Unbiased Analysis of Today's Healthcare Issues
Back in July, I provided an overview of the Enhancing Oncology Model (EOM). Today I build upon that post focusing largely on CMS’s EOM’s Payment Methodology. I use a Q&A format as well. What is the goal of EOM? According to CMS “EOM is a CMMI alternative payment model designed to advance health equity, promote…
Based on some recent reports, hospital finances in 2022 look poor. Government cash infusions from COVID-19 were helpful during the pandemic but have largely disappeared. At the same time, costs for labor and supplies have risen. Adding on to these financial pressures is the recent rise in the number of RSV cases. According to a…
Many people believe that the US is a fee-for-service system and many European countries are more likely to use global capitation reimbursement for providers. Those who dislike fee-for-service claim it incentivize over-treatment and disincentives prevention and use terms like “waste” and “too expensive”. Those who dislike global capitation claim that approach leads to reduced access…
This is according to a recent Viewpoint in JAMA from Binger, Chen and Harder (2022). On July 26, 2022, US News & World Report published new and updated health equity measures for hospitals featured on the publication’s website… Each equity measure was developed under a framework comprising 3 domains: access, outcomes, and social determinants of…
That is the topic of a commentary by Carroll et al. (2022) in Health Services Research. The first issue they discuss is access to care. A core challenge in rural communities is declining access to hospital care. Eight percent of rural hospitals have closed over the last decade, and closure rates have increased in recent…
That is the conclusion from a recent report from some of my colleagues at FTI Consulting’s Center for Healthcare Economics and Policy. In the report titled “Protecting the Pipeline: How a Public Option Could Impact Our Nation’s Health Care Workforce“. An excerpt and some empirical findings are below. …government rate setting under a public option…
The answer is, ‘not very’. That is according to a paper from Burman et al. (2022). Let’s say you want to schedule an appointment with a physician in your areas that is covered by your insurance. When you look up the physician, maybe you have found that the phone number no longer works, or that…
How do efficiently is care provided for patients at Veteran Affairs’ hospitals as compared to private hospitals? This is not an easy question to answer as the composition of patients differs between these hospitals. Even among dually-eligible individuals–those with both VA and commercial insurance–individuals treated at VA hospitals are generally more severely ill. To better…
Interesting study from Hegland et al. (2022) in HSR. The authors used data from Healthcare Cost and Utilization Project (HCUP), American Hospital Association Survey, Hospital Compare, and American Community Survey data and find that: Non-Hispanic Black individuals live in zip codes supplied, on average, 0.11 more beds per 1000 population (SE = 0.01) than places where non-Hispanic…
Recently the CBO published a report compared the rates public and private insurers pay to hospitals for inpatient services, for services at hospital outpatient departments (HOPD), and at ambulatory surgical centers (ASC). A recent RAND report aims to do a similar exercise but contributes to the literature by using updated data from more states, allowing…