Dual Eligibles’ Medicaid Policy Database

Poor, elderly individuals who may qualify for both Medicaid (for being poor) and Medicare (for being elderly, blind, disabled or have ESRD). In these cases, Medicaid serves as a supplemental insurer, covering Medicare coinsurance and deductibles. The generosity of this supplemental coverage for so-called ‘dual-eligibles’ varies across states. These differences in Medicaid payments arise from…

EMR progress is too slow

Patients and providers should be able to securely access a patient’s medical record wherever they are.  Not having a patient’s full record could result in poor treatment choices and suboptimal patient outcomes.  The dream of a seamless, cloud-based electronic medical record (EMR), however, is years away.  Consider the example shared by CMS administrator Seema Verma…

Need health care data?

The International Society For Pharmacoeconomics and Outcomes Research (ISPOR) has put together a database of databases from around the world. The ISPOR International Digest of Databases has goal is to organize global health care databases into searchable models.  Their working group on this topic is chaired by Carl Asche and Elisabeth Oehrlein.  If you have…

Cost effectiveness analysis Q&A

What is cost effectiveness analysis or CEA?   One definition is that CEAs–at least in the field of health care–measure the difference or ratio between cost of care and the benefits of care for a given intervention compared to an alternative treatment strategy.  The intervention could be a new surgical procedure, a drug, a behavior modification program or any other…