One Price Does Not Fit All for Medical Fees


US healthcare spending is maddeningly high. As in: fifty percent higher than what other wealthy countries spend, with no evidence we’re getting any bang for all those additional healthcare bucks. In 2014, the state of Maryland took direct aim at this profitless profligacy, enacting a bold (dare I say European?) approach : it gave hospitals fixed…
Cancer drugs have become increasingly expensive in recent years. No one blinks anymore when a new lung cancer or colon cancer treatment comes to market priced at more than $100,000 per patient. In part, we don’t blink because we have simply gotten used to such prices – the shock has worn off. Moreover, many of…
Hepatitis C has been in the news lately, because of amazing (and amazingly expensive) new treatments that promise to cure their life-threatening illness. While we ought to debate the expense of these treatments, we should also remind ourselves of how much we’ve been spending caring for patients with advanced disease. Here’s a picture showing the…
Seven days into the patient’s hospital stay, his doctors realized they had fought a losing battle. The patient, an overweight smoker with a touch of diabetes, had come to the emergency department with shortness of breath. After a series of tests in the emergency room, he was given a dose of antibiotics for possible pneumonia…
With health care costs rising, employers (and insurance companies) are increasingly asking consumers (aka “patients”) to have more “skin in the game”—to pay more out of pocket for their medical care. The Kaiser Family Foundation has a nice report on trends in health insurance deductibles. This picture shows the rise in these deductibles. That means:…
The ever reliable Sarah Kliff recently posted a nice graphic, showing a dramatic decline in the number of hospital visits for which hospitals received little to no money, because the patients have no insurance. But this decline occurred almost exclusively in states that expanded Medicaid: Political partisanship prevented many states from expanding Medicaid, despite the…