humani nil a me alienum puto

random rants about news, the law, healthcare law, economics and anything I find amusing

Potpourri of Links (Mostly Healthcare Reform Related)

Health Affairs has a  blog post that integrates  recent Atlantic and New Yorker articles and challenges the wider applicability of a recent study’s finding of of a forward-looking coorelation between spending/utilization and quality…

And Atul Gawande (author of the New Yorker article above) has another New Yorker article worth a look at.

A post on possible gender bias in scientific writing anthology by Richard Dawkins.

Health Wonk Review with sausage.

A discussion (from October) of the Medicare buy-in now being proposed; Insurers, AMA and AHA oppose.

Big money in pharmaceutical sales data.  Will it be restricted?

Behavioral intervention to bring about a positive change in cortico-cortical white matter tracts.

Filed under: Health Law, Personal Posts, Reform, ,

Health Care Reform

The one good thing about the debate thus far has been my ability to procrastinate.  Frankly, I’ve been happy that nothing definitive has passed either the House or the Senate.  Not for any particular partisan or ideological reason, but simply because once it does, I, and a lot of attorneys I know, will have a lot of primary source reading to do.   Summaries suffice until laws are passed and language must be parsed.  That time may be about here with the vote yesterday on H.R. 3962.

Recently a client, who is also taking an MBA course, asked if I had any useful information about the health care reform debate.   She wanted less highly technical materials; she wanted materials she could use to understand the debate and that were not completely uninteresting.   I told her I had a few decent links of materials I’d read over the last six months or so.  Some I’ve highlighted here.

  • This American Life.   In two programs, “More Is Less” and “Someone Else’s Money”  they spend a couple hours, in TAL’s original ‘explain it through an anecdote’ kind of way, exploring factors influencing health care inflation and how our employer driven health insurance system evolved into what it is today.   They did the programs with NPR News and specifically the Planet Money folks that helped with their amazing programs on the financial crisis — “The Great Pool of Money” and “Bad Bank.”
  • How American Health Care Killed my Father, by David Goldhill (Atlantic, September 2009).  A very readable and personalized discussion of distortions in the American healthcare system.  Final argument is that health care insurance reform should look at forcing more financial obligations on patients and move toward catastrophic coverage.   David Brooks mentioned this article in an op-ed piece he wrote.
  • The Cost Conundrum, Atul Gawande (New Yorker, June 2009).   I discuss the article here.  This is important since it was very widely discussed and it’s themes regarding variations in health care spending (many arguing as necessary to fix to “bend the curve”), has gotten a lot of attention.  I also noted a recent HHS-OIG settlement in McAllen; of interest due to my discussion.
  • Health Care Inflation Trends.  Since one major component of health care reform is ‘bending the curve’, what of health care inflation?  I pointed out one post from a blog I follow that succinctly summarizes Medicare, Medicaid projections.  I also suggest a private analysis discussing health care spending inflation and the impact on reform concluding “given that the current path of GDP and consumption appears to be sustainable for only another decade, reform of the federal health care programs and a realignment of the health care sector will occur soon.”

If I were giving to her today, I’d probably add:

 

Filed under: Health Law, Reform, , ,

Health Policy Pro/Con Summary of a “Public Plan”

I was catching up on reading and spotted this pretty good (and pretty short) summary from Health Affairs of some of the pro/con arguments concerning a publicly administered health insurance option as part of health care reform.  It’s worth a read and I think fairly and intelligently gives a high level summary of the debate.

For another view of the public plan option, which argues that a public plan option is necessary due to significant consolidation in the health insurance and hospital markets, see the Urban Institute’s paper entitled Is the Public Plan Option a Necessary Part of Health Reform? http://www.urban.org/UploadedPDF/411915_public_plan_option.pdf This is one of the prominent arguments that I have heard the Obama administration make. This might seem a paradoxical argument — i.e., you need direct government participation in the insurance market to make it more competitive.   Query, given this line of argument and whatever else occurs, if it forbodes future antitrust enforcement in the healthcare insurance and delivery sectors.

PostScript 7/27/2009:  Saw this Modern Healthcare discussion of healthcare antitrust enforcement giving some additional color on how healthcare reform and antitrust enforcement may tie together.

Filed under: Health Law, Reform, , ,

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