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What Supreme Court ruling means for state Medicaid programs

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Here is a nice news report about what the Medicaid portion of the Supreme Court decision means for state governments.  Short version: North Carolina needs to decide whether to expand Medicaid by up to 500,000 people, with the federal government picking up 95% of the cost.  Left unsaid in this news report: hospitals are going to push hard to expand Medicaid, so they will have more paying customers.  Wonder if they will have success in states like NC, with Republican legislatures.

Do Malpractice Fears Cause Physicians to Order Unnecessary Tests?

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Ask physicians if our messed up malpractice system causes them to practice “defensive medicine,” and most will probably say yes – hard not to be paranoid with so many lawsuits affecting so many physicians. Some experts even contend that major reforms of our malpractice system could go a long way towards controlling spiraling healthcare costs. On the…

Will the Sequester Cause Oncologists to Lose Money Prescribing Chemotherapy?

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In a recent Washington Post article, Sarah Kliff reported that “Cancer clinics across the country have begun turning away thousands of Medicare patients” because of reductions in reimbursement caused by the sequester. Specifically, oncologists will no longer be able to markup the price of chemotherapy by 6% “to cover the cost of storing and administering” the drugs….

What Happens When We Penalize Hospitals For Harming Patients?

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I recently had surgery to relieve an impingement of my left hip. I suffered a complication of the procedure in the hospital where I received the surgery performed follow-up care to treat the complication. As I lay on the table receiving that second treatment I wondered – okay, I mainly wondered “are they really going…

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