Tag: healthcare policy
Doctors Leaving Private Practice for Hospitals

A new survey by the Physicians Advocacy Institute and Avalere Health, a consulting firm, shows a significant increase in the number of physicians leaving independent practice and joining hospital-based health systems: From July 2012 to July 2015, the percentage of hospital-employed physicians increased by almost 50 percent, with increases in each six-month period measured...
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The Dead-Weight Cost of Obamacare’s Loopy Tax Credit

Obamacare crushes jobs because of its loopy distribution of tax credits. As discussed previously, the (premium-reducing) tax credits for Obamacare coverage phase out in such a way that beneficiaries face very high marginal income tax rate hikes at household incomes up to 400 percent of the Federal Poverty Level. However, even those who increase...
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The Regulatory State Reaches the Wellness Industry

The Equal Employment Opportunity Commission (EEOC) has finalized rules on how employers can use wellness programs. By current federal standards, the rules are concise: 19 pages pertaining to the Americans with Disabilities Act and 17 pages pertaining to the Genetic Information Nondiscrimination Act. Both laws are extremely popular. The ADA (1990) passed by 91-6...
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Are Prescription Drug Prices Becoming as Meaningless as Hospital Charges?

Professor Jack Hoadley of Georgetown University recently gave an excellent presentation discussing prices of prescription drugs. Two slides stand out. First, a slide showing how much prescription spending is controlled by insurers and governments versus patients directly: As recently as 1990, patients controlled over half of drug spending. Today, it is under 20 percent....
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An Interstate Compact for Health Insurance

In a recent Forbes column, I noted the very positive news that House Speaker Paul Ryan has appointed six task forces, comprised of congressional committee chairmen, to develop a governing agenda. One of those tax forces has a mandate to develop (finally) the Republican alternative to Obamacare. Two of the members, Dr. Tom Price...
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Will Congress Fix Its Electronic Health Records Fiasco?

There is some hope that Congress will fix—at least partially—the largely bungled Electronic Health Records (EHRs) deployment on which it has spent $30 billion since 2009. Doctors are very frustrated by EHRs, which interfere with their practice of medicine. The current government program to have them installed nationwide should be abandoned. Tomorrow, the Senate...
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Section 1332, Where Are You?

People are starting to get excited about another Obamacare work-around: The section 1332 waiver. This refers to a section of Obamacare that allows states great flexibility in how they deliver Obamacare within their borders. The curious thing about section 1332 waivers is that they can only be issued as of January 1, 2017. Why?...
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FreedomFest Recap: Why Obamacare Stifles Healthcare Innovation

I had the pleasure of speaking recently on a healthcare panel at FreedomFest in Las Vegas. Here’s a recap of my remarks on innovation and entrepreneurship in healthcare. In the 2012 book Priceless: Curing the Healthcare Crisis by Dr. John C. Goodman, my colleague at the Independent Institute, John wrote: “The ACA [Obamacare] approach...
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How Third-Party Payers Crush Entrepreneurs

In complex systems, there are always unmet needs and problems to be solved. The more dysfunctional the system, the more numerous are the unmet needs and the more severe are the problems. In other sectors, needs to be met and problems to be solved are the fertile ground from which entrepreneurs emerge. Where is...
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