One Price Does Not Fit All for Medical Fees


According to the American Action Forum, 43 million American workers will lose access to employer-based health insurance coverage because of Obamacare. Critics of the Affordable Care Act (ACA) have warned that the creation of health insurance exchanges, and federal subsidies for people earning less than 400% of the federal poverty limit, practically invites employers to stop offering coverage to their employees, so…
Lost in all the confusion about Obamacare is the fact that the law relies on more than just the individual mandate to encourage people to buy health insurance. It also makes health insurance more affordable, especially for people at or below 400% of the federal poverty limit by subsidizing insurance for those folks. So do…
David 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…
For 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…
One of my favorite radio shows, Marketplace, did a story on our recent study, in which we showed that physicians sometimes miss out on opportunities to help patients lower their out-of-pocket expenses. The piece features a medical student who’s been working with me on this project, Wynn Hunter, who is making his first national public…
Generic meds are supposed to be relatively cheap; multiple companies can make the same molecule, leading to price-lowering competition. But that’s not always what happens in the US market. Look at the prices of these generics, in the US vs Canada: We need to take regulatory or legislative steps to reduce the price of generic…