Podcasts about health care spending

Understanding health conditions with the most spending and variation across locations and over time is important for identifying trends, inequalities, and strategies for lowering health spending. Joseph Dieleman, PhD, of the University of Washington speaks with JAMA Associate Editor Karen Joynt Maddox, MD, MPH, about county-level variation in health care spending across the US. Related Content: Tracking US Health Care Spending by Health Condition and County

Editor's Summary by Preeti Malani, MD, MSJ, and Linda Brubaker, MD, Deputy Editors of JAMA, the Journal of the American Medical Association, for articles published from February 8-14, 2025.

Ridin bikes with pea shooters when young and buying records. DOJ sues CVS over opioid crisis.  CMS states Health Care Spending up - alot to do with anti obesity drugs.  Medicare Advantage Open Enrollment Jan 1 to Mar 31

James Capretta joins Robert to talk about how the US can address increasingly unsustainable spending on Medicaid and Medicare. They discuss actions the executive branch and Congress can take to drive down prices; limit waste, fraud, and abuse; and increase revenue. James Capretta is a senior fellow and Milton Friedman Chair at AEI where he […]

James Capretta joins Robert to talk about how the US can address increasingly unsustainable spending on Medicaid and Medicare. They discuss actions the executive branch and Congress can take to drive down prices; limit waste, fraud, and abuse; and increase revenue.James Capretta is a senior fellow and Milton Friedman Chair at AEI where he studies health care, entitlement programs, and fiscal trends in advanced economies. Read his latest writing on federal budget baselines, defense spending, and health care reform.

Rep. Bill Hauter (R-Morton) joined Patrick on Springfield's Morning News to discuss the state budget, health care spending, and his plan to crack down on insurance companies.See omnystudio.com/listener for privacy information.

Rain will make its way to Southern California this weekend. Voters pass Proposition 34, accepting new rules restricting how health care providers spend money. Phillips 66 faces federal charges for allegedly dumping wastewater into L.A.'s sewer system. Plus, more. Support The L.A. Report by donating at LAist.com/join and by visiting https://laist.comSupport the show: https://laist.com

Episode Summary: Welcome to another compelling episode of Functional Health Radio, where our proficient host, Dr. Kristin Hieshetter, delves into the pressing issues surrounding America's declining health statistics despite high healthcare expenditures. The show begins with an alarming revelation: life expectancy in the USA has dropped significantly, with children now facing unprecedented rates of chronic diseases. Dr. Hieshetter passionately discusses the complexities of health behaviors and the struggles in maintaining consistent health investments. In this episode, Dr. Hieshetter brings to light the importance of habits in personal healthcare management. She references James Clear's "Atomic Habits" to elucidate how small, consistent changes can lead to significant health improvements. The discussion focuses on how we can leverage habit stacking to replace unproductive behaviors with beneficial routines, promoting a healthier and more fulfilling lifestyle. Key topics include the concept of habit loops, the distinction between effective and ineffective habits, and practical strategies for habit formation. Dr. Hieshetter aptly ties the discussion to concepts of identity, motivation, and long-term behavior modification, emphasizing the importance of internal rewards and consistent action toward a healthier self. Key Takeaways: Declining life expectancy in the US highlights the need for better health behaviors and investments in individual healthcare. Habit stacking, as explained by James Clear in "Atomic Habits," can facilitate long-lasting health improvements. Successful habit change involves making good habits obvious, attractive, easy, and satisfying and breaking bad habits by making them invisible, unattractive, difficult, and unsatisfying. Adopting new health behaviors requires a deep change, not only in routines but also in one's identity as it relates to health and wellness. The goal in personal health is not just to achieve temporary milestones but to embrace a system that supports continual progress and self-improvement. Notable Quotes: "But this is not a healthy habit. We've got to make that packaged food difficult and unattractive." "Connect with your kids instead of training on the TV. Read books. Create that vision board." "The trick is to fall in love with the process, not the product." "If you fall in love with the process, not the product, you don't have to wait to give yourself permission to be happy." "Every time you engage in the new habit and skip the old habit, give yourself a double bonus." Resources: "Atomic Habits" by James Clear (available on Amazon and audiobook platforms) Functional Health Mastery – A free group for doctors and healthcare providers Don't miss out on the valuable insights discussed in this episode of Functional Health Radio. Tune in to grasp the full spectrum of advice on habit formation and identity building for optimal health. Stay engaged with us as we continue to deliver transformative discussions on functional health and wellness.

Episode Summary: In this riveting episode of Functional Health Radio, Dr. Kristin Hieshetter delves deeply into an issue that she fervently advocates for—the prevention and treatment of brain injuries. The episode begins with a worrying reflection on the declining life expectancy in the United States, linking it to both a rise in chronic diseases among children and the seemingly stagnant success in healing heart disease and cancer. Dr. Hieshetter challenges the status quo by questioning the effectiveness of the current healthcare system despite its high costs. Dr. Hieshetter subsequently transitions into a comprehensive discussion about the widespread implications of brain injuries, specifically Chronic Traumatic Encephalopathy (CTE), drawing from insightful resources which she critically examines. She emphasizes the importance of immediate and continued care post-injury, the potential for ongoing cognitive and emotional issues, and magnifies the alarming connection between brain injuries and a host of societal problems. Her clear, evidence-based approach provides both a dire warning and a beacon of hope, suggesting interventions that could change outcomes dramatically. Key Takeaways: •             Dr. Kristin Hieshetter zeroes in on the serious implications of chronic traumatic encephalopathy and other brain injuries. •             Chronic traumatic encephalopathy is linked to alarming rates of cognitive decline, behavioral issues, and increased risk of dementia. •             Early and repetitive exposure to contact sports can advance the onset of neurobehavioral symptoms in children. •             Specific interventions such as diet adjustments, low-level laser therapy, and certain supplements can significantly aid in brain injury recovery and prevention. •             Dr. Hieshetter advocates for greater awareness and a proactive stance in addressing brain injuries from a functional health perspective. Notable Quotes: •             “We are walking around in the most amazing, intelligent, responsive, adapting, and aware system in the world, the human body.” •             “Every year younger that participants began to play football, it resulted in reported onset of cognitive and behavioral mood symptoms, 2.5 years.” •             “It's what we're being told here in these spaces, these spaces that aren't funded by anybody.” •             “I believe we can do this and we have to do it together.” •             “Let's look at what we can do to get ahead of all of these things that are plaguing our youth and keep them as healthy as we possibly can.” Resources: •             Book: “Truth Doesn't Have a Side” by Dr. Bennett Omalu •             NIH-Funded Study on Age of First Exposure to Tackle Football and Chronic Traumatic Encephalopathy •             JAMA Article: Association of Mild Traumatic Brain Injury With and Without Loss of Consciousness with Dementia in US Military Veterans •             Internet Journal of Neurology: Transcranial Low-Level Laser Therapy for Brain Injury Be sure to listen to the full episode of Functional Health Radio with Dr. Kristin Hieshetter for an illuminating dive into the critical issue of brain injuries and what we can do to safeguard our most precious asset. Stay tuned for more episodes that bring the truths of functional health into the light.  

