Quality Rankings and Choice of Hospital

Today I review some of the evidence regarding whether quality rankings affect hospital choice. In particular, I focus on a recent article on choice of hospitals in the Netherlands for angioplasties. Literature Review I first review some of the previous literature on how quality affects patient choice of hospitals. Tay (2003) found changes in hospital quality…

Federal Contracting and the DC Boom

Time Magazine on the economic boom currently happening in Washington, DC: “Yet the diversity of the Washington economy is an illusion, for each of its business sectors is to some degree a creature of the region’s single great industry—the federal government. According to a 2007 report by the Tax Foundation, for every dollar in taxes…

Medicare Trustees Report: We’re Fucked

Despite lower costs than previously projected, the Medicare Trust Fund is still in bad shape. he estimated exhaustion date for Medicare’s Hospital Insurance (HI) trust fund, “…remains at 2024,the same year shown in last year’s report. As in past years…the fund is not adequately financed over the next 10 years. HI expenditures in 2011 were…

Thoughts about Sebelius address Georgetown graduates

In a few hours, Department of Health and Human Services (HHS) Secretary Kathleen Sebelius will address a keynote speech to graduates at Georgetown University.  This is a controversial appearance.  One provision of the health of the Health Reform (i.e., the ACA) mandates that employer cover contraception coverage.  Although Georgetown University has agreed to provide these benefits, other…

Is America’s Cancer Care World Class?

U.S. life expectancy after cancer diagnosis is higher than that those for ten European countries.  A recent study in Health Affairs cites these statistics as evidence that the more expensive treatments American physicians employ is worth it. “We found that US cancer patients experienced greater survival gains than their European counterparts; even after considering higher US costs, this investment…

The Origins of Medicare and Medicaid

Medicare is a widely popular program.  Most American support increasing taxes rather than making cuts to Medicare spending.  Americans prioritize spending on only Social Security and education more than Medicare.  Then there is the famous “Keep Your Goddamn Government Hands Off My Medicare!” statement. Medicaid is Medicare’s ugly step-sister.  Whereas Medicare beneficiaries qualify primarily due…