I began my career in health care working as an accountant for a nonprofit hospital. One of our senior finance executives did a case study of how much the heath care system saved compared to a for-profit system that had to pay taxes. I don’t recall all the details, but it was in the neighborhood of $100 million dollars in 1990. About that same time the accounting managers were told we could no longer write off bad debts to charity care. Charity care had to be granted to deserving patients; we weren’t allowed to decide after not getting paid that care must have been charity.
Category: Policy & Legislation
Thursday Links
- Amazon is providing prices and wait times for primary care.
- The CDC officials “used inaccurate information and misrepresented medical research” to promote mask wearing.
- CDC report: 1 in 5 women receiving maternity care were mistreated and almost 1 in 3 experienced discrimination because of age, weight, income, etc.
- Tyler Cowen and Alex Tabarrok reflect on their 20-year-old blog.
- Nearly 160 Wall Street firms have moved their headquarters out of New York, taking nearly $1 trillion in assets under management with them. (Bloomberg)
Universal Coverage Will Not Cure Health Inequity
The United States spends about twice as much per capita on health care as other high-income countries. Yet our health outcomes are not as good, on average. It’s not that all Americans are in poor health, it’s that some Americans are in poor health and pulling down the average. As I’ve said before, health is correlated with wealth and education. Wealthier is healthier.
How Medicare Encourages Hospitals to Monopolize the Medical Marketplace
In 2016, the first hour of chemotherapy infusion — one of the most common services billed by oncology practices — was reimbursed at $136 for physician’s offices, while payment for hospital outpatient departments was 106% higher, at $280…. This year, this payment disparity has jumped to 158%, with physician reimbursement declining to $129 and the outpatient department rate increasing to $333….