There has long been a belief that preventive medical services save money. The theory holds that if Americans’ primary care physicians ordered more preventive medical screening services we would not only be healthier but the cost of the preventive care would be more than offset by the savings from more serious care avoided. In other words, the cost of a colonoscopy would be offset by not getting colon cancer. The only problem with the theory is that it is wrong.
Category: Doctors & Hospitals
Some People Are Exceptional in Old Age… Others, Not So much
The risk of mental decline increases with age. Dementia and mental decline have been in the news lately largely because of the presidential election. President Biden will be 82 by the time the next president is sworn in, while former President Trump will be 78. By the time the next presidential term ends, they will be 86 and 82 respectively.
Friday Links
- Over half the new jobs in January’s report are in government or health care.
- Smoking is worse than you’ve been told. Long lasting effects after you quit.
- What happens when doctors become hospital employees? Medicare patients’ use of non-hospital sources for chemotherapy declined by 14% from 2015 to 2021, and chemotherapy performed in hospitals increased by 21%. More than half of Medicare chemotherapy patients now receive their treatments in hospitals, where the prices are higher.
- How health insurance eats into wages. Premiums for a family made up about 8% of employees’ compensation in 1988. If they stayed at that level for the next 32 years, a typical family would have earned an additional $8,774 in 2019. The cumulative value of lost earnings tops $125,000.
Tuesday Links
- NYU Lagone Health is offering virtual urgent care as an alternative to the emergency room.
- Matt Holt: while primary care is skimping by, hospitals have so much money they are paying their senior people million dollar salaries and starting hedge funds.
- Direct Primary Care: Society of Actuaries study: ER visit are 40% lower.
- Direct Primary Care case study: DPC reduced health plan spending by 54%, employees’ out-of-pocket costs at the point of care by 30%, and employee premiums by 20%.