[…] Much has been said about how we need to reign in health care costs in order for health insurance to be universally affordable. But we also need to figure out how to just use less medical care all around. We need to find ways to support health rather than react to illness (diet is a good place to start). And we need to question just how much we want our lives to revolve around medical intervention, pharmaceutical concoctions, and beeping machines. As Dr. Welch noted, some medical interventions are absolutely essential and worthwhile. But that is not the case for all medical care, and a “less is more” approach might create a healthier population and lower health care costs.
hospitals
Colorado Ranks Highly In Women’s Health
Colorado is the only state in a recent report by HealthGrades to rank in the top ten for all three aspects of women’s care studied (see appendix D on page 15 of the report). Although only three hospitals in Colorado received the HealthGrades 2009/2010 Women’s Health Excellence Award: North Colorado Medical Center in Greeley, Poudre Valley Hospital in Fort Collins, and Centura Health-Penrose Saint Francis Health Services in Colorado Springs. […]
Instant Billing Long Overdue
I have often thought that an instant billing/payment system for medical offices (sort of a Visa/Mastercard type of setup between providers and health insurance carriers) was long-overdue. This New York Times article details exactly how such a system could work, but also addresses some of the problems it would face. The main issue is the complicated nature of health insurance billing, with thousands of medical codes that the doctor’s office has to sort through in order to correctly submit a bill. […]
Colorado Delaying Medicaid Payments
[…] And that means that Medicaid claims submitted over the last couple weeks won’t be paid until July 9th – providers will miss out on payments that were scheduled for last week and later this week. The 2011 fiscal year begins in July, and the state is planning to push Medicaid reimbursements out in order to contain the budget for this year. The money will eventually be paid to the providers, but for book-keeping purposes it will be in a different fiscal year, and it also amounts to an interest-free short term loan from the providers to the state. […]
Health Insurance Carriers Continuing To Improve
A year ago I wrote an article about how health insurance companies were generally doing a better job in 2008 of paying claims faster and denying fewer claims than they did in 2007. The annual Athena Health study results are now out for 2009, and overall there was another significant increase in the speed with which health insurance companies paid claims (7 days faster than in 2008) and a decline among most payers in terms of the percentage of claims denied. […]
Radiation Exposure From Medical Testing
I just read a rather alarming article about the dramatic increase in radiation exposure from medical tests over the last couple decades. We get more medical radiation than people in any other country – in fact, half of the world’s advanced imaging procedures that use radiation are done in the US. And the average American’s radiation exposure from medical testing has grown sixfold in the last twenty years. […]
Most Emergency Room Patients Have Health Insurance
[…] Finding a doctor who takes Medicaid is significantly more difficult than finding a doctor who takes private health insurance, and I wonder if that might be a contributing factor in the crowding of our emergency rooms. If a person with Medicaid is sick and unable to find a nearby doctor who accepts Medicaid, he might end up not seeing a doctor at all and his condition might worsen to the point of needing emergency room care. Maybe efforts to make Medicaid more attractive to doctors might help to alleviate some of the over-crowding in emergency rooms.
Colorado Expanding Access To Medicaid And CHP+
A new state law that imposes fees on hospitals went into effect this week. Over the next few years, it’s expected to allow Colorado to expand access to health insurance to about 150,000 of the state’s 800,000 uninsured residents. The funds generated from the hospital fees will allow Colorado to expand access to Medicaid for adults, increase the income limit to qualify for Medicaid, and expand access to Child Health Plan Plus (CHP+) for children and pregnant women. […]
The Value We Get From Our Healthcare Dollars
[…] Perhaps the question we should be asking is not who should be paying for healthcare, but rather, why in the world are we paying so much in the first place? Health insurance premiums will continue to rise as long as health care costs do the same. It won’t do any good to try to address premiums without first figuring out why we’re paying so much for our health care in the first place, and doing something about it.
Rush Limbaugh Advises His Listeners To Go Uninsured
There are plenty of valid complaints against the current health care reform bills. Those who say that the bills don’t do enough to address the root problem of ever-increasing health care costs have a very good point. But take it with a grain of salt when a multi-millionaire with the ability to pay cash for any medical treatment he might need rails against reform that might make medical care more affordable for average people and talks […]
Updating Communication Between Providers And Insurers
[…] What if our health insurance ID cards came with barcodes that could be scanned in the doctor’s office or hospital, immediately allowing the office staff to see our benefits, how much of our deductible still needs to be met, and any exclusions on our policy? Then admission and treatment data could be transmitted directly to the health insurance carrier, without the need for phone calls or extra staff. […]
A Database To Compare Health Care Costs At Colorado Hospitals
[…] It’s hard to have an effective dialog about costs and cost-control when the average person has no idea what the costs actually are, and no realistic way of finding out. EOBs are great, but they only come after a person has received treatment, and thus aren’t particularly useful in terms of comparison shopping. Kefalas’ bill would be a good step towards transparency in health care costs, and I hope it is well received.
