- Why don’t we have more human challenge trials for vaccines and other new drugs?
- Study: Minimum wage increases do not reduce poverty.
- Why does Medicare require a three-day hospital stay before it will pay for a skilled nursing facility transfer? Medicare Advantage plans don’t require this.
- Has the US ever defaulted on its debt before? Yes, three times.
- More than 20% of Medicaid enrollees no longer meet the criteria for program eligibility. States have not conducted redeterminations of Medicaid enrollees’ eligibility in more than three years.
- US Surgeon General: loneliness is as dangerous as smoking up to 15 cigarettes a day.
- Medical researchers: Don’t skip breakfast. Even a cup of coffee can have a positive effect. (NYT)
Category: Cost of Healthcare
Wednesday Links
- “Longer life with no greater proportion lived in good health equals more years in poor health—statistically, for the population at large.” Interesting throughout, with implications for research and public policy priorities.
- Obesity drugs could save Medicare $100 billion a year.
- 40% of privately insured patients receive no preventive care, despite the ACA mandate for free coverage.
- David Henderson grades the US on how far we have come toward achieving Karl Marx’s ten public policy goals.
- Monopoly matters: “in states in which the market share of the dominant health insurer exceeded 71 percent…[that] payer, on average, paid 14.7 percent less to hospitals than market-leading insurers in more competitive insurance markets.”
Why MA Upcoding is a Thing of the Past
In the past:
When the OIG did audits on fraud for Medicare Advantage for the past several years, the literal definition of fraud in their reviews was to have a code in the RAPS payment system that was not the one in the actual medical record of the patient… [and] they estimated in a couple of reports that the fraud level using that definition … would be as much as 6 percent of the total Medicare Advantage spend.
The fee-for-service Medicare fraud level ranges from 6–7 percent, so the people looking at both numbers said that the plans and the caregivers were in the same ball park….
Dental Therapists are Key to Dental Care in Underserved Areas
I’m seeing my dentist tomorrow for a cleaning. I go two or three times a year. Last year I even wrote about going to Costa Rica for a dental visit to have an implant finished. While I was there, I had some aging veneers that were deteriorating replaced with crowns. I see my dentist far more than I see my primary care physician. Whereas I can have lab tests performed even if I don’t see my physician, the same is not true of dental visits. Dental visits are hands-on. There are no substitutes for dental examinations or dental hygienist cleanings. Yet, many people neglect dental care due to the cost, often made less convenient by a lack of dentists in their immediate area.