One Price Does Not Fit All for Medical Fees


To find out the answer to this question–ok, a partial answer–listen to my appearance on the NPR show The Takeaway. CLICK HERE.
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…
In a very influential 2009 New Yorker essay, Atul Gawande described why health care spending is rampant in McAllen, Texas, an example of the regional variations in healthcare utilization that policy experts at Dartmouth have been studying for years. Indeed, this research has shown much higher spending in places like McAllen, compared to cities like Salem,…
In a recent report from the IOM, the US comes in with surprisingly low life expectancy compared to other developed countries. Take, for instance, this picture from USA Today, showing life expectancy for women:

At the same time, we spend WAY MORE on health care than any of our peers. No one is even a close second. Does that mean our spending is not yielding appropriate results? Those of you who follow my writing (I’m talking to BOTH of you) know that I have serious concerns about health care spending in the US. But keep in mind, that life expectancy is a TERRIBLE measure of health care quality…(Read more here)
My home state of North Carolina is one of a number of states that refused to expand Medicaid, even though the Affordable Care Act stipulates that the federal government will cover the majority of expenses associated with such expansion. Here is an excellent story in the Fayetteville Observer laying out the issues: Denise Johnson works…
According to a recent Forbes post: “A huge pay raise promised under the Affordable Care Act for primary care doctors who treat the nation’s poor covered by Medicaid health insurance is nearly three months behind schedule and may take another three months before it kicks in.” I suggest you look at the entire essay, because…