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Category: Health Economics & Costs

George Halvorson on Amputations: Medicare v. MA Plans

Posted on April 30, 2023May 2, 2023 by John C. Goodman

Medicare Patients are currently 10 times more likely to have amputations than higher income patients. Those amputations currently cost Medicare over $100,000 each…. The Medicare Advantage plans do basic care process design to help those patients. The Medicare Advantage care teams know that almost 90 percent of amputations are caused by foot ulcers. The plans all know…

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Nurses Join the Gig Economy

Posted on April 29, 2023 by Devon Herrick

Hospitals are becoming part of the Gig Economy as administrators turn to staffing apps to fill shifts when internal staffing is low. The transition to more temporary nurses is fueled by a shortage that has given nurses more control over their schedule. Nurses are turning to the apps to manage when they work or pick up extra shifts as the gig work invades hospitals like it has other areas of the economy.

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Friday Links

Posted on April 28, 2023April 27, 2023 by John C. Goodman
  • Health Savings Accounts after 30 years: 27.5 million individuals own one, with holdings of $105.7 billion.
  • Three Medicaid reforms Biden doesn’t like: Trump era work requirements, the Tennessee block grant and the Texas waiver.
  • What white bagging, brown bagging and clear bagging have to do with specialty drugs.
  • A Crenshaw/Schrier House bill would give Medicaid enrollees access to direct primary care doctors.
  • Insurers are using “copay accumulators” to prevent copay assistance (say, from a nonprofit to help patients with drugs costs) for counting toward the fulfillment of a deductible.
  • The Biden administration is misusing the “march in rights” created under the Bayh-Dole Act to threaten to impose price controls on drugs that originally had government research funding. (WSJ)
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Beyond House Calls, the Next Big Thing is Hospital Care in the Home

Posted on April 27, 2023 by Devon Herrick

Hospitals are the most expensive place to get medical care in the health care industry. Hospitals consume nearly one-third of health care expenditures, accounting for more than $1.33 trillion a year. I often advise people to never get anything done at a hospital if they are physically able to go anywhere else. For example, my wife unknowingly started to make an appointment for an outpatient CT scan at a nearby hospital.

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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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