Headlines I Wish I Hadn’t Seen
Individual insurance premiums are about to go up by one-third.
What do they think ObamaCare does?
ACA health insurance application asks about voter registration.
Calculations by the Heritage Foundation via the Urban Institute:
100,000+ employees of Sears Holdings and Darden Restaurants (WSJ)
Throughout the nation, in response to shifts in health care, many small direct health care providers are opening shop. These direct providers are able to combat many concerns through price transparency, easy access and lower costs as they establish what is basically a menu of cash only services. Further, these one-on-one scenarios improve decision-making between patient and physician and take out the need for insurance and proof of citizenship…
Although not all medical care can be preventative or primary, Dr. Forrest contends that “only about 1% of the population gets hospitalized annually. Only about 5-10% of patients that seek care at a physician office cannot get the services they need in the outpatient setting.”
More on the consequences of employers dropping ESI in Forbes.
Dental therapists don’t receive as much training as a dentist. But they can perform some of the same basic services — such as pulling teeth and filling cavities — under the supervision of a dentist.
In Minnesota and Alaska, the two states that have practicing dental therapists so far, some of the therapists are able to take their work on the road, traveling to rural areas to treat those who have little or no access to dentists — or who have limited dental coverage. The dental therapists charge less than dentists and are able to take all types of insurance, including Medicaid and Medicare.
More on the limited access to dental health care in Politico.
In February, the Centers for Medicare and Medicaid Innovation (CMMI) sent out the 31 proposed quality targets that pioneers would have to meet if they wanted to receive bonus payments. Bonuses would be based on their ability to meet those targets beginning in 2013. But then, last week, 30 of the pioneers sent a letter to CMMI complaining that at least 19 of the quality targets had too little data behind them and were therefore unfair, unreasonable and even arbitrary.
More on accountable care strategies in the Kaiser Health News blog.
An average ER visit costs more than an average month’s rent.
The Queen has entered a private hospital (on Harley Street) rather than an NHS hospital; the same hospital Kate went to. Ah, the joys of socialized medicine.
Austin Frakt draws our attention to an NBER paper that finds an economic benefit from community rating. The argument: in imperfectly competitive markets, the gain to older buyers of insurance is less than the loss for younger buyers. However, the study ignores the most basic harm caused by the mispricing of health insurance; those who are over-charged will underinsure and those who are undercharged will over-insure. It also ignores an ethical problem previously addressed at this blog; older buyers are wealthier and have higher incomes.
The better answer: let insurance markets become competitive.