Pilot Programs Might Be The Key To Cost Control
[…] It’s easy to criticize the length of the health care reform bills (and I would agree that it would be more helpful if they were written in plain English), but perhaps they are so long simply because there is such a wealth of ideas contained within them. It will take the test of time to determine which of those ideas are true winners, but without including them in the language of the bills, we’ll never know.
Grand Rounds Vol. 6 No. 8
How To Cope With Pain brings us a truly amazing video. It’s a reminder to be thankful for all that we have, and for the things in life (like this video) that inspire us. It’s well worth the five minutes it takes to watch it.
Amy Tenderich of Diabetes Mine shares a “would you rather…?” moment from her 9-year old daughter. It’s a poignant reminder, seen through the eyes of a child, that all of the parts of our lives – even the bad parts – combine to make us who we are […]
Health Wonk Review
Welcome to the Health Wonk Review. 2009 has been an exciting year for health care reform, and last Saturday’s passage of HR3962, the Affordable Health Care for America Act, has given us plenty to talk about. For anyone who hasn’t kept up on the details of the House reform bill, I want to start things off with a four-part series from Tim Jost, who holds the Robert L Willett Family Professorship of Law at the Washington and Lee University School of Law. His articles were published at Health Affairs Blog, and amount to an excellent primer, written in plain English, for people who want to understand HR3962, but don’t have time to read all 1990 pages […]
Conflicts Of Interest In Health Care
[…] Hospitals are in business to make money, just like most of the other players in the health care industry. And hospitals have boards of directors. We know this, but do we know what they do, or who they are? Dr. Roy Poses of Health Care Renewal has written an article about hospital boards that might make your blood pressure rise a notch or two. […]
Efforts To Reduce Never Events
[…] Ideally, we should have enough safeguards in place that “never events” truly never happen. But even if we eliminate the worst errors, there are still a lot of medical errors that could be prevented with extra checks and fail-safe systems in place. A trend towards not paying for mistakes could go a long way towards reducing the number of preventable medical errors in our hospitals.
Some Government Can Be A Good Thing
I always appreciate it when someone actually throws a potential solution into the mix, rather than just complaining about the way things are/were/will be. The Happy Hospitalist has outlined his ideas for healthcare reform in a comment on his blog. I like his out of the box thinking, and the simplicity. But there are some issues that immediately come to mind […]
The Conscience Clause And Access To Healthcare
[…] Instead of requiring doctors to provide services that go against their moral beliefs, why not work to make sure that every community has providers who will perform a wide range of reproductive services? If clinics like Planned Parenthood get adequate funding, doctors practicing nearby could invoke the conscience clause without depriving the community of medical services.
New Ideas In Healthcare Cost Management
[…] spreading healthcare costs over a large population doesn’t do anything to lower the actual cost of healthcare, and might be seen as putting a layer of paint on a crumbling wall. I’m not quite as quick to discount this idea, although I agree with Jaan that more needs to be done than simply increase the number of people paying into the health insurance system.
Salaries For Healthcare Executives
[…] With other private industries, we have more of a choice in terms of quality, price, and whether we want the product in the first place. Somehow it doesn’t feel right that healthcare is set up just like all of our other industries, with executives making 7 and 8 figure salaries while millions of Americans are without health insurance and don’t have realistic access to healthcare at all.
Why Just Insuring Everyone Is Not The Answer
[…] just providing health insurance to the uninsured would still leave us with a pretty big mess. We don’t have enough primary care docs, our drugs are too expensive, our hospitals are too focused on turning a profit, we spent more than any other country on our healthcare, and yet our results are mediocre at best. […]
If You Have No Ideas, Just Deny The Problem Exists
[…] I’m hopeful that our next president will make an effort to reduce the number of people in Colorado and across the nation who are without health insurance. If the next president is John McCain, I hope that when he’s searching for advisers, he at least picks people who do think that we have some problems in our health care system.
More Care Does Not Mean Better Care
None of the hospitals in the Dartmouth study are in Colorado, but I’m curious now to see how the major Colorado hospitals pay their doctors. Given a choice, I would be more inclined to use a hospital that pays physicians a salary, rather than using a per-procedure compensation structure.
It Pays To Be A Non-Profit Hospital
At least two of the blogs we read have posted articles relating to a Wall Street Journal feature about how non-profit hospitals in America are doing pretty darn well on the money front. Schwitzer Health News Blog and GoozNews have both written about this eye-opening story, and I had to go read it for myself…. Read more about It Pays To Be A Non-Profit Hospital