Is the VA the Key to Healthcare Reform?
To find out the answer to this question–ok, a partial answer–listen to my appearance on the NPR show The Takeaway. CLICK HERE.
To find out the answer to this question–ok, a partial answer–listen to my appearance on the NPR show The Takeaway. CLICK HERE.
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…
The forty million dollar Gulfstream jet landed at Memphis International airport in the early morning hours, its schedule hastily arranged earlier that day from Northern California, where the flight originated. Waiting on the tarmac was Dr. James Eason, head of transplant surgery at Methodist University Hospital, who planned on whisking the passenger to the operating…
Not long ago, the Joint Commission (a healthcare quality organization) established that patients with pneumonia should receive antibiotics within four hours of diagnosis. Timely diagnosis and treatment can be the difference between life and death in patients with this illness. In fact, some people believe this kind of quality measure should play a large role…
As I have described in two earlier posts, here and here, the transplant system in the US suffers from terrible geographic disparities. People needing liver transplants in Northern California wait more than six years on average for an organ to become available, versus only three months in places like Memphis Tennessee. The solution to the…
When Dr. Jeffrey Rice needed to schedule outpatient foot surgery for his son three years ago, he called the recommended facility to find out what it would cost. The estimate was so high — $15,000 to $25,000 — that Rice asked the surgeon for a second option. The cost for the same one-hour procedure at…
One of my favorite reporters, Dan Gorenstein from NPR’s Marketplace, interviewed me and a few other people recently, to discuss challenges of trying to pay physicians, reward them essentially, for providing high-quality care. It turns out to be a much more complicated topic than you might think at first glance. Thought you might enjoy the…