Episode Summary: In this enlightening episode of Functional Health Radio, Dr. Kristin Hieshetter delves into the critical subject of detoxification, unraveling its complexities beyond the common misconceptions. She illuminates the interconnectedness of environmental toxins, dietary choices, and the importance of supporting the body's natural excretory pathways. With clarity and fervor, Dr. Hieshetter advocates for a proactive approach to health and wellness, questioning conventional wisdom and urging listeners to reclaim vitality through intentional cleansing. Dr. Hieshetter's narrative weaves through her professional evolution, personal experiences, and the sobering statistics on chronic illness and healthcare expenditures in the United States. Emphasizing the significance of detoxification, Dr. Hieshetter outlines a multifaceted process that nurtures the body's intrinsic capacity to heal. Insightful references to Ayurvedic medicine, environmental hazards, and the detrimental effects of certain dietary components offer a comprehensive framework for understanding and engaging in effective detox protocols. Key Takeaways: •             Detoxification extends beyond purging; it encompasses physical, mental, emotional, and spiritual aspects leading to a rejuvenated sense of self. •             Environmental toxins and accumulated internal pollutants obstruct the body's natural functioning, leading to a myriad of health concerns. •             The correlation between toxic overload and chronic diseases, particularly cancer, highlights the need for diligent attention to detoxification methods. •             A structured and nurturing detoxification process, tailored to individual needs and preceded by proper preparation of the body's excretory systems, can lead to significant health improvements. •             Post-cleansing reintegration of foods with a focus on those low in harmful substances can further support long-term well-being. Notable Quotes: •             “Your skin is your third kidney… your skin is reflecting what's happening on the inside, and it's an ancillary route for toxins.” - Dr. Kristin Hieshetter •             “It's very subtle. Most of the studies are done at the later stages when we are in full toxic blowout and we have cancer or we have leukemia or we have a brain tumor.” - Dr. Kristin Hieshetter •             “Grains make your blood brain barrier leak, not just your gut, your brain. So if you want a healthy brain… you got to dump grains.” - Dr. Kristin Hieshetter •             “Cancer has become our index of chemical toxic exposures.” - Dr. Kristin Hieshetter •             “When you consider that an atom of one toxic metal like mercury can fit where a critical mineral should fit, it will then disengage these metabolic pathways and slowly, over time, chip away at those pathways until we hit a threshold where we don't feel good…” - Dr. Kristin Hieshetter Resources: •             Dr. David Perlmutter's book: “Grain Brain” •             Environmental Working Group (EWG) for water safety reports: EWG's Water Database •             Standard Process Cleansing Program: Standard Process •             Dr. Steven Gundry's list on lectins: Dr. Gundry's Lectin-Free Diet Tune in to the full episode of Functional Health Radio for a deep dive into detoxification with Dr. Kristin Hieshetter and discover transformative steps toward reclaiming your health. Stay connected for more empowering health wisdom in future episodes.  

Episode Summary: In this thought-provoking episode of "Functional Health Radio," Dr. Kristin Hieshetter tackles the alarming trend of decreasing life expectancy in America, despite high healthcare spending. She opens up a discussion on how chronic diseases are affecting even the younger population and the apparent inadequacy of modern healthcare practices in dealing with these issues. Dr. Kristin seamlessly weaves data with narrative to offer a snapshot of a nation in health crisis and sets the stage for exploring solutions with urgency and optimism. Drawing from the revelations of the "Blue Zones," regions known for their high number of centenarians living healthily, Dr. Kristin delves into nine lifestyle strategies that are common among these long-living populations. She emphasizes natural movement, mindful eating, purposeful living, stress reduction, community involvement, and maintaining supportive social circles. Researched-backed information is shared throughout the episode, highlighting nutritional and lifestyle factors that influence aging and how one can incorporate them into their everyday lives to reignite their health trajectory. Key Takeaways: Life expectancy in the USA is falling, with chronic diseases on the rise among all age groups. Factors that contribute to longevity include natural daily exercise, a plant-based diet, social engagement, spiritual community involvement, and stress-reducing practices like meditation. "Blue Zones" offer insights into successful aging, emphasizing community, purpose, and healthful habits. Recent studies corroborate the benefits of multivitamins, omega-3 fatty acids, and polyunsaturated fatty acids in protecting DNA from damage and reducing aging markers. Incremental improvements in lifestyle choices can lead to substantial health benefits over time. Notable Quotes: "If you just do 1% better every day for 365 days, at the end of the year, you'll have 37% improvement." "The most important thing in my life is my family, and they are at the front of everything I do." "If you live past the age of 85, your chance of getting Alzheimer's is one in two. That is no way to live." "People who serve themselves at the counter then put the food away before taking their plate to the table, eat 15% less." "In the Blue Zones, the people that live the longest tend to be married and have children, and have put their loved ones at the foundation of everything they do." Resources: Book mentioned: "The Blue Zones" by Dan Buettner Tune in to the full episode of "Functional Health Radio" with Dr. Kristin Hieshetter to discover key principles from the "Blue Zones" and how integrating them into daily life can lead to a healthier,

