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Who Receives More Wasteful Care: Medicaid Enrollees or People with Private Insurance?
ByadminSome medical services are unnecessary. Is it your first day of uncomplicated lower back pain? You don’t need an x-ray. But many patients continue to receive such services anyway, perhaps because they demand them or, perhaps, because their providers keep recommending them. But does the likelihood of unnecessary services depend on your insurance? Specifically, do Medicaid…
Is This the PR Campaign Vaccines Need?
ByadminHere is a public service advertisement, promoting vaccines. (Thanks to Michelle Meyer for making me aware of it.) It harkens back to a day when vaccines weren’t yet available for diseases like polio: Do you think it will work?
You Thought Innovation Was Hard, How about De-Innovation?
ByadminDavid Asch and I recently published an article in Health Affairs on the challenge of getting healthcare practitioners to stop doing things they are accustomed to doing, even when the evidence that those things are harmful becomes overwhelming. Here is a teaser from that article, and a link to the full piece: As hard as…
How Much Are You Spending on Healthcare, and How Much Is Your Insurer?
ByadminI have been writing a lot lately about out-of-pocket costs for health care in United States. In my research on this topic, I came across the following picture, which shows how much insurers are spending on healthcare, among people in the United States receiving insurance through their employers, and also how much those employees are spending…
The Healthcare Efficiency Myth – What Really Happens When Doctors And Hospitals Join Forces
ByadminFor much of the history of U.S. medical care, hospitals and physicians have existed as separate financial entities. Physicians in the U.S. have typically been self-employed, as solo or group practitioners and not as hospital employees. An internist like me might have admitting privileges to several local hospitals. When we admit patients to one of…
America Is Number…5 Out Of 5?
ByadminHere’s a picture from @RAdamsDudleyMD, one that, sadly, is consistent with many previous studies. The US doesn’t measure up in giving people access to medical care.

