A Dialogue on Health Care

Q: If health insurance is something one can buy, why not let people buy what insurance they want? A: To call it insurance is a misleading misnomer. Since sickness befalls everyone sooner or later, unlike house fires or auto accidents, we are not protecting ourselves against an event which usually affects other people. The term …

Report on annual hearing of the Department of HealthCare Finance and Policy

  Complex system requires complex changes Consumer involvement needed, perhaps through tiered plans Standardization and transparency in price and quality reporting needed Coordinated care, medical homes, bundled payments—all mean rewarding value and outcomes rather than services IT is critical A slow transition is needed     In June, the Department of Healthcare Finance and Policy …

Analysis of Attorney General’s Report on Healthcare Cost Trends

Analysis of the Attorney General’s report: Examination of Health Care Cost Trends and Cost Drivers Pursuant to G.L. c. 118G, § 61?2(b) Report for Annual Public Hearing June 22, 2011   Wide disparities in healthcare payments exist that are not due to variations in quality Simply changing to global payments does not reduce costs More …

Report On Hearing Regarding Governor Patrick’s Healthcare Cost Control Bill

Hearing was the first of several Bill would change healthcare payments and organizations Everyone “pro” cost control, but some details at issue Providers concerned with over-regulation, lack of flexibility Others want public-option, public wellness provisions Committee concerned with cost estimates and funding     The joint committee on healthcare finance held its first hearing regarding …

Blue Cross Blue Shield Severance Payout

The $8.6 Million payout to the ousted Blue Cross CEO ( Cleve Killingsworth) doesn’t give me much confidence in this near-monopoly “Non-Profit” company or its Board of Directors. (Directors are paid  over $50,000 per year each, for one meeting a month). That’s a lot of co-pays at $20 each !    Note that Killingsworth will …