Dr. Peter Weiss, Board Certified Physician and Health Care Entrepreneur joined Grayson Brulte on The Road to Autonomy: Autonomy Economy podcast to discuss the economic impact that autonomous vehicles will have on health care.The conversation begins with Dr. Weiss discussing how he views autonomous vehicles and the delivery of health care complimenting each other in the future.Health care is more then just seeing the physician or a health care provider, it's about getting from point A to point B to provide that care. – Dr. Peter WeissIn the future autonomous vehicles will have the capability to determine if a passenger is having a heart attack, potentially saving their life. The question of who makes the decision to re-route the autonomous vehicle to a hospital is yet to be determined. The vehicle could ask the passenger for permission, but what if that individual is unconscious? Then what happens? If the passenger is unable to respond to the question, then the car should be able to then directly take the passenger to the hospital and at the same time notify the hospital that we have a patient coming in with certain blood pressure, certain atrial fibrillation. All this information that can could really save a life. – Dr. Peter WeissIs legislation needed to limit the liability of that decision? Most likely, as the decisions made will open a formidable maze of legal liabilities. Then there is the aspect of insurance and what hospital the passenger is rerouted to for medical care. Are those doctors and hospital in-network or out of-network? Who is responsible for the difference in cost?In 2022, hospital expenditures grew 2.2% to $1.35 trillion according to the U.S. Centers for Medicare & Medicaid Services. Could rerouting autonomous vehicles with unwell passengers add to the growing hospital expenditures? Yes. When health care is able to be delivered in an autonomous vehicle, there could be cost savings that would offset those growing expenditures.It's not just hospital expenditures that are growing, it's the overall cost of delivering health care. In 2022 U.S. consumers spent 8% of their income on health care, only 4.8% less than they spend on food according to the U.S. Centers for Medicare & Medicaid Services. Overall health care expenditures grew 4.1% to $4.5 trillion equaling $13,493 per person, accounting for 17.3% of GDP. A percentage of the increasing expenditures could be correlated to motor vehicle crashes. Motor vehicle crashes are a leading cause of death in their United States with over 100 people dying everyday. In 2015, more than 2.5 million drivers and passengers were treated in emergency rooms as a result of being injured in motor vehicle traffic crashes. The economic impact of these crashes is notable. For crashes that occurred in 2017, the cost of medical care and productivity losses associated with occupant injuries and deaths from motor vehicle traffic crashes exceeded $75 billion. If autonomous vehicles can eliminate a majority of these crashes, the economic not to mention societal impact could be astronomical. You would save billions of dollars in costs that could be provided for underserved communities that need treatment for asthma, for all of these other things that could be done. There is a greater utilization of the money that could be provided for care. – Dr. Peter WeissAutonomy and autonomous vehicles are good for society and the economy. They will have a positive economic impact on health care while making the roads safer. Wrapping up the conversation, Dr. Weiss share this thoughts on the future of medicine. Episode Chapters0:00 Introduction0:43 Autonomous Vehicles and the Delivery of Health Care6:48 Growing Medical Expenditures17:41 End of Life Medical Care Costs 20:32 Personal and Business Spending on Health Care 27:28 Economic Impact of Motor Vehicle Crashes 33:42 Neuralink37:17 Future of MedicineRecorded on Sunday, February 4, 2024--------About The Road to AutonomyThe Road to Autonomy® is a leading source of data, insight and commentary on autonomous vehicles/trucks and the emerging autonomy economy™. The company has two businesses: The Road to Autonomy Indices, with Standard and Poor's Dow Jones Indices as the custom calculation agent; Media, which includes The Road to Autonomy and Autonomy Economy podcasts as well as This Week in The Autonomy Economy newsletter.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

​The New Brunswick Medical Society is not impressed with the money allocated to the province's health budget. Jeanne Armstrong spoke to Dr. Paula Keating, president of the society. https://www.cbc.ca/news/canada/new-brunswick/budget-taxes-health-1.7148361

Award-winning journalist and best-selling author Amanda Lang and The Hub's Editor-at-Large Sean Speer discuss Canada's slowing inflation rate in January and its possible economic and political consequences as well as a new study out of the University of British Columbia on Canadian health-care spending and the intergenerational issues that it raises.The Hub Dialogues feature The Hub's editor-at-large, Sean Speer, in conversation with leading entrepreneurs, policymakers, scholars, and thinkers on the issues and challenges that will shape Canada's future at home and abroad. This episode is generously supported by the Linda Frum and Howard Sokolowski Charitable Foundation.If you like what you are hearing on Hub Dialogues consider subscribing to The Hub's free weekly email newsletter featuring our insights and analysis on key public policy issues. Sign up here: https://thehub.ca/free-member-sign-up/. Hosted on Acast. See acast.com/privacy for more information.

Each American now spends an average of nearly $13,000 a year on health care. We have one of the highest health care costs in the world but we don't lead on the best outcomes. How can we get more value from the $4 trillion in total the U.S. spends on health care? Dr. Margaret Hamburg is co-chair of the Health Affairs Council on Health Care Spending and Value, which has been looking at that question. Their recommendations range from administrative streamlining to spending growth targets. Hosts Mark Masselli and Margaret Flinter have her unpack the report and ask this former U.S. Food & Drug Administration commissioner what bumps are ahead for what they call a “roadmap to value.”

Each American now spends an average of nearly $13,000 a year on health care. We have one of the highest health care costs in the world but we don't lead on the best outcomes. How can we get more value from the $4 trillion in total the U.S. spends on health care?Dr. Margaret Hamburg is co-chair of the Health Affairs Council on Health Care Spending and Value, which has been looking at that question. Their recommendations range from administrative streamlining to spending growth targets.Hosts Mark Masselli and Margaret Flinter have her unpack the report and ask this former U.S. Food & Drug Administration commissioner what bumps are ahead for what they call a “roadmap to value.” Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Each American now spends an average of nearly $13,000 a year on health care. We have one of the highest health care costs in the world but we don't lead on the best outcomes. How can we get more value from the $4 trillion in total the U.S. spends on health care? Dr. Margaret Hamburg is co-chair of the Health Affairs Council on Health Care Spending and Value, which has been looking at that question. Their recommendations range from administrative streamlining to spending growth targets. Hosts Mark Masselli and Margaret Flinter have her unpack the report and ask this former U.S. Food & Drug Administration commissioner what bumps are ahead for what they call a “roadmap to value.” Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Each American now spends an average of nearly $13,000 a year on health care. We have one of the highest health care costs in the world but we don't lead on the best outcomes. How can we get more value from the $4 trillion in total the U.S. spends on health care? Dr. Margaret Hamburg is co-chair of the Health Affairs Council on Health Care Spending and Value, which has been looking at that question. Their recommendations range from administrative... Read More Read More The post $13K Per American for Health Care: What Are We Getting? appeared first on Healthy Communities Online.

