Showing posts with label cost. Show all posts
Showing posts with label cost. Show all posts

Wednesday, July 17, 2019

Wednesday, August 14, 2013

Exam-Based Care Versus Medical Procedure: Payment Practices That Distort Medicine

Study Reveals How Much Procedures Outpay Office Visits by Robert Lowes.  Medscape.  August 14, 2013.

(1)  The authors of the study recounted here believe their findings "illustrate the need to assign a higher relative value to ___________________________________.

(2)  If a higher relative values is not attached to cognitive-oriented care, procedure-oriented care will ____________________________.

(3)  For physician work hour, Medicare spends almost _________ times as much for a screening colonoscopy and almost _______ times as much for cataract extraction as it does for a __________________.

(4)  Such payment differentials, according to the authors, discourage physicians from______________________.

(5)  The way Medicare computes time devoted to procedures versus evaluation and management tend to be copied by most __________________.


Thursday, April 4, 2013

Cost Of Dementia: Rand Corporation Study

Monetary Costs Of Dementia In the United States by Michael D. Hurd, Ph.D, Paco Martorell, Ph.D., et al.  The New England Journal Of Medicine.  April 4, 2013.

Dementia Tops Cancer, Heart Disease In Cost by Marilynn Marchione AP Chief Medical Writer.  ABC News. April 4, 2013.

Dementia Care Cost Is Projected To Double by 2040 by Pam Belluck.  The New York Times.  April 3, 2013.

The original research study and two press accounts are above.  All are valuable.  Among the most disturbing aspects of dementia is that the fact that baby boomers with fewer children have fewer informal caregivers, a source of care uniquely required by Alzheimer's.  The concept of "emotional cost" of Alzheimer's was a powerful way to close the NY Times article and illustrates the importance of reading the entire article.

Wednesday, April 3, 2013

Rate-Setting System In Maryland May be Model For Nation

Maryland's tough New Hospital Spending Proposal Seen As 'Nationally Significant' by Jay Hancock.  Kaiser Health News.  March 31, 2013.

A key paragraph highlights the potential significance of Maryland's program:

The (Maryland) rate commission's "all payer" approach fixes hospital prices for everybody — commercial insurers, government programs and people paying cash — avoiding the cost-shifting from one payer to another that occurs elsewhere. The system also builds expenses for indigent care into statewide rates, ensuring that hospitals with high levels of uncompensated treatment stay in business.

Thursday, December 6, 2012

Program Tests New Approach to Treating Medicare/Medicaid Eligible Poor

Medicare-Medicaid Experiment Aims To Save On Care by Mary Agnes Carey and Sarah Varney/Kaiser Health News.  USA Today.  December 5, 2012.

California is experimenting with moving a large group of Medicaid enrollees from traditional fee-for-service programs into managed care to see if good care can be delivered at lower cost.  This program foreshadows the roll-out of a program under the Affordable Care Act for managed care for dual-eligible  people i.e. those eligible for both Medicare and Medicaid.  These dual-eligibles face some of the most complex medical cases from both programs.  The challenge is for better coordination to eliminate costs and deliver better service.  Critics site concerns regarding the speed of implementation and scope of the new program.  While there is an opt-out provision in the national program, critics wonder how that would work when a significant number of the affected patients have cognitive impairment.

Friday, November 30, 2012

Healing Spaces: The New Hospital Room

The Best Medicine for Fixing the Modern Hospital by Russ Mitchell.  Fast Company.  December 2012/January 2013.

Research has shown that hospital room design has a direct effect on health.  This research along with changing reimbursement incentives from Medicare emphasizing patient satisfaction has spurred an emphasis on hospital room design that is pleasant and therapeutic.  Safety is also a factor in the emphasis on design with some estimates of up to 200,000 deaths each year from accidents and medical errors.  This article addresses specifics of how the new hospital room might be designed.  One surprising fact:  Private rooms are more cost efficient than double rooms and less prone to spread of infection.