Insurance copays are higher than the cost of the drug about 25 percent of the time, according to a study published in March by the University of Southern California’s Schaeffer Center for Health Policy and Economics. https://www.pbs.org/newshour/health/why-a-patient-paid-a-285-copay-for-a-40-drug
Category: third-party payments
Improving Hospital Competition: A Key to Affordable Health Care
In 2011, James Robinson of the University of California reviewedhospital prices charged to commercial insurers for six common procedures: angioplasty, pacemaker insertion, knee replacement, hip replacement, lumbar fusion, and cervical fusion. He found that, on average, procedures cost 44 percent …
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Trump’s New Vision for Health Care
Hats off to John C. Goodman again! His work in leading the effort for market-based healthcare reform over the past 4 decades, and highlighting the government’s role in the dysfunctional mess we labor in, is second to none. This Forbes …
DPC and Self-Insured Employers: A New Paradigm for Primary Care
Imagine you’ve just been named Healthcare Czar of the United States. Your mandate is to achieve highly effective primary care. The road-map to effective primary care includes eliminating barriers between physicians and patients, including bureaucratic inefficiencies, while simultaneously decreasing the over-all …
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The Triumvirate of Healthcare Spending
by Robert Nelson, MD 1. Price distortion 2. Price Insulation 3. Price Confusion Shared via PowerPoint on Android.
Over-reliance on Health Insurance Can be Hazardous to Your Health: A Case for DPC
By Robert Nelson, MD Despite its own admission that Flu Vaccine is, at best, only 40 – 60% effective at reducing risk of Flu-like illness, the CDC repeatedly lists receiving the Flu vaccine as “step one” in prevention. This recommendation also acknowledges the …
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Replacing Myths with Markets
Hardly a week goes by that we don’t hear a defense from the status quo about how different healthcare is from any other services or commodities. The dogma, based on economic fallacies, is pervasive. We’re asked to believe that advanced …
Pay-for-performance program failures raise doubts about future success of MIPS | FierceHealthcare
Medicare’s Value-Based Payment Modifier Program, which was designed to improve value by paying doctors who perform better on measures of quality and spending, was a failure, and, in fact, likely exacerbated disparities in delivery, according to the study published in the Annals …