Dr. Laura Burke is a health sciences researcher and assistant professor of emergency medicine at Harvard Medical School. She gave a reaffirming grand rounds talk to us, packed full of evidence to support the concept that emergency medicine and emergency physicians provide an incredible quality of service and value to the healthcare system overall. Listen in!   Articles she references throughout are listed below in chronological order.   CONTACTS Twitter - @AlwaysOnEM; @VenkBellamkonda; @LauraBurke20 Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com REFERENCES & LINKS Li G, Lau JT, McCarthy M, Schull MJ, Vermeulen M, Kelen GD. Emergency Department Utilization in the United States and Ontario, Canada. Acad Emerg Med June 2007, Vol 14, No. 6 Papanicolas I, Woskie LR, Jha AK. Health Care Spending in the United States and Other High-Income Countries. JAMA. 2018;319(10):1024-1039 Papanicolas I, Woskie LR, Orlander D, Orav EJ, Jha AK. The Relationship between health spending and social spending in high-income countries: How does the US compare? Health Aff (Millwood). 2019 Sep;38(9):1567-1575 Zhou RA, Baicker K, Taubman S, Finkelstein AN. The uninsured do not use the emergency department more – they use other care less. Health Affairs (Millwood). 2017 Dec;36(12):2115-2122 Smulowitz PB, Lipton R, Wharam JF, Adelman L, Weiner SG, Burke L, Baugh CW, Schuur JD, Liu SH, McGrath ME, Liu B, Sayah A, Burke MC, Pope JH, Landon BE. Emergency department utilization after the implementation of Massachussetts health reform. Annals of Emergency Medicine. 2011 Sep;58(3):225-234 Singer AJ, Thode HC, Pines JM. US Emergency Department visits and hospital discharges among uninsured patients before and after implementation of the Affordable Care Act. JAMA Network Open. 2019 Apr 5;2(4):e192662 Brook, Robert H., Emmett B. Keeler, Kathleen N. Lohr, Joseph P. Newhouse, John E. Ware, William H. Rogers, Allyson Ross Davies, Cathy D. Sherbourne, George A. Goldberg, Patricia Camp, Caren Kamberg, Arleen Leibowitz, Joan Keesey, and David Reboussin, The Health Insurance Experiment: A Classic RAND Study Speaks to the Current Health Care Reform Debate. Santa Monica, CA: RAND Corporation, 2006. https://www.rand.org/pubs/research_briefs/RB9174.html. Vogel JA, Rising KL, Jones J, Bowden ML, Ginde AA, Havranek EP. Reasons patients choose the emergency department over primary care: A qualitative metasynthesis. J Gen Intern Med. 2019 Nov; 34(11):2610-2619 Chou SC, Gondi S, Baker O, Venkatesh AK, Schuur JD. Analysis of a commercial insurance policy to deny coverage for emergency department visits with nonemergent diagnoses. JAMA network Open. 2018 Oct 5;1(6):e183731 Raven MC, Lowe RA, Maselli J, Hsia RY. Comparison of presenting complaint vs discharge diagnosis for identifying nonemergency emergency department visits. JAMA. 2013 Mar 20;309(11):1145-53 Arnetz BB, Goetz C, vanSchagen J, Baer W, Smith S, Arnetz JE. Patient-reported factors associated with avoidance of in-person care during the COVID-19 pandemic: Results from a national survey. PLoS One. 2022 Aug 5;17(8):e0272609 Sharma M, Lioutas VA, Madsen T, Clark J, O'Sullivan J, Elkind MSV, Willey JZ, Marshall RS, Selim MH, Greer D, Tirschwell DL, Burton T, Boehme A, Aparicio HJ. Decline in stroke alerts and hospitalisations during the COVID-19 pandemic. Stroke Vascular Neurology. 2020 Dec;5(4):403-405 Bradley CJ, Neumark D, Walker LS. The effect of primary care visits on other health care utilization: A randomized controlled trial of cash incentives offered to low income, uninsured adults in Virginia. J Health Economics. 2018 Nov;62:121-133 Peikes D, Dale S, Ghosh A, Taylor EF, Swankoski K, O'Malley AS, Day TJ, Duda N, Singh P, Anglin G, Sessums LL, Brown RS. The comprehensive primary care initiative: effects on spending, quality, patients and physicians. Health Affairs (Millwood). 2018 Jun;37(6):890-899 Song Z, Gondi S. Will increasing primary care spending alone save money? JAMA. 2019 Oct 8;322(14)1349-1350 Weinik RM, Burns RM, Mehrotra A. Many emergency department visits could be managed at urgent care centers and retail clinics. Health Affairs (millwood). 2010 Sep;29(9):1630-6 Wang B, Mehrotra A, Friedman AB. Urgent care centers deter some emergency department visits but, on net, increase spending. Health Affairs (Millwood). 2021 Apr;40(4):587-595 Pitts SR, Pines JM, Handrigan MT, Kellermann AL. National trends in emergency department occupancy, 2001-2008:effect of inpatient admissions versus emergency department practice intensity. Annals of Emergency Medicine. 2012 Dec;60(6):679-686 Burke LG, Wild RC, Orav EJ, Hsia RY. Are trends in billing for high-intensity emergency care explained by changes in services provided in the emergency department? An observational study among US Medicare beneficiaries. BMJ Open. 2018 Jan 30;8(1):e019357 Schuur JD, Venkatesh AK. The growing role of emergency departments in hospital admissions. NEJM. 2012 Aug 2;367(5):391-3 Chou SC, Baker O, Schuur JD. Changes in Emergency Department Care Intensity from 2007-16: Analysis of the National Hospital Ambulatory Medical Care Survey. Western Journal of Emergency Medicine. 2020 Feb 21;21(2):209-216 Janke AT, Gettel C, Vacirca RK, Lin MP, Kocher KE, Venkatesh AK. Trends in treat and release emergency care visits with high-intensity billing in the US, 2006-19. Health Affairs (Millwood). 2022 Dec;41(12)1772-1780 Gani F, Canner JK, Pawlik TM. Assessing coding practices for gastrointestinal surgery over time in the United States. Surgery. 2018 Sep;164(3):530-538 Schonberger RB, Dutton RP, Dai F. Is there evidence for systematic upcoding of ASA physical status coincident with payer incentives? A regression discontinuity analysis of the national anesthesia clinical outcomes registry. Anesthesia Analgesia. 2016 Jan;122(1):243-50 Rajkumar CA, Suh WM, Francis DP. Upcoding of clinical information to meet appropriate use criteria for percutaneous coronary intervention. Circulation: Cardiovascular Quality and Outcomes. 2019 Mar;12(3):e005025 Smulowitz PB, Honigman L, Landon BE. A novel approach to identifying targets for cost reduction in the emergency department. Annals of Emergency Medicine. 2013 Mar;61(3):293-300 Burke LG, Burke RC, Epstein SK, Orav EJ, Jha AK. Trends in costs of care for Medicare beneficiaries treated in the emergency department from 2011 to 2016. JAMA Network Open. 2020 Aug 3;3(8):e208229 Tsai TC, Greaves F, Zheng J, Orav EJ, Zinner MJ, Jha AK. Better patient care at high-quality hospitals may save medicare money and bolster episode-based payment models. Health Affairs (Millwood). 2016 Sep 1;35(9):1681-9 Lin MP, Baker O, Richardson LD, Schuur JD. Trends in emergency department visits and admission rates among US acute care hospitals. JAMA Intern Med. 2018 Dec 1;178(12):1708-1710 Pomerantz A, Burke R, Friedman A, Burke L, Wolfe R, Smulowitz P. The influence of Medicare for all on reimbursement for emergency care treat-and-release visits. Annals of Emergency Medicine. 2020 Oct;76(4):454-458 Obermeyer Z, Cohn B, Wilson M, Jena AB, Cutler DM. Early death after discharge from emergency departments: analysis of national US insurance claims data. BMJ. 2017 Feb 1;356:j239 Burke LG, Epstein SK, Burke RC, Orav EJ, Jha AK. Trends in mortality for medicaire beneficiaries treated in the emergency department from 2009 to 2016. JAMA Internal Medicine. 2020 Jan 1;180(1):80-88 Marco CA, Courtney DM, Ling LJ, Salsberg E, Reisdorff EJ, Gallahue FE, Suter RE, Muelleman R, Chappell B, Evans DD, Vafaie N, Richwine C. The emergency medicine physician workforce: projections for 2030. Annals of Emergency Medicine. 2021 Dec;78(6):726-737 Paul Genberg. The Value of Being a Generalist. Forbes. June 3, 2021

Listen to Health Affairs' Laura Tollen, Chris Fleming and Michael Gerber discuss the new report from the Health Affairs' Council on Health Care Spending and Value. The council spent four years looking into how the US  could take a more deliberate approach to moderating health care spending growth while maximizing value.Learn more about Health Affairs Scholar.Related Links: Council On Health Care Spending and Value Report Health Care Spending Council Event (C-SPAN) Currently, more than 70 percent of our content is freely available — and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.

