable Care Act will affect your health insurance options and…

How to implement propensity score matching

What options are available for propensity score matching algorithms?  Baser (2006) describes a number of popular options. Stratified Matching.  In this method, the range of variation of the propensity score is divided into intervals such that within each interval, treated and control units have, on average, the same propensity score. Differences in outcome measures between…

Do doctors make mistakes?

The answer, unsurprisingly, is yes.  However, you may be surprised at the frequency with which doctors make mistakes according to a recent article in JAMA. The study reports that more than 2 in 5 patients receives at least one misdiagnosis. In 190 cases, a total of 68 unique diagnoses were missed. Most missed diagnoses were…

International Strategies for Skilled Nursing Facility Reimbursement

In the past, I have written about how Medicare pays for Skilled Nursing Facilities (SNF).  Medicare uses a case-mix adjusted per diem rate.  This approach, however, isn’t the only manner payers can use to reimburse nursing facilities.  Consider how Australia pays for nursing care under their Australian National Sub-Acute and Non-Acute Patient Classification System (AN-SNAP):…

Berkson’s Paradox Explained

What is Berkson’s paradox? Assume that there are two independent events, A and B.  These events are not correlated when observed in nature.  However, what if one conditions on the fact that either A or B occurs.  By conditioning on the fact that one of the two events occurred, these events are now correlated. If…

The Trade-offs of Healthcare Regulation

When a problem appears, politicians often call for more regulation. Wall Street collapses? Frank-Dodd. Health insurance doesn’t cover pre-existing conditions? PPACA. Need to protect patient privacy? HIPAA. But are there downsides to increased regulation? A paper by Cotet and Benjamin (2013) examines just this question. In particular, they examine the welfare implications of regulations that…