In his latest column, Steven Pearlstein all but predicts all-payer rate setting is in our future, Here’s the dilemma: The only way for the health-care
With the help of reader Rob, I think I now understand what happened with historical Medicare hospital payments. The roughly six readers who are following
Reader AB responded to my plea for an equation that expresses the new MLR regulation. Loss ratio = (claims + activities to improve health care
With his permission, below I quote in full a post by Ohio State University Professor of Pediatrics, Psychology, and Psychiatry Bill Gardner who writes on
There’s lots being written about medical loss ratios since the issuance of rules about it by HHS yesterday. I’m largely not reading about it because
Here’s the next several passages from Paul Starr’s The Social Transformation of American Medicine that I care to share (all posts pertaining to this book are under
I know it makes for great media to focus on repeal, or the constitutionality of the mandate, or whether attempts to defund the law will
There’s a perception “out there” that the Independent Payment Advisory Board (IPAB) can’t affect how Medicare pays hospitals. For example, in today’s Wall Street Journal,
A long time reader of the blog was kind enough to alert me to the release of the International Federation of Health Plans’ Annual Comparative
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