Unbiased Analysis of Today's Healthcare Issues
The USA Today reports on the development of a shingles vaccine. According to the article, “The vaccine reduced shingles cases by 51% in people given the vaccine vs. those given the placebo. Vaccination reduced the burden of illness, a measure of pain and discomfort, by 61%.” So why aren’t people getting this vaccine? One reason…
There is a law which states that drug companies must sell drugs to Medicaid at their the lowest price. It turns out the Merck was selling drugs to hospitals at a steeper discount than what they were giving to Medicaid. Merck will pay $399 million for overcharging in Philadelphia and $250 million for overcharging in…
It’s decision time for Medicare Part D purchasers. Seniors have until December 31st to make their Part D choice and this decision is not a painless one. The Marketplace Money radio program recently reported (‘Deciphering Part D‘) that “the most popular policies have increased their prices substantially, especially Humana and United Healthcare, the ones that…
Which Medicare plan should you choose? Health journalist Charles Ornstein of the L.A. Times was making just this choice for his mother in “Puzzling out plan option for Medicare.” Even for a veteran health journalist, the choice is not as easy as it seems. Below, I will give some background information which will help people…
In 2006, the federal government first began expanding Medicare coverage to include prescription drugs using the Medicare Part D program. According to one report, Part D will cost taxpayers $47 billion in 2007. Yet it is possible that Medicare Part D could actually save taxpayers money. If prescription drugs and other medical care are substitutes,…
“Medicare adopted its [Medicare as a Secondary Payer] MSP policy in 1982, effective January 1, 1983. This legislation states that for individuals working at firms with 20 or more employees, and otherwise eligible for Medicare benefits, Medicare serves as a secondary payer for health care expenses. The employer’s health insurance is the first payer. Because…
How do market forces affect the safety of children in hospitals? A paper by Smith, et al. (HSR 2007) looks at data from Florida, New York and Wisconsin and they see if Medicaid market concentration affects quality of care for children aged 0-17. It is important to examine Medicaid’s affect on patient safety since about…
The 2005 Deficit Reduction Act aimed to reduce Medicaid entitlements as one means to reduce the national deficit. One portion of the bill changed eligibility rules for the elderly to qualify for Medicaid payment of nursing home (NH) expenses. In the May edition of the Journal of Health Economics, authors David Grabowski and Jonathan Gruber…
What exactly is Governor Arnold Schwarzenegger proposing in his health care initiative unveiled early this year? Below I briefly summarize his press release, as to what the reforms will entail and then follow with some of my comments. Individual Mandate All individuals must have a minimum level of insurance. Children Children of families whose income…
A recent paper in the Health Services Research journal (“Hospice…“) looks at whether hospice care reduces hospitalizations for elderly terminally ill patients in nursing homes. In the introduction, authors Pedro Gozalo and Susan Miller state that there are two main implications which result from end-of-life hospitalizations: “At the patient level, hospitalizations of frail NH [nursing…