Why people hate health reform
Here is a link to an Op-Ed I wrote with two colleagues at Duke, in which we provide a novel explanation for why so many Americans hate Obamacare.
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Will Obamacare Reduce the Crazy Variation in Hospital Prices?
ByadminIf you have been paying attention to US healthcare policy debates lately, you know that hospitals have a price problem. Walk across the street from one hospital to a competitor hospital, and you could easily find yourself facing a $30,000 increase in your medical bills. At one extreme for instance recent information shows that replacing your hip…
Is the Government Trying to Make Us Fat?
ByadminThe FDA has proposed new labels on grocery store food products, that adjust serving sizes to more accurately capture what Americans eat. Research I conducted with Steven Dallas and Peggy Liu suggests these labels could be a problem. Here is a great media story on our findings: Last year, the Food and Drug Administration announced…
How Generously Does Your State Reimburse for Medicaid?
ByadminA while ago, I wrote a post on how hard it can be for Medicaid recipients to get medical appointments, because so many physicians limit the number of Medicaid patients they see. They limit the number because Medicaid reimbursement is often, well, crappy! Here is a picture from a recent NEJM piece showing just how…
Where in the World are the ACOs?
ByadminThe Affordable Care Act established several programs to promote the formation of Accountable Care Organizations. These ACOs are a relatively new way of organizing healthcare delivery, in which healthcare providers join together – perhaps across physician groups and hospitals – to care for a population of patients, and are then held accountable both for the…
Medicaid Expansion/Lack of Expansion Plans: In A Map
ByadminFor anyone interested in health policy, Sarah Kliff at the Washington Post has perhaps the most useful and informative blog to be found. Here’s a picture she posted recently, showing the status of state Medicaid programs, in a post exploring which states she expects to be revisiting their decisions about how, or whether, to expand in…
ACA Boosts Shared Decision Making
ByadminMedicine, today, is supposed to be “patient-centered.” But sometimes the patients feel a little off balance. What can they do when everyone seems to be trying to push aggressive, expensive treatments on them? One solution — or a partial solution — is known as shared decision making, in which patients are given specific tools, such…