Word: careful
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...hear a lot about "bending the curve." What are the most effective ways to lower the overall costs of American health care? First, you've got to integrate payment and provision of care. Everybody talks about preventive medicine, but almost nobody does it because there's no payback. A private practitioner invests money in preventive care and the hospital benefits. They're not connected. Second, pay people - particularly primary-care providers - for taking good care of patients without rewarding doctors for doing more and more and more. That's what the system is currently based on. The more...
...switching our whole health-care system away from this "fee-for-service" model would be incredibly complicated, no? That's absolutely not true. There are already great models - Medicare is one. When Medicare pays hospitals, they pay by disease, not by how long people stay there. Consequently hospital stays have dropped dramatically. I would disagree that this is gonna be a tough transition. I think it's going to be a very good transition. If there's a public option, it will force the transition...
Until the nation's governors staged a public revolt last weekend, few people were paying attention to one of the most far-reaching proposals being considered as part of overhauling the health-care system: a dramatic expansion and redefinition of the Medicaid program. Redefining who is eligible for Medicaid would be one of the major means by which lawmakers hope to achieve universal health coverage - which is one of the reasons that governors, whose budgets are already straining under the program's growing costs, are so wary of the idea. "It depends on what's being proposed," says Pennsylvania...
...handed the bill for yet another Washington initiative. Tennessee's Democratic governor, Phil Bredesen, told the New York Times that he regarded the proposed expansion of Medicaid as "the mother of all unfunded mandates" and warned, "Medicaid is a poor vehicle for expanding coverage." (See the top 10 health-care-reform players...
...seems, could the governors' rebellion have come at a worse time for President Obama's health-care-reform effort, which is being hit from every side by growing doubts. Douglas Elmendorf, head of the Congressional Budget Office, has testified that the legislation thus far has too little cost containment. Senators of both parties are trying to put the brakes on the President's drive to have bills passed by the House and Senate by the August recess. Republicans are calling it a dangerous "experiment." And even the Mayo Clinic - often cited by Obama as the model of what an efficient...