With a flexible online format, you can earn a Master of Science in Health Policy and Law from UCSF and UC Law. Learn more here.Health Affairs Editor-in-Chief Alan Weil interviews Deepak Palakshappa, associate professor at Wake Forest School of Medicine on his paper in the January 2023 issue examining the relationship between food insecurity and health care expenditures in families.Order the January 2023 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google PodcastsWith a flexible online format, you can earn a Master of Science in Health Policy and Law from UCSF and UC Law. Learn more here.

The At Issue panel discusses the NDP's threats to pull support for the Liberals over the lack of action on healthcare. Plus what does the Mississauga-Lakeshore byelection results mean for the Conservatives new media strategy? Rosemary Barton hosts Chantal Hébert, Andrew Coyne, Elamin Abdelmahmoud and Althia Raj.

On this week's episode, Darren and Christina break down the advantages business owners have when incorporating the use of the health care spending account. Unlike group insurance, this type of account has many different benefits and the two go through the different ways you can take advantage if you're a business owner. 00:00 - Introduction 00:17 - How do we fit health care spending account in overall plan 4:25 - Is it possible for employees to set up their own plan | Breaking down insurance by class 7:05 - Advantages of the Health care spending account vs. Group Insurance 13:10 - The right type of company you need to be to take advantage of this type of account 16:35 - Additional benefits from the account 19:10 - Private medical benefits 20:50 - Being as efficient as possible | Wrap up TAKE CONTROL OF YOUR MONEY NOW: https://www.controlandcompound.com/contact-us FIND US ON: INSTAGRAM: https://www.instagram.com/controlandcompound/ TIKTOK: https://www.tiktok.com/@controlandcompound?lang=en FACEBOOK: https://www.facebook.com/controlandcompound

Association Between Buprenorphine Treatment Gaps, Opioid Overdose, and Health Care Spending in US Medicare Beneficiaries With Opioid Use Disorder JAMA Psychiatry In this case-control study of 34,505 Medicare beneficiaries, patients had greater risk of experiencing an opioid overdose and higher health care expenditures in buprenorphine treatment gap months compared with treated months. Buprenorphine nonadherence is associated with an increased risk of opioid overdose and higher health care spending in Medicare. Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM

https://psychiatry.dev/wp-content/uploads/speaker/post-10166.mp3?cb=1664990605.mp3 Playback speed: 0.8x 1x 1.3x 1.6x 2x Download: Association Between Buprenorphine Treatment Gaps, Opioid Overdose, and Health Care Spending in US Medicare Beneficiaries With Opioid Use Disorder Jason BFull EntryAssociation Between Buprenorphine Treatment Gaps, Opioid Overdose, and Health Care Spending in US Medicare Beneficiaries With Opioid Use Disorder

This week on Facing the Future, we closely examine the health care provisions contained in the recently passed "Inflation Reduction Act" with Josh Gordon, Director of Health Policy for the Committee for a Responsible Federal Budget. Gordon walks us through the provisions meant to cut prescription drug prices for Medicare recipients and evaluates if these measures and others will reduce overall federal spending on health care. Plus, he has a few reform ideas of his own.

This week on Facing the Future, we closely examine the health care provisions contained in the recently passed "Inflation Reduction Act" with Josh Gordon, Director of Health Policy for the Committee for a Responsible Federal Budget. Gordon walks us through the provisions meant to cut prescription drug prices for Medicare recipients and evaluates if these measures and others will reduce overall federal spending on health care. Plus, he has a few reform ideas of his own.

Join Health Affairs Insider.In the United States we have multiple commercial health insurers, each with their own rules regarding filing and documenting claims for payment.Medicare and Medicaid have their own rules and both of those programs rely heavily on insurers who impose their own rules. All this adds up to is significant burden on health care providers who rely upon staff and technology to navigate this complex system.While there are various estimates, all told administrative costs account for at least a few hundred billion dollars of health care spending each year. This figure is much lower in other countries.Barak Richman from Duke University joins A Health Podyssey to discuss how insurance-related health spending in the United States compares to that in other countries.Richman and coauthors published a paper in the August issue of Health Affairs comparing administrative spending in five countries with spending in the United States. In the paper, they provide insights for reasons for the differences.Order the August 2022 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google Podcasts

Join Health Affairs Insider.It's well known that the United States spends much more than other high-income countries on health care, the most recent estimates from the Centers for Medicare and Medicaid Services published in Health Affairs show that nearly a fifth of US GDP is spent on health care services.It's perhaps somewhat less well known that health outcomes lag those of many other countries. Life expectancy and infant mortality rates rank well below not just other high-income countries, but many middle-income countries as well.The combination of these two facts leads many to ask the question, "Are we getting our money's worth for all that we spend on health care?"However, simply establishing that the US spends a lot on health care and has sub-optimal health outcomes doesn't fully answer the question.Marcia Weaver from the University of Washington joins A Health Podyssey to discuss whether we receive value for our high levels of health spending.Weaver and coauthors published a paper in the July 2022 of Health Affairs examining the relationship between health spending and disease burden in the United States. They reached some optimistic conclusions based on the data.Order the July 2022 issue of Health Affairs for research on Type 2 diabetes and more.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone. Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google Podcasts

David Heurtel joined Ken Connors to talk about the premiers meeting to discuss health care spending and much much more.

As someone who helped coin the phrase “purchasing population health,” David Kindig has been at the forefront of the move to a health care system that prioritizes outcomes, aligns incentive structures, and eliminates waste. His work has always been prophetic and ahead of its time, pushing value based purchasing in the 90s before most knew what it meant. His approach weaves population health concepts with emerging cross-sector partnership frameworks, all in an effort to prioritize health, reduce inequality, and unleash our collective potential, all in an effort to achieve longer, healthier lives for all of us.Dr. David KindigTwitter: @PopHealth and @UWiscPHILinkedIn: https://www.linkedin.com/in/david-kindig-795b7318/ Connect with Health2049:Website: https://www.health2049.comFind the complete Show Notes and Transcripts Here -> https://bit.ly/Dr-David-KindigTimestamps:Dr. David Kindig shares his extensive background. [03:40]Six core areas that need fundamental change. [04:53]The Robert Wood Johnson Culture of Health Prize inspiration. [09:49]An optimistic vision in “Purchasing Population Health: Paying for Results?” [13:31]Do we need government-driven policy change? [17:01]How can we improve population health? [18:49]The debate around the universal basic income policy. [19:47]What can the future healthcare system look like? [22:09]Will artificial intelligence be an ally? [26:03] How do we move past divisive, political ideology? [29:59] What would be the benefits of this desired future? [32:20]

March 24, 2022 - Politico New York health care reporter Shannon Young breaks down what the state budget could mean for the health care sector, including higher wages for workers and higher annual spending on Medicaid.

