Harvard Policy Researcher Says Obamacare Will Inadvertently Break Fee-For-Service Model

In Washington, Amitabh Chandra stood before a roomful of economists, policy makers and health care experts earlier this month. As director of Health Policy Research at Harvard’s Kennedy School of Government, he closed a presentation about the slowdown in health care spending over the last decade by citing an article in The New York Times.

“Changes in the way doctors and hospitals are paid — how much and by whom — have begun to curb the steady rise of health care costs in the New York region,” the article declared. “Costs are still going up faster than overall inflation, but the annual rate of increase is the lowest in 21 years.”

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We Know Fee-For-Service Healthcare Has Problems. But Would You Guess That It’s Hurting Patient Credit Scores, Too?

Mounting evidence shows that chaos in medical billing isn’t only affecting our nation’s health. It’s marring the financial reputation of many Americans. That’s because the bills themselves can take months to sort out, and medical debts can be reported rapidly to credit agencies, often without notification. Even small unpaid bills can severely damage credit ratings.

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We Think We Know The Answer… But How Has Your Insurance-Free Medical Experience Been?

At the end of their recent article about cash-only medicine, The New York Times asks, “With all the changes in health care and insurance, has your doctor stopped accepting insurance? If so, what has been your experience — both with the care and with your insurer? The article title is warily slanted — “Dealing with Doctors Who Only Accept Cash” — but the writer shared their own wonderful story about a cash-only doctor who drove an hour and a half to successfully take care of a sick baby.

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For Years The RAND Corporation Claimed EMRs Would Save Us $100 Billion Per Year — Until Their Own Research Proved Otherwise

Seriously, we’ve heard enough idealistic hoopla about EMRs improving patient care. It is not the reality of the situation. What appears to be the reality is that the companies who provide the EMRs, and get government kick backs for doing such, are definitely raking in a lot of dough. What’s not happening, though, is anything beneficial in the doctor’s office. The machines aren’t widely adopted and when they are, they’re costing doctors time with unnecessary clicks. And the nail in the coffin comes from the New York Times, who write, “The conversion to electronic health records has failed so far to produce the hoped-for savings in health care costs and has had mixed results, at best, in improving efficiency and patient care, according to a new analysis by the influential RAND Corporation.”

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Even The New York Times Is Suggesting Catastrophic Insurance Plans

In his new New York Times healthcare piece, “Driving a New Bargain on Health Care,” Tyler Cowen spells out the hard truth of Obamacare failings. Based on his prognosis, a lack of states extending Medicaid coverage will leave millions uninsured. This isn’t something that should excite anyone. However, it’s leading to wake up calls from top journalists. In his assessment Cowen offers a reaction to this shortcoming:

“At the same time, I’d recommend narrowing the scope of required insurance to focus on catastrophic expenses. If insurance picks up too many small expenses, it encourages abuse and overuse of scarce resources.”

As you know, we’ve been suggesting this for years now. When we as a nation can’t provide care for our own, that’s failing. But when we know something isn’t working (health insurance as health maintenance, for one) and we keep doing it, that’s even worse. So yes, while we’re nowhere near a solution, we’re moving towards a society that recognizes one thing: coverage is not care. It’s a point worth mentioning, because to many people, the idea that EVERYONE is insured sounds like utopia. For now, we’ll be the squeaky wheel reminding you that this isn’t really the case.

READ THE FULL NEW YORK TIMES ARTICLE HERE

How a Cabal Keeps Generics Scarce

How a Cabal Keeps Generics Scarce

So around a year ago, President Obama signed a law meant to end chronic shortages of lifesaving drugs. However, a critical lack of generic drugs continues. This is being called a “preventable crisis” and it’s harming patients, even leading to death in the case of botched anesthesias. The New York Times does not believe the law will be effective, in part because it addresses the symptoms but not at all the disease.

You CAN Charge $546 for Six Liters of Saltwater in America

You CAN Charge $546 for Six Liters of Saltwater in America

When we first read this headline, we thought it was a loose allegory, something akin to selling ice to an eskimo. But no, this headline is to be taken literally. The New York Times ran this article following up on absurd charges billed to a group of tourists who came down with severe food poisoning. According to the Times, “Some of the patients’ bills would later include markups of 100 to 200 times the manufacturer’s price, not counting separate charges for ‘IV administration.’ And on other bills, a bundled charge for ‘IV therapy’ was almost 1,000 times the official cost of the solution.”

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Insurance Companies Are Not Fighting Fair

Check out this May 8 article by The New York Times. They present government data suggesting that hospitals are charging upwards of 400% of actual costs for non-optional procedures.

It’s a complex issue but the worrisome fact is that competing hospitals are charging wildly different rates for similar procedures based on whether a patient is using Medicare, private insurance or isn’t insured. The worst news is that hospitals might be charging the highest rates to uninsured people to cover their bottom line.

Here’s where hospitals are taking a hit:

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