Tag: "Health Care Costs"

Headlines I Wish I Hadn’t Seen

wine-glassRed wine is healthier when it’s non-alcoholic (sorry).

ObamaCare premiums are about to skyrocket; they will double in some parts of the country.

The Obama Administration is will spending $17 million a month advertising for ObamaCare.

Emergency room visits increased after Massachusetts health reform was enacted.

Half of callers to Covered California give up as deadline looms.

A Better Way to Cut Medicare Spending

Over the next 10 years, the Affordable Care Act (ObamaCare) is scheduled to cut Medicare spending by $716 billion, primarily by reducing payments to doctors and hospitals. Further, those cuts in spending will continue indefinitely into the future. By 2060, one-fifth of Medicare will be gone. The Medicare actuaries and others have warned that these cuts will reduce access to care for seniors.

iStock_000002100130XSmallFortunately, there is a better way ― proposed by Liqun Liu, Andrew J. Rettenmaier, Thomas R. Saving and Zijun Wang in a study for the National Center for Policy Analysis: The reform consists of two changes to current law: (1) raising the Medicare eligibility age to the same age as Social Security (and thereafter indexing it to increases in longevity) and (2) requiring higher income seniors to pay a greater share of their medical costs (or so-called means testing). This reform ensures that low income workers receive full benefits (defined as the average benefits retirees would receive if the ACA’s cost-cutting provisions are not realized) upon attaining the new eligibility age. Once seniors reach the new eligibility age:

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CMS Backs Down from Medicare Part D Changes

Seniors should celebrate the administration’s decision to reverse its proposed restrictions of the Medicare Part D drug benefit plan.

By virtually all measures, Medicare Part D has been a great success. Seniors’ satisfaction rates average about 90 percent to 95 percent.

In January, the Centers for Medicare and Medicaid Services (CMS) announced plans to change how Medicare Part D plans are regulated. To save money, CMS wanted to block seniors’ access to drug plans that offer lower premiums (and lower copays) in return for patronizing a preferred pharmacy network. The changes would also have limited seniors’ access to certain medications.

After criticism launched from many fronts, including the NCPA, CMS this week announced it had backed away from its earlier recommendations to micromanage Medicare Part D drug plans.

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Study: Drug Insurance Reduces the Cost of Other Therapies

Results indicate that obtaining prescription drug insurance through Medicare Part D was associated with an 8% decrease in the number of hospital admissions, a 7% decrease in Medicare expenditures, and a 12% decrease in total resource use. Gaining prescription drug insurance through Medicare Part D was not significantly associated with mortality. (NBER)

Headlines I Wish I Hadn’t Seen

Healthcare organizations of all kinds are being routinely attacked and compromised by increasingly sophisticated cyber-attacks.

Fourth Georgia hospital closes due to ObamaCare payment cuts.

The Los Angeles Unified School District, the nation’s largest outside New York City, owes so much for retiree health care that paying off its debt would cost $17,500 for each student — and there are 640,000 of them.

Does a higher minimum wage cause more crime?

Update on Doctor Pay Fix

  • CBO says a fix will cost $153 billion over the next ten years.
  • Rs and Ds have agreed on a fix, but they haven’t found a way to pay for it.
  • But if they don’t do something doctors are about to get a double digit pay cut under Medicare.
  • Under the deal, 9% of doctor fees will be based on conformance to quality indicators by 2021. But since we know that P4P doesn’t work, it’s not clear why they are going through the motions.

The plan. Sarah Kliff commentary.

Are Young People Better Off Being Uninsured?

The Affordable Care Act makes health insurance more expensive for young adults while simultaneously making it far less risky to go without insurance according to a study by Conor Ryan, a health care analyst, and Chris Holt, the director of health care policy, at the American Action Forum. They find that opting out of coverage and paying their own costs out-of-pocket would be the most financially advantageous decision for most young adults.

  • In 2Uninsured1014, 86 percent of young people would be better off opting out. As the penalty rises, that number will drop, down to 66 percent in 2019.
  • By reducing the sample down to only those households who had medical expenditures in 2011, the study determined that 72 percent of those young adult households would be better off opting out of health coverage, with that number dropping to 59 percent in 2019.
  • In a third scenario, which accounted for the inherent value of health insurance, 63 percent of young adults would see a financial advantage from opting out of health insurance, that number dropping to 41 percent in 2019.By reducing the risks of forgoing insurance while at the same time increasing the cost of health coverage, the Affordable Care Act incentivizes young adults to cover their own health expenses and opt out of insurance.

Hits and Misses

After migraine-illustration-002puberty, the prevalence of migraines is higher in women than in men: 18% for women, and 7% for men.

Can lack of sleep be slowing down the growth of G.D.P.?

Ten most expensive insurance markets in the country: they include Aspen, Vail and the state of Alaska.

David Henderson: to reduce inequality, raise the wages of those at the bottom and create opportunities for higher-paying jobs, get rid of occupational licensing.

Hits and Misses

282864060-060933377Tyler Cowen reviews the literature: the minimum wage does little to reduce poverty.

Margaret Carlson’s tribute to Tom Coburn.

CNS News interviews me on “death spirals.”

Bryan Caplan explains why economists put so high an economic value on life.

In Europe, immigrants can move to the country that pays the highest welfare benefits.

Retail clinics run by nurses save money.

Headlines I Wish I Hadn’t Seen

Feder477-money-down-the-toilet-omb-improper-paymentsal agencies spent more than half a trillion dollars over the last decade on improper payments.

The “back-end” of HealthCare.gov still isn’t finished.

California hospitals charged mothers $3,296 to $37,227 for a routine delivery; for a cesarean section, patients were billed $8,312 to nearly $71,000.

The small business exchange: In Kentucky, just 14 companies signed up as of Jan. 1, while Colorado enrolled 101, and Connecticut 106.