Word: treatments
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That's the international standard most private and government-run health insurance plans worldwide use to determine whether to cover a new medical procedure. More simply, insurance companies calculate that to make a treatment worth its cost, it must guarantee one year of "quality life" for $50,000 or less. New research, however, would argue that that figure...
...Medicare has covered unconditionally since 1972 despite rapid and sometimes expensive innovations in its administration. To tally the cost-effectiveness of such innovations Zenios and his colleagues ran a computer analysis of more than half a million patients who underwent dialysis, adding up costs and comparing that data to treatment outcomes. Considering both inflation and new technologies in dialysis, they arrived at $129,000 as a more appropriate threshold for deciding coverage. "That means that if Medicare paid an additional $129,000 to treat a group of patients, on average, group members would get one more quality-adjusted life year...
...cost-effectiveness analysis in determining coverage of procedures. Nearly all other industrial nations - including Canada, Britain and the Netherlands - ration health care based on cost-effectiveness and the $50,000 threshold. Medicare, on the other hand, decides whether to pay for new technology based on whether a treatment is "medically necessary and appropriate." But as health care expenses rise and entitlement programs grow fiscally strapped - at least one part of Medicare is now expected to be bankrupt by 2019 - more and more academics have called for this approach to be reconsidered, and for cost to become a factor. Such...
...much coverage they'll give customers. In fact, at least some Americans seem at ease with allowing money to play a prominent role in health care decisions. In a 2007 survey of New Yorkers, 75% of participants felt "somewhat" to "very" comfortable with allowing cost to inform Medicare treatment decisions, once they understood how the system worked. "Americans understand and are prepared to engage the issues that arise when setting priorities and limits for their public programs," Marthe Gold, the City University of New York Medical School professor who conducted the study, wrote with colleagues this past fall...
...Pelosi's unpopularity, in many ways she got a nicer arrival treatment than the last senior female American official to appear in Baghdad, Secretary of State Condoleezza Rice. Rice slipped into Iraq in January much the same way Pelosi did today - stealthily, with a terse confirmation by the U.S. embassy offering few details of the agenda. But within hours of Rice's arrival, TV news was crackling with word of it, and soon thereafter a volley of mortars fell on the Green Zone in an obvious message from Rice's detractors. No rockets or mortars were heard heading into...