Unbiased Analysis of Today's Healthcare Issues
Why is publicly provided health care so expensive? One reason is the the fraud which is bound to occur. The New York Times reports (“Hospital Grew…“) that New Jersey’s largest health care provider–St. Barnabas Health Care System–bilked $630 million from the federal government between 1995 to 2003. Medicare pays extra cash to hospitals for the…
Yesterday, I reviewed one paper claiming PPS along with competition reduced cost, but these cost reductions occurred mostly for the most expensive (read most sick) patients. Continuing the PPS theme, today we will look at a 1995 article in Econometrica in which David Cutler attempts to measure “The Incidence of Adverse Medical Outcomes under Prospective…
Prospective Payment Systems (PPS) and competition go hand in hand. Without competition, a PPS gives hospitals and physicians the incentive to minimize health care outlays. A competitive fee-for-service (FFS) system-to which most Americans were accustomed to in the 1980s-can lead to severe cost increases due to the problem of moral hazard. Combining PPS and competition…
A common justification for Medicare is that the public health insurance system has an overhead cost which is about 2% of claims, while the private sector has administrative costs between 20%-25% of claims. This tells us that Medicare is the best system for America…right? Merrill Mathew’s of the Council for Affordable Health Insurance (CAFI) summarizes…
The National Governors Association (“Florida Invests $308 Million in New Medicaid Computer System“) reports that Electronic Data Systems (EDS) has won a contract to “develop a new Medicaid computer system beginning March 1, 2008” for the state of Florida. The system is supposed to help participants navigate Florida’s Medicaid system, file claims, and report fraud.…
Medicaid currently covers 55 million poor and disabled Americans; these 55 million individuals have much change to look forward to. In February of this year, the President signed the Deficit Reduction Act (DRA)of 2005. According the Kaiser Family Foundation, the act will reduce federal spending on Medicaid by $39 billion between 2006 and 2010, while giving states…
“People generally don’t have a clue about what the health care they are consuming costs,” Michael O. Leavitt, the Secretary of Health and Human Services told reporters in a WebMD article (“Gov’t releases hospital prices“). With a new initiative in hand, Mr. Leavitt hopes that consumer ignorance will soon dissipate. Yesterday, officials at the Centers…
Under the Balanced Budget Act of 1997, the Federal government established the State Children’s Health Insurance Program (SCHIP), which was aimed at reducing the number of uninsured children in the United States. States were given a variety of options of how to implement this program. Nineteen states decided to operate the SCHIP program as an…
DB’s Medical Rants cites an interesting New York Times article (“Medicaid Hurdle for Immigrants May Hurt Others“) regarding the administrative burden created by a new law requiring all Medicaid recipients to prove their citizenship in order to receive the public insurance.
The Kaiser Family Foundation’s State Health Facts website gives a wide variety of statistics detailing health insurance in America. The study finds that there are 45.5 million uninsured non-elderly individuals (16% of the total non-elderly population). Out of this total 4.1 million (9% of the uninsured) are poor children and 12.6 million (28% of the…