My take on American Patients First

In broad strokes, the American Patients First plan aims to lower list prices, lower patients’ out-of-pocket costs while maintaining incentives for innovation.   In short, this is a sensible strategy, although there are some concerns about how more restrictive formulary designs could restrict consumer choice. American Patients First in brief To maintain manufacturers incentives to innovate,…

Does preventive care save money?

Aaron Carroll argues ‘no’ and–in most but not all cases–I agree with him.  Here is the evidence he cites: More health insurance does not reduce emergency department (ED) visits.  States that expanded Medicaid eligibility with ACA funding saw an increase in ED visits relative to non-expansion states.  In Oregon, individuals who won an eligibility ‘lottery’ to…