Today's healthcare delivery system has too little competition and too much regulation, but could we see a fix if both sides of the political spectrum lay down their proverbial swords and agree to key pillars such as universal coverage and broader competition? Paul Ryan, former Speaker of the House and founder of the American Idea Foundation, thinks so, and sees a specialized role for Congress to bring the U.S. healthcare system into the 21st century by protecting patient privacy rights, increasing choice, and aligning incentives. He shares his ideas with Health2049 co-host Jason Helgerson. Paul RyanTwitter: @SpeakerRyanConnect with Health2049:Website: https://www.health2049.comFind the complete Show Notes and Transcripts Here ->  https://bit.ly/Speaker-Paul-RyanTimestamps:Paul Ryan's political background and journey into health care. [04:31]A vision of health care that pushes ideological differences aside. [06:39]How can we prevent a health care debt crisis in 2049? [10:41]An efficient healthcare system for both patients and providers. [20:48]What role will technology play in health care? [24:26]How can we allow for innovation and protect individual rights? [26:36]How will longevity affect Social Security and Medicare? [28:22]Will the Democrats and Republicans agree on a health care solution? [32:59]

If one attempts to look at health care through the many lenses it can be viewed through, what does one ultimately see for the future? Ron Williams has a long and distinguished career in health care and has seen the system from many different viewpoints–as CEO of one of the largest health plans, board director to pharmaceutical medical device and consumer health care companies, and private equity advisor. He discusses his view of the future centers around the personalization and globalization of health, by way of accelerated adoption of sensor technology, artificial intelligence, advanced payment models, and robust debate facilitated by government around the future of health and care with Health2049 co-host Jason Helgerson.Ron WilliamsWebsite: https://ronwilliams.net/LinkedIn: https://www.linkedin.com/in/rawilliams/Connect with Health2049:Website: https://www.health2049.comFind the complete Show Notes and Transcripts Here -> https://bit.ly/ron-williamsTimestamps:Ron Williams extensive background in health care. [03:06]A future vision of health care focused on wellness. [04:11]How can we create this future? [05:27]The benefit of personalized data. [06:51]What does a global health care system look like? [08:34]Can team-based care solve the workforce shortage? [09:32]How can technology be used to assist a patient? [12:26]The role of government in global health care. [13:44]How can we ensure equitable access to health care?  [15:50]Who will fund the innovation in health care? [17:49]How can we make expensive innovations accessible to all? [19:51]The broader implications of extension of life using gene editing. [22:42]A health care vision that unleashes personal fulfillment. [24:40]

"Let us hope that this is a one in a hundred years pandemic. We don't want to build our health care system to operate at all times as if tomorrow will be COVID." - Sherry GliedOn December 15, Health Affairs published ahead-of-print, “National Health Care Spending In 2020: Growth Driven By Federal Spending In Response To The COVID-19 Pandemic,” the annual national health expenditures article prepared by the Centers for Medicare and Medicaid Services (CMS) Office of the Actuary. Always one of Health Affairs' most-read articles, this year's provides the first official report on spending that reflects the effects of COVID-19. During a live Lunch and Learn event, a discussion was held on the findings with economists Sherry Glied from the Robert F. Wagner Graduate School of Public Service at New York University and Craig Garthwaite from Northwestern University's Kellogg School of Management. The event was held on January 5, 2022.Listen to Health Affairs Senior Editor Laura Tollen interview Sherry Glied and Craig Garthwaite about what's behind the numbers regarding the latest national health care spending report, long COVID, health care spending reform, which hospitals gained the most during the pandemic, delayed care, and more. Lunch and Learn events hosts top researchers and analysts on timely topics and initiatives impacting health policy. Interested in attending future events? Sign up for Health Affairs Today or Health Affairs Sunday Update newsletters to be the first to hear about the upcoming events. If you enjoy this interview, order the January 2022 Health Affairs issue.Pre-order the February 2022 Racism and Health issue.Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google Podcasts

Join Health Affairs Insider.Health spending currently accounts for nearly 18% of the US' Gross Domestic Product.If the nation spends so much on health care - about $11,500 per person in the US - then are we getting a good value in return for that spending?Last week, Health Affairs launched a newsletter for our Considering Health Spending initiative to bring readers a forum for emerging research that sheds light on how much the nation spends on health care and how we might improve the value of that spending or even change the spending trajectory. The first issue of the monthly newsletter dives into some classic research on health care spending and value, including the seminal 2003 piece, "It's The Prices, Stupid." On today's episode of Health Affairs This Week, Health Affairs Senior Editor Laura Tollen joins Deputy Editor Rob Lott to share details on the initiative and discuss the ways researchers are addressing key questions about health care spending and value.Sign up for the Considering Health Spending newsletter.Join the Considering Health Spending LinkedIn group.Related Links: Considering Health Spending  The Relationship Between Health Spending and Social Spending In High-Income Countries: How Does The US Compare? (Health Affairs) Variation In Health Spending Growth For The Privately Insured From 2007 To 2014 (Health Affairs) What's Been The Bang For The Buck? Cost-Effectiveness Of Health Care Spending Across Selected Conditions In The US (Health Affairs) Getting The Price Right: How Some Countries Control Spending In A Fee-For-Service System (Health Affairs) Subscribe: RSS | Apple Podcasts | Spotify | Castro | Stitcher | Deezer | Overcast

Roger Stark of the Washington Policy Center believes the impact would be as consequential as Roosevelt's New Deal and Johnson's Great Society. https://loom.ly/QTkvqmg #Opinion #Column #Commentary #WashingtonPolicyCenter #HealthCareSpending #WelfarePackage #BidenAdministration #Legislation #USCongress #RogerStark #VancouverWa #ClarkCountyWa #ClarkCountyNews #ClarkCountyToday

