Tag: Hospitals
Medicaid’s Financing Merry-Go-Round

Medicaid, which provides health-related welfare benefits to low-income individuals, is jointly financed by the federal and state governments. Before Obamacare, the split was 50/50 for rich states, but low-income states got more dollars. This mechanism is called the Federal Medicaid Assistance Percentage (FMAP). So, if California spent $50 on Medicaid, the federal taxpayer would…
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Understanding Waiting Times for Health Care

In Sunday’s New York Times, reporter Elizabeth Rosenthal discusses evidence that that waiting times for medical care in the United States do not always compare favorably with those of other developed countries: “I fully expect wait times to be going up this year for Medicaid and Medicare and private insurance because we are expanding…
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Non-Hospital Healthcare Jobs Are Growing Fast

Jobs in health care, especially in outpatient settings, continue to rally. Of 217,000 nonfarm civilian jobs filled in May, 34,000 were in health care. This was twice the average monthly gain over the previous twelve months. As previously observed, most of these jobs are in ambulatory settings. Two thirds of the gains (23,000) were…
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More Evidence Suggests Obamacare Is Not Driving Hospitals Bankrupt

One of the most intuitively appealing arguments for ensuring that everyone has health insurance is the claim that uninsured patients crowd emergency rooms but don’t pay their bills. Hospitals present these bills to government, and taxpayers end up paying. Health Affairs has a new estimate of these costs: We estimated providers’ uncompensated care costs…
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Health Care Workforce Continues to Shift Away from Hospitals

Although the Bureau of Labor Statistics latest employment report shows that health care continues to add jobs at about the same rate as the rest of the economy, the shift of jobs to the outpatient setting continues. From March to April, hospitals barely added two thousand new workers. Physicians’ offices, on the other hand,…
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A Snapshot of the Health Care Workforce

How is the health care workforce changing under Obamacare? This month’s jobs report from the Bureau of Labor Statistics gives us a snapshot of employment in health care versus the rest of the economy. The table below shows the details. Despite the widely touted notion that Obamacare is putting