Blog

Newtown, CT - October 27, 2017

Moving medical education from thoroughness to appropriateness is a close to incredible accomplishment. The next phase is to move it to affordabilityNeel Shah and his colleagues at Costs of Care, in collaboration with our good friend...

Newtown, CT - October 20, 2017

And now it’s others’ turn to own up – Yesterday the state of Maryland released the initial version of its new price and quality transparency website, WearTheCost. The information is currently limited to four elective inpatient procedures and the pricing information is for commercially insured residents of Maryland using data from 2014 and 2015. The pricing information is...

Newtown, CT – October 13, 2017

A battle in New England may, once again, ignite a revolution – Two weeks ago the clock ran out on negotiations between Hartford Health Care (HHC) and Anthem in Connecticut. They had been negotiating for several months and HHC expected to go through the usual kabuki dance and end up with what...

Newtown, CT - September 29, 2017

Yes it hurts for those who need health care the most – Earlier this week the JP Morgan Chase Institute released a report that contained good insights on out-of-pocket spending for Americans. To put these in perspective, it’s important to understand a few data facts. The expenses are only those...

Newtown, CT - September 15, 2017

We are ready for a real consumer revolution in health care, and MESAs may be the spark that lights the fuse – Earlier this week we released our alternative to current high deductible health plans, the...

Newtown, CT - September 8, 2017

Maybe, just maybe, the market may be starting to work. Time to hit the gas – As our colleagues report, growth in health hiring and hospital spending continue their decline, leading to a net decrease, albeit tiny, of the weight of health care on the U.S. economy. Teasing out the impact of...

Newtown, CT - August 25, 2017

Markets in health care can work and do in some instances, just not enough. That will changeLast week’s paper in the NEJM by Robinson et al. shows that changing the frame of a choice for plan members getting prescription drugs worked well and had the intended effects. Plan members selected lower priced medication, and those that...

Newtown, CT - August 18, 2017

Just before a tsunami hits, the water recedes – With the announcement this week by CMS of the withdrawal of previously proposed hospital-centric mandated bundled payment programs, some have been quick to judge the move as a retrenchment from value-based payment. We see things quite differently. First, as written before, the...

Newtown, CT - July 21, 2017

And now….WTFK – As we get into the dog days of Summer, the DC hounds are howling, the Texas coyote is yelping, the Hill poodles are strutting, and the rest of us are sweating. No one really seems to care about those who are sweating it, but that seems par for the course. After all, policy makers of all breeds seem more interested in sniffing out who should or shouldn’t be...

Newtown, CT - July 14, 2017

Health disparities exist, and should not be masked away in the name of fairness of physician or hospital performance comparisons – With all the work currently undertaken to account for social determinants of health, race and ethnic differences in access to and quality of care, let alone other patient characteristics, there is a real danger that disparities become permanently...