John “Eagle-faced” Raines had a simple goal in mind: put a big hurt into the evil saloon industry that was threatening the moral fabric of late 19th century New York State. Low wage workers were spending huge chunks of their Sundays (for many, the only day of their weekend) tipping pints at dingy saloons, when…
Thought I’d pass along a simple picture showing the results of Medicare efforts to reduce hospital readmissions. To their credit, the folks of Medicare are not sure what will work, so they have been pilot testing lots of programs. But as this picture from a January 2012 Congressional Budget Office briefing shows, there is wide variability…
In a 2011 JAMA article, Gil Welch and colleagues looked at how many chronic diseases Medicare enrollees had across different regions of the country. They came up with the following picture: This picture may confirm some of your suspicions. For example, elderly in the north are sicker than ones in, say, Arizona or Southern Florida,…
When Johnson was pushing congress to establish the nation’s first real health care funding, many legislators, especially conservative southern Democrats, balked at the cost. Johnson was well aware that Medicare would be costly. But he thought health insurance was too important, in reducing poverty among elderly people, to let costs get in the way. He…
In the New York Times on Friday, Roni Caryn Rabin writes a great article about the crazy price hikes that hospitals and medical clinics impose upon patients who come to them from “out of the network.” Examples include a more than $6,000 doctor visit, one for which Medicare would have paid less than $200. Examples…
Do you feel like your out of pocket medical expenses are growing? You are not alone. Even for people getting Medicare, the amount of money coming out of patients pockets is growing too. And it is growing not only because all health care spending is growing, but also because patients are being asked to bear…
If Americans judged the quality of hospital care the way Newsweek judges high schools, we would soon be inundated with “charter hospitals” that only treat healthy patients. As reported in The New YorkTimes , thirty-seven of Newsweek’s top 50 high schools have selective admission standards, thereby enrolling the cream of the eighth grade crop. That means…
The idea seems so simple: (A) When hospitals leave catheters in people’s bladders for too long, people get urinary infections. (B) Third party payers like Medicare and insurance companies are then billed for the cost of treating these infections. (C) If Medicare refuses to pay for these treatments, and force hospitals to bear the cost…
Republicans and Democrats agree that Medicare is in trouble – that if its costs keep rising faster than inflation, we will face insurmountable federal budget deficits. They also agree that the problem can be fixed. But that is where their agreement comes to an end, and where the Democrats hold a psychological advantage over Republicans……
If you thought donuts were bad for your health, consider donut holes. Specifically, the donut hole sitting smack in the middle of Medicare Part D, the program helping senior citizens pay for their medications. The donut hole is a gap in coverage causing people, once they’ve received a certain level of financial support for their prescriptions, to have to go it alone for a while, bea
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