One Price Does Not Fit All for Medical Fees
A new study asks Orthopedic surgeons to guess the price of the devices they implant – “the amount your institution currently pays the vendor for the implant.” Despite a lenient grading system, in which the researchers counted as correct any guess within 20% of the actual price, surgeons estimated costs correctly only 1 in 5…
Common wisdom ain’t always that wise. The pundits have concluded that Obama made a big mistake by focusing on health care reform this past year, when he should have focused on the economy. Politically speaking, the pundits are correct. Obama has appeared to be ignoring the economy at the expense of health care reform, and…
With Thanksgiving behind us, many Americans will not assemble together for a home-cooked meal again for a while. By some estimates, people living in large cities consume the majority of their meals outside the home — at restaurants, coffee shops, bars and food trucks. No surprise, then, that anti-obesity policies are increasingly focused on helping Americans…
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…
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…
It used to be that hospitals billed Medicare for the services they provided, and Medicare – I know this is crazy! – simply paid the bills. Those days are rapidly receding into history. Soon, a significant chunk of hospital revenue will be at risk, under a series of Medicare pay-for-performance programs. The idea behind P4P…