Uwe Reinhardt on Hospital Prices

Health Economist Uwe Reinhardt supports expanding the DRG system to all payers.   “Under Medicare’s approach, hospitals are paid one price for an entire inpatient episode, rather than piece-rate (fee-for-service) for every single supply and service delivered in that episode…To eliminate the rampant price-discrimination inherent in current hospital pricing, all hospitals under this system would…

Optimal Contracts in the British NHS

One of the perennial questions of interest for health services researchers how to pay for health care.  A paper by Chalkley and McVicar (2008) examines this question in the contest of a reform in Britain’s National Health Service (NHS). “After 1990 hospitals, which had previously been under the direct control of Health Authorities, could apply for NHS…

Private Hospitals in Europe

Europe is known for having single-payer, government provided healthcare.  But  just because there is significant government involvement in the financing of medical services does not mean that private hospitals are non-existent. An interesting series of post by HealthcareEuropa looks at private hospitals that operate in Bulgaria, Turkey and Germany.

Eliminating Preventable Harm

In the U.S., 2.9% of individuals who enter a hospital are actually harmed by the medical care they receive.  Reducing these preventable iatrogenic injuries is one of the goals of any hospital administrator.  Paul Levy of Running a Hospital lists 3 goals to achieve in the new year which will help reduce these adverse events.…

Are single speciality hospitals efficient?

I have written in the past about the recent popularity of single specialty hospitals (see “Focused Factories” and “…Specialty Hospitals” posts).  A paper by Kathleen Carey investigates whether or not single specialty hospitals are more efficient than traditional mutli-specialty hospitals.  The study finds the following: Overall, single speciality hospitals (SSH) are not more cost efficient…

Hospital Wristbands

The N.Y. Times writes about how hospitals have standardized patient warning wristbands.  Now, red wristbands will denote an allergy risk, yellow will denote a fall risk, and so on.  This should be the same at all hospitals, reducing the need to re-train nurses and other hospital staff who move between hospitals. “The drive [to standardize…

Lack of physician peer review

The Running a Hospital blog notes that a physician peer review system is absent in most hospitals.  Physicians are only critiqued when something goes wrong.  However, this need not be the case. “Our Chief of Neurology, Clif Saper, originated a thoughtful practice… The doctors in his department do randomly assigned reviews of the case notes…