Methotrexate is a chemotherapy drug used to treat various autoimmune diseases including rheumatoid arthritis, lupus and in higher doses some cancers. Methotrexate is not safe to take during pregnancy. It can cause birth defects and is also used to end life-threatening ectopic pregnancies. When paired with the drug misoprostol it is used to induce a medical abortion.
Category: Health Economics & Costs
What Doctors are Doing, and Why
Is the practice of medicine being dictated by billing codes?
Several decades ago … physicians wrote “notes” on their patients…. every patient had a chart, and physicians would make notes following each patient encounter, capturing such elements as past medical history, the story of the present illness, the findings of physical examination and laboratory testing, and plans for further diagnostic evaluation and care. This approach required the physician to think everything through and formulate a coherent plan. In a sense, every physician was a storyteller, and one of the signs of excellence was the ability to formulate a succinct but comprehensive and coherent account of the patient’s care.
Today, by contrast, a great deal of the medical record is composed by selecting items from lists of available choices and drop-down menus…. And in most cases, the lists of options are constructed as much or more for coding and billing purposes—making sure the practice or hospital complies with regulations and gets paid—as they are to foster good patient care.
Why Don’t People Trust the CDC?
Consider the CDC studies on school mask mandates, which have uniformly claimed benefits. Two researchers at the University of Toronto and University of California, Davis recently sought to replicate a CDC study that found that pediatric Covid cases increased faster in U.S. counties that didn’t have school mask mandates compared with those that did….
As another example, recall the CDC’s widely cited studies last fall that purportedly found vaccines provide better protection than natural immunity from infection…. But a new study, published this month in the New England Journal of Medicine, finds that natural immunity provides more-durable and stronger protection than vaccines.
Health Plans Now Required to Post Prices. Will it Help?
An article in Kaiser Health News explained that health plans are now required to post the prices they have negotiated with all in-network health care providers. Failing to do so will result in substantial fines. The new rule is the result of an executive order then President Trump issued back in 2019.
Price transparency is the holy grail in health policy. There is not one price, but many prices depending on who the payer is. There is the list price that nobody pays unless uninsured and caught off-guard. There’s the cash price paid after receiving care. It is often same as the list price. Then there is the (lower) negotiated cash price if uninsured and paid in advance of receiving care. Then there are the prices Medicare pays and Medicaid pays. Health insurers may all have different prices for the same procedures. Indeed, prices vary tremendously across facilities. A knee replacement may be $30,000 at one hospital and $130,000 at another.