Health Insurance Exchange Decisions…So Far!
But in this partisan world, not all states are going ahead with the idea of creating these exchanges. The Washington Post’s Sarah Kliff has a nice summary, in one simple picture, of where things stand:

“How can the government make us buy health insurance? What gives them that right?”
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The Affordable Care Act has done a lot to increase the proportion of Americans with health insurance. I’ve posted a lot of those figures in the past. But here is some data, published by a former student of mine, showing that the law doesn’t seem to be having a huge impact yet on people ages…
When is the treatment worse than the disease? When the high costs associated with care become a financial burden for patients and in many cases prevent them from protecting their health, contends Peter Ubel, MD, a 2007 recipient of a Robert Wood Johnson Foundation (RWJF) Investigator Award in Health Policy Research. “We have reached a…
Healthcare reimbursement in the U.S. is frighteningly complex. We have federal payers, like Medicare; state/federal payers, like Medicaid; private, for-profit insurance companies, like Aetna; private, not for profit insurers, like many local Blue Cross Blue Shield networks. Oh yes, and we have private insurance companies managing reimbursement for many Medicare and Medicaid recipients. This complexity…
The idea seems so simple: (A) When hospitals leave catheters in people’s bladders for too long, people get urinary infections. (B) Third party payers like Medicare and insurance companies are then billed for the cost of treating these infections. (C) If Medicare refuses to pay for these treatments, and force hospitals to bear the cost…
In a New England Journal of Medicine article from November 18, 2010, Zhang and colleagues map out rates of what are arguably inappropriate prescriptions. For instance this picture shows rates of high risk drugs in Medicare recipients, drugs like Valium (and its cousins) which are known to cause falls and other complications: This picture shows that WHERE…