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The Goodman Institute Health Blog

Category: Health Economics & Costs

Thursday Links – 5 December 2024

Posted on December 5, 2024 by John C. Goodman
  • To do want he wants to do, RFK Jr will be head of the wrong agency.
  • More than 50% of the AMA’s revenue in 2023, or $266 million, came from a budget category that includes medical billing codes. (Statnews)
  • From 1997 to 2011, 85% of the increase in real per-capita Medicare spending was on newly created procedure codes.
  • Final House Select Committee report: Covid likely came for the Wuhan lab.
  • More than one-third of 100 hospitals reviewed did not properly post machine-readable pricing data, as required by law.
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Harris Rosen, RIP

Posted on December 4, 2024 by John C. Goodman

Harris Rosen was the first business owner in the US who did what every other owner would like to do but hasn’t: provide his employees with high quality care at half the cost.
Under the circumstances, you’d expect Rosen’s health care costs to be sky high. Instead, on a per capita basis they’re about 40 percent less than the national average—despite the fact that Rosen Hotel employees are generally older and in poorer health than the general population, have a higher percentage of at-risk pregnancies and include an above-average number of diabetics.More.

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Wednesday Links

Posted on December 4, 2024December 4, 2024 by John C. Goodman
  • A theory of why there are food deserts. (speculative)
  • Tyler Cowen’s skepticism about assisted dying in the UK.
  • Why Bernie Sanders is wrong: 60% of Americans do not live “paycheck-to-paycheck.”
  • Every ethnic group believes that America is “the greatest country on earth,” including 75% of Hispanic and 58% of blacks. The only group that doesn’t believe that are white liberal elites (31%).
  • The downside of weight loss drugs: to keep your weight off, you have to stay on the drugs forever.
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New Findings on Risk Adjustment

Posted on December 3, 2024 by John C. Goodman

Study: About two-thirds of the 41 percent increase between 2011 and 2019 in the share of hospital discharges coded as the highest severity was associated with upcoding.

Among patients discharged to a skilled nursing facility (SNF) during 2018–19, MA enrollees had risk scores that averaged 4.1 percent higher, with about 60 percent of that increment associated with chart reviews.

About one-quarter of the risk-score gap between MA and traditional Medicare from 2017 to 19 is due to the failure to consistently capture chronic conditions in fee-for-service claims.

Source: Health Affairs

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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

Visit www.goodmaninstitute.org

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