“The Genesis and Development of Medicare”

The following is a timeline which summarizes the genesis and evolution of government provided health insurance in the United States. Major Foreign Events: 1883: Otto von Bismark, then Chancellor of Germany passes a compulsory health insurance bill for factory and mine workers 1911: Germany extends compulsory insurance coverage to almost all employees 1911: David Lloyd…

Can varying co-payment rates by risk reduce cost and improve health outcomes?

A RAND study published in the American Journal of Managed Care (“Varying Pharmacy Benefits With Clinical Status: The Case of Cholesterol-lowering Therapy“) claims that managed care administrators may be able to vary pharmaceutical co-payment amounts by risk group in order to reduce cost and improve health outcomes.  Thus study looks at Cholesterol-Lowering pharmaceuticals.  Co-payments are…

State of the Union

In the State of the Union address, President Bush dedicated portions of the speech to the health care problems facing the United States.  A summary of his proposals is located on the White House website.  I will comment on a few noteworthy additions to the Bush plan, of which I was not aware of during my…