Price transparency and healthcare consumerism are top of mind for many operators and observers of the healthcare industry. On the surface, these topics sound great. Of course, we want to enable patients to be good consumers of healthcare. However, as we've seen so often on this show, aligning the obvious with the realities of the business of healthcare is no small feat. Today we're talking with Dr. Steve Ambrose about healthcare costs, pricing, and consumerism. We discuss what these terms mean and why they are important. Then we dig into examples of companies that are already making an impact on these issues. We discuss:   Companies that are helping to lower healthcare prices like ONCOspark (24:22), GoodRX (41:05), Transcarent (48:42), Cedar (53:24), Green Imaging (55:23), and more. What is going on in the retail space with the likes of Walmart, Target, Amazon and others (27:07). And companies working to reduce administrative costs like Olive (1:04:00) and LeanTAAS (1:08:51).   This is an exciting space that is full of potholes and false promises. However, it is also a space where good companies are beginning to make progress. And that progress may offer us a glimpse into the future of healthcare.   Dr. Steve Ambrose Dr. Steve Ambrose is a healthcare strategist with 25 years in clinical, technology, patient engagement, and consumerism. He is selectively reviewing options to place his talents and passion into his next FT leadership role. Dr. Ambrose may be reached through contact information on his LinkedIn profile.   Links and Resources   Steve Ambrose on Drug Pricing and GoodRX: https://walktheridge.com/drug-pricing Health Care Spending in the United States and Other High-Income Countries - this is the Ashish Jah study on healthcare prices and costs that Steve mentioned. Walmart acquires telehealth provider MeMD, upping competition in telehealth space   Several recent #HCBiz episodes on AI/ML in healthcare administration:   Episode 162: What's up with IBM Watson Health? A Discussion on the State of AI in Healthcare with Paddy Padmanabhan Episode 159: A Practical Look at Machine Learning in Healthcare with Josh Miramant Episode 147: Applying Conversational AI to Reduce Provider Burnout from HealthIMPACT Live''   The #HCBiz Show! is produced by Glide Health IT, LLC in partnership with Netspective Media.   Music by StudioEtar

Last week's report from the Financial Accountability Office of Ontario outlined a multibillion-dollar gap between what the provincial government intends to spend on health care, and what it hopes to achieve. Add to that a surgical backlog that will take years to clear, and it leaves many questions. Financial Accountability Officer Peter Weltman provides some answers. See omnystudio.com/listener for privacy information.

Julianne McGarry catches up with Christopher Whaley, PhD, Policy Researcher at RAND Corporation and one of the lead authors of the RAND's Hospital Price Transparency Study. The study, spearheaded by the Employer's Forum of Indiana, has revealed price variation within and across health care markets by re-pricing hospital and outpatient services as a percentage of what Medicare would pay. By participating in the study, employers and other purchasers are able to pinpoint opportunities where benefit designs, like reference-based pricing and tiered networks, can help prioritize the use of high-quality, lower priced facilities. Some employers, like those in Indiana's Fort Wayne market, have already taken action with their re-priced hospital price data. The Hospital Price Transparency study has rocked the health policy world since its initial release in 2017, gaining additional momentum with subsequent releases in 2019 and 2020. During this discussion, Christopher Whaley shares what he has learned through the three iterations of the study and cites the best examples of how purchasers, including labor unions, can and have exerted influence on local health care prices. Julianne and Christopher also discuss how the study adds to the evidence around the weak correlation between prices and quality performance, and how data sharing agreements are instrumental in improving employer's ability to gain actionable insights from their health care spending data. RAND and the Employers Forum of Indiana are now in the process of the fourth iteration of the Hospital Price Transparency study. To learn more and participate, visit https://employerptp.org/.

Listen to Health Affairs Editor-in-Chief Alan Weil interview Sherry Glied, dean of the Robert F. Wagner Graduate School of Public Service at New York University, on national healthcare spending in 2019, whether value-based care will be transformational, and why public health is a desirable field to work in now.

The At Issue panel breaks down why Prime Minister Justin Trudeau and the premiers are at odds over health-care transfers and spending priorities. Plus in this extended edition, a look at what will happen to the new legislation on medically assisted dying in the Senate.

The U.S. health policy community recognizes that fee-for-service models incentivize physicians and health systems to perform more tasks than may be needed. But is fee-for-service really the culprit when it comes to the high levels of U.S. health care spending? Listen to Health Affairs Editor-in-Chief Alan Weil interview Dr. Michael K. Gusmano from Rutgers School of Public Health and The Hastings Center to discuss how international fee-for-service models spend less than the U.S.

Health Minister Patty Hajdu, Alberta Premier Jason Kenney, and Manitoba Premier Brian Pallister on rapid testing and provincial demands for increased health-care funding. Plus, Ontario Liberal Leader Steven Del Duca on that province's COVID-19 case surge.

Dr. Katherine Baicker is dean of the University of Chicago Harris School of Public Policy. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. K. Baicker and A. Chandra. Do We Spend Too Much on Health Care? N Engl J Med 2020;383:605-608.

Today we’re joined by Sherri Rose, Associate Professor at Harvard Medical School.  Sherri’s research centers around developing and integrating statistical machine learning approaches to improve human health. We cover a lot of ground in our conversation, including the intersection of her research with the current COVID-19 pandemic, the importance of quality in datasets and rigor when publishing papers, and the pitfalls of using causal inference. We also touch on Sherri’s work in algorithmic fairness, including the necessary emphasis being put on studying issues of fairness, the shift she’s seen in fairness conferences covering these issues in relation to healthcare research, and her paper “Fair Regression for Health Care Spending.” Check out the complete show notes for this episode at twimlai.com/talk/374.

The US spends more on health care as a proportion of its GDP than any other nation. Will the COVID-19 pandemic reduce or accelerate that spending? Sherry Glied, PhD, Dean and Professor of Public Service at New York University, explains. Recorded Monday, April 27, 2020. Read the article The Potential Effects of Coronavirus on National Health Expenditures

The US spends more on health care as a proportion of its GDP than any other nation. Will the COVID-19 pandemic reduce or accelerate that spending? Sherry Glied, PhD, Dean and Professor of Public Service at New York University, explains. Recorded Monday, April 27, 2020. Read the article The Potential Effects of Coronavirus on National Health Expenditures

written post at https://healthy-skeptic.com/2020/01/02/health-spending-in-minnesota/

This week’s blog is brought to you by Dr Tim Wilson Health Care Spending, Utilization, and Quality 8 Years into Global Payment Song, Z., Ji, Y., Safran, D. G., & Chernew, M. E. (2019). Health Care Spending, Utilization, and Quality 8 Years into Global Payment. New England Journal of Medicine, 381(3), 252–263.

Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending Cutler, David, Jonathan S. Skinner, Ariel Dora Stern, and David Wennberg. 2019. "Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending." American Economic Journal: Economic Policy, 11 (1): 192-221.

Chase is joined on the show by Concord Coalition Executive Director Bob Bixby and Policy Director Josh Gordon. They discuss the nation's health care system and the concept of Medicare for All.

