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.

I was recently struck by two news headlines that hit my email inbox on the same day: “Most Doctors Don’t Meet U.S. Push for Electronic Records” and “Sebelius touts new emphasis on healthcare data“. Do you see the problem here? If we really want to leverage “big data” to improve health care, we need physicians…
I teach an undergraduate health policy class at Duke University. Recently, my students asked me whether states potentially hurt themselves by offering generous health care benefits when neighboring states don’t offer such benefits. Then I got home and pulled out a recent issue of Health Affairs, and read the results of a study suggesting that this…
High costs make it hard for many patients to afford their medications. That’s why some medical experts believe we should give important medications to patients for free, to see if that improves their health outcomes. One famous example of this approach is the MI FREEE Trial, which offered free cardiovascular medication to patients who would…
Once again, lots of reports in the news about crazy variation in hospital prices in the United States, with thousands or tens of thousands of dollars difference in the price of services from one hospital to its neighbor across the street. Marketplace did a nice report on this issue recently, including an interview with yours…
Here is a nice news report about what the Medicaid portion of the Supreme Court decision means for state governments. Short version: North Carolina needs to decide whether to expand Medicaid by up to 500,000 people, with the federal government picking up 95% of the cost. Left unsaid in this news report: hospitals are going to push hard to expand Medicaid, so they will have more paying customers. Wonder if they will have success in states like NC, with Republican legislatures.
The hospital price transparency bill that was signed into effect on August 21 has elicited criticism from the Duke health community. House Bill 834 mandates that hospitals and medical care agencies in North Carolina—including Duke University Medical Center—provide pricing information on 140 of the most common health care procedures to the Department of Health and…