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| Features and Opinion Learn what experts think about the current trends in the health care industry and the steps already being taken towards health care reform. Interested in contributing to this page? Please contact us at editor@reformplans.com.
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Covering the Uninsured: Cheap at Twice the Price - Health Affairs Blog |
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Henry Aaron, Brookings Institution, Health Affairs, August 25, 2008
Aaron references the Hadley et al. article on "Covering the Uninsured " and goes on to discuss how the McCain and Obama plans would each address the problem of the uninsured. He points out that in the end, "What is clear is that the system-wide net cost of universal coverage does not begin to reveal the tidal shifts in spending that all plans necessary to achieve that goal entail. Nor does it hint at the redistribution among providers that would result from measures such as those proposed in different forms by both candidates to promote generic drugs or malpractice reform."
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The Ignored Healthcare Solution: Reward Cognitive Effort - ReformPlans.com |
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Martin Neltner, Neltner Billing and Consulting, Aug. 25, 2008
The U.S. health care system is a usage-driven health care system. The only solution is to create a patient-care driven system where the physicians and plans partner to create real savings by rewarding the providers.
During the past decade a tremendous amount of focus has been placed on the increasing cost of health care. National health expenditures have skyrocketed and are projected to increase to $4.031 trillion by 2015 . These values represent 13.8%, 16.0%, and 20.0% of the Gross Domestic Product (GDP) of the United States, respectively. There are a variety of reasons for the increase in costs, and just as many proposals for solutions to control the increase. However, the proposals ignore the most promising solution, which is to reward the cognitive efforts of physicians and their clinical staff.
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Obama Sets an Unbelievably Difficult Timeline for Health Reform - StarTelegram.com |
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Steve Jacobs, StarTelegram.com, Aug. 24, 2008
Noting that "Obama has pledged to lower healthcare costs to save the typical family $2,500 annually in insurance premiums by the end of his first term," Jacobs explains why that is such a tall order.
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The Part D Donut Hole: Health Consequences - Kaiser |
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Kaiser Family Foundation, May 29, 2008
What's the effect of the infamous Medicare prescription drug coverage "Donut hole" on health? Researchers at Georgetown University, NORC at the University of Chicago and Kaiser, have come up with some numbers, and they find that about 3.4 million beneficiaries (14% of all Part D enrollees) fell into the gap and faced the full cost of their prescriptions in 2007. Of those, 15 percent stopped taking their medications, 5 percent switched to another drug, and one percent cut back on their medicines.
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Expert Says Competition Key for Health Reform - CNSNews |
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Nicholas Ballasy, CNSNews.com, Aug. 21, 2008
Ballasy spoke about strategies for U.S. health care reform with Michael Tanner, a senior fellow at the libertarian/free market Cato Institute in Washington, D.C., where he specializes in health care reform, social welfare policy and Social Security.
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Health Insurers Hedge Their Bets - Business Week |
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Wendy Diller, Standard and Poor's Equity Research, Aug. 14, 2008
Diller describes how "Managed-care providers UnitedHealth and Aetna, eyeing the specter of health-care reform, are diversifying into new markets and product lines."
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The Rebranding of Pay for Performance - World Health Care Blog |
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John Moore, Chilmark Research, August 11, 2008
Last year I attended the Healthcare Quality and P4P (Pay for Performance) conference put on by the World Health Congress. This was my first healthcare conference and it provided me a great opportunity to gain a better understanding of the healthcare market and critical issues therein.
Well, its been a year now and once again I had the opportunity to attend this event. Unlike last year, I knew a lot more about the industry and market trends, thus did not get as much out of the event. But having been to more conferences than I could ever count one thing I have learned is that conferences are much like panning for gold - you have to sort through a lot of fool’s gold before you come across a nugget of the good stuff.
Following are gold nuggets I walk away with from this event.
P4P is out, gainsharing is in
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The DNC's Guaranteed Healthcare Reality Check - American Patients United.org |
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Donna Smith, American Patients United, August 12, 2008
Smith, who appeared in Michael Moore's "Sicko" and is co-chair of the Progressive Democrats of America's "Healthcare not Warfare" plan, writes that she was one of the people who negotiated the changes in Democratic National Committee’s platform language with Rep. John Conyers and DNC platform committee member Bob Remer of Chicago. “I can tell you that there probably was a little nodding to the Clinton camp and some hope to quiet the single payer rumblings, but the much more significant outcomes are yet to be from that language shift from universal health "coverage" to guaranteed health "care."”
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Forecast Calls for More Lobbyists - The Washington Post |
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Jeffrey Birnbaum, The Washington Post, Aug. 12, 2008
"Health care will probably be an early focus, especially if Obama wins," Birnbaum writes, noting that AHIP and NFIB are two organizations already putting a lot of effort into lobbying for their kind of health care reform.
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Can it Happen Here? - The New York Times |
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Paul Krugman, The New York Times, August 10, 2008
Responding to the Democratic party platform, and the fact that it includes a call for health care reform, Krugman argues that universal health is a possiblity, based on the success of Medicare and current trends.
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Certain Hospitals Shouldn't Get Special Treatment Under Health Reform - The Eagle Tribune |
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Jim Stergio, The Eagle Tribune, August 10, 2008
Cutting costs will be essential to keep Massachusetts' health reform program on track, and one of the key ways to do that is to "reduce the politically driven $180 million in "supplemental
payments" to two large Boston-area providers, Boston Medical Center and
the Cambridge Health Alliance," Stergio argues.
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Former Secretary of State George Shultz discusses his new book, "Putting Our House in Order: A Guide to Social Security and Health Care Reform." From the World Health Care Congress in Washington, DC.
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