  We can all agree - outside of a few overpaid pharma CEOs - that the American Health Care system is too expensive. In fact, one could argue that the system of delivering health care in America is designed to cost the most possible without any parts that can check its growth. If you were to try and design a more costly and inefficient system I dare say you would be unsuccessful.   As I discuss with the author of Overcharged: Why Americans Pay So Much for Health Care, Professor David Hyman describes a system of incentives that seem aligned solely to increase the cost of care to patients and reimbursement of those delivering the care. From pharmaceutical companies, hospitals, physicians, and insurance companies there are no friends to be found for the consumers. And before anyone looks to Washington, D.C. or state capitols for relief, think again because those monopoly powers originate in those ivory hallways paid for with health care special interest money.   The problems identified in the book are: Political Control of Health Care Spending 3rd Party Payors Prices too high Quality is perceived by everyone delivering care as above average Opaque prices   There are four lessons learned and extrapolated on in the book: 1) The system is full of good people but good people can't fix a bad system 2) If the bottom leads, the top will follow (only consumers can drive innovation) 3) To beat the system you have to leave the system 4) Better health care thru self-pay   We discussed these concepts in depth throughout the show and also delved into the solutions to save our system from consuming our entire GDP. Already, health care consumes so much money that budgetary problems are springing up from DC down to city hall. Fortunately, Overcharged describes the diagnoses and the cures.   David Hyman is the co-author of Overcharged and a law professor at Georgetown University. show notes Overcharged - The Official Website:  The official website for David Hyman's book. Free chapters to read and video links with the authors. Episode 005 My discussion with Dr. Marion Mass regarding the huge prices of pharmaceuticals and why there are shortages. Memorial for Andy Larson: This is the donation link to honor Andy's death with the Grand Rapids Choir of Men and Boys where he blossomed and served as a head chorister. YouTube for Paradocs: Here you can watch the video of my late son singing his solo on the Paradocs YouTube page. Patreon - Become a show supporter today and visit my Patreon page for extra bonus material. Every dollar raised goes towards the production and promotion of the show.

Overstand , by Dead Prez, Stand for Justice, United Stated of Amnesia, Health Care Spending, Medicare Saves, War Wastes Money, Borderline Dystopia, Border Abolition, Sorry To Bother You, OYAHYTT, by The Coup

Health care spending in the United States is out of control. The most significant aspect of medical care driving this spending is pharmaceuticals; within pharmaceuticals the greatest increases have been in spending for diabetes medications. The cost of insulin analogs has increased 5- to 6-fold in the last 10 years for no particular reason. More than 90% of US patients who use insulin use these analogs, despite the fact that they have few if any clinical benefits relative to regular or NPH insulin, which cost 1/10 as much. Aside from the cost of insulin, diabetes is probably treated far more aggressively than necessary since clinical trials demonstrating the benefits of aggressive glucose control for type 2 diabetes demonstrated vanishingly small benefits of this form of treatment. In this podcast we discuss the perplexing case of spending too much money on diabetes treatment.

Alex Pierson speaks with radiologist and Coalition of Ontario Doctors co-founder Dr. David Jacobs about the report from the Financial Accountability Office saying that even with an additional $6.9 billion of planned health spending over the next three years, Ontario is not keeping up.

Interview with Dr. Ashish Jha, MD, MPH, about his study using Organization for Economic Cooperation and Development (OECD) data to compare health care infrastructure, outcomes, and prices in the US and other high-income countries to identify the sources of spending that make US health care so expensive.    

Editor's Summary by Howard Bauchner, MD, Editor in Chief of JAMA, the Journal of the American Medical Association, for the March 13, 2018 issue

In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Stephanie Armour of the Wall Street Journal, Alice Ollstein of Talking Points Memo and Margot Sanger Katz of The New York Times discuss new health spending numbers from the federal government, as well as how the year-end legislating in Congress is being complicated by health issues. Plus, for “extra credit,” the panelists recommend their favorite health stories of the week.

Date: July 11, 2013 Featuring: Donald Berwick, MD, MPP, FRCP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement; Former Administrator, Centers for Medicare & Medicaid Services (CMS) David Cutler, PhD, Otto Eckstein Professor of Applied Economics, Harvard University, Harvard Kennedy School of Government, Harvard School of Public Health Amitabh Chandra, PhD, MA, Professor of Public Policy and Director of Health Policy Research, Harvard Kennedy School of Government; Member, Congressional Budget Office’s Panel of Health Advisors   Is the rate of growth of health care spending slowing in the US? And, if so, to what do we attribute this momentous development? Momentous because a lot of health economists and policy makers believe there’s something to the decline besides the impact of the recent US recession. And, for the first time, there are indications that pressure from both public and private payers, reinforced by reimbursement reforms rolling out in the Affordable Care Act, may be making a dent in the growth of the country’s health care spending. It’s way too soon to cheer, but it isn’t too soon to gather some smart people together to try and tease out what’s going on. Guest Don Berwick talks about some of the initiatives he helped shape and enact while at the Centers for Medicare & Medicaid Services (CMS), designed to move the system toward global budgets and shared responsibility for populations. Are these shared-savings programs starting to have a slowing effect on the growth of health care spending? Well-known economist David Cutler discusses his recent findings that there could be a $770 billion windfall coming for Medicare and Medicaid over the next decade, that wasn’t foreseen and wasn’t part of cost projections. Amitabh Chandra is watching recent spending trends closely, too, and helps us think through whether any of them are linked to greater efficiencies, less waste, and better ways to deliver care.WIHI's Communications Coordinator John Gauthier highlighted some of the key questions that listeners posed here in a blog post. Take a look and then listen to the broadcast to hear what our guests had to say.

Dr. J. Michael McWilliams is an associate professor of health care policy and medicine at Harvard Medical School. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. J.M. McWilliams. Cost Containment and the Tale of Care Coordination. N Engl J Med 2016;375:2218-20.

Are employers really shifting the burden of health care spending back to employees? Michael F. Cannon comments. See acast.com/privacy for privacy and opt-out information.

Dr. David Blumenthal is president of the Commonwealth Fund. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. D. Blumenthal and Others. Caring for High-Need, High-Cost Patients - An Urgent Priority. N Engl J Med 2016;375:909-11.

If you were in charge of the U.S. health care budget, how would you get spending under control? Turns out there are a lot of factors in play beyond economics, including our culture and lifestyles. In this episode of “Help Me Understand Health Care,” Dr. Kyle Bradford Jones asks professor of economics Dr. Norm Waitzman this very question: How can we reduce health care spending and what are the challenges facing us?

Dr. Paul Ginsburg is the president of the Center for Studying Health System Change, Washington D.C. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. J.Z. Ayanian and P.J. Van der Wees. Tackling Rising Health Care Costs in Massachusetts. N Engl J Med 2012;367:790-3.

In this August 2009 Congressional Briefing, Christine Eibner presents findings about which strategies to reduce health care spending in Massachusetts are most (and least) promising.

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The coronavirus put non-emergency health-care services on hold and the sector saw 42,000 jobs lost in March.Today's Stocks & Topics: Unemployment Rate, VIAC - ViacomCBS Inc. Cl B, AY - Atlantica Yield PLC, Nesara-Gesara, Sales Earnings, FANG - Diamondback Energy Inc., COUP - Coupa Software Inc., CRWD - CrowdStrike Holdings Inc. Cl A.Support this podcast at — https://redcircle.com/investtalk-investment-in-stock-market-financial-planning/donations