Insurance Woes
A great cartoon from the Kaiser Health News website that pithily captures the “wonders” of the American health insurance system.

A great cartoon from the Kaiser Health News website that pithily captures the “wonders” of the American health insurance system.

Obamacare has come under intense criticism for harming businesses, which will see their employee costs rise as a result of the ACA employer mandate. A recent New York Times article reported that complying with Obamacare regulations would “cost about $1 per hour per employee” for agricultural companies paying people to work in the fields. That is a…
Euphemistically referred to as Consumer-Directed Health Plans, high out-of-pocket insurance is in theory supposed to incentivize people to scrutinize the cost and quality of their medical care, thus bringing pressure on providers to lower the price and/or raise the quality of their services. This theory isn’t borne out in practice. As a matter of practice…
I’m back to blogging again, and thought I’d return to a topic I have blogged about recently: expanding the role of non-physicians in primary care. A very talented journalist in North Carolina, Jason deBruyn, wrote a nice piece which I am indenting below, laying out some of the controversies. Debate settles in on costs versus…
The Managing Editor of the New England Journal of Medicine interviewed me about the piece I wrote, with David Comerford and Eric Johnson, on redesigning the health insurance exchanges. For those of you with long commutes, here is that podcast: Healthcare.gov 3.0
Biologic drugs are a big deal for the pharmaceutical industry right now. Blockbuster chemicals for common conditions like diabetes and hypertension are largely things of the past. We’re getting pretty good at controlling those conditions, and few people expect a slew of major scientific breakthroughs that will lead to many more multibillion dollar treatments for…
In 2010, the state of Rhode Island decided to tackle high healthcare costs. It did so by requiring insurers to meet affordability standards. The plan worked, but not for the reasons you probably suspect. Let’s start with what Rhode Island’s standards look like. It required several things of insurers: Premium caps – with annual inflation equal…