Experts – Page 45 – The Goodman Institute Health Blog

Cuts to Medicare in the IRA Bill

Posted on November 22, 2022November 22, 2022 by John C. Goodman

Writing in the WSJ, Casey Mulligan and Tomas Philipson point out something that almost all commentary has overlooked. Seniors are about to be hit with a double whammy: higher drug prices at the pharmacy and higher premiums for Part D drug insurance:

We estimate that beginning in 2025, plan subsidies—specifically, the reinsurance subsidies for the beneficiaries with the most drug spending—will be cut $30 billion, out of revenue that currently totals about $110 billion. With $30 billion less to finance prescription benefits, something will have to give. Plans currently have far too little profit to span the chasm that the Inflation Reduction Act opens between expenses and revenue…

This is a nice companion to the article Linda Gorman and I wrote for The Hill a few weeks ago.

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A Hospital Stay (but in Your Own Home)

Posted on November 22, 2022November 22, 2022 by Devon Herrick

Years ago, I worked in a long-term acute care hospital. We employed social workers whose job was discharge planning. They charted out where to move patients once they had been treated by our hospital. This process was started before patients were admitted. Patients with no clear path to move elsewhere were not admitted. Our average length of stay was in excess of 30 days. At that time our type of facility was PPS exempt and cost reimbursed based on a TEFRA limit (see p. 71 for more information).

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Does Over-Coddling Result in Whiney, Insecure, Loser Kids?

Posted on November 14, 2022 by Devon Herrick

Each generation seemingly raises their kids in a different way, which draws scrutiny from generations born before them. For example, it is not uncommon for Baby Boomers (born between 1946 and 1964) to ridicule the delicate flowers who are known as Millennials (born between 1981 to 1996).

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Wokeness Invades the Doctor’s Office

Posted on April 19, 2022April 20, 2022 by John C. Goodman

This is Dr. Stanley Goldfarb in the Wall Street Journal:

The National Library of Medicine database shows more than 2,700 recent papers on “racism and medicine,” which generally purport to show physician bias leading to racial disparities in health outcomes. Yet the most commonly cited studies are shoddily designed, ignore such critical factors as pre-existing conditions, or reach predetermined and sensationalized conclusions that aren’t supported by reported results. These papers in turn are used to source even more shoddy research.

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