The skewed Medicaid spending distribution

Many people claim Medicaid recipients are moochers, relying on the federal government.  Further, Medicaid costs states a lot of money.  Why don’t Medicaid programs just raise copays to reduce unnecessary use of medical care? The reason is that the vast majority of Medicaid beneficiaries don’t spend too much money.  Medicaid is expensive mostly due to…

Group of Death?

Typically, when the Healthcare Economist talks about death, it deals with sad topics: mortality rates, preventable deaths, etc.  Today, I will discuss a happier death-related topic: the feared “Group of Death”. The World Cup Groups were unveiled today and popular press is claiming that the U.S. team is placed in the Group of Death.  There…

Doc Fix: 2014 Edition

It’s that time of year.  The time of year where Medicare threatens to cut physician salaries by double digits (in this case 24.4%).  This is no idle threat.  Under current law, CMS is mandated to cut physician salaries under the sustainable growth rate formula.   Its the time of year that physician lobbyists (rightly) complain that…

P4P in Ontario

Ontario implemented a physician pay-for-performance (P4P) scheme in 2002.  This P4P framework was a jointly agreed upon by the  Ontario government and the Ontario Medical Association.  The Ontario P4P program is described in Hurley, DeCicca and Buckley (2013) in more detail below: [Ontario’s P4P program] targets performance bonuses on effective preventive services whose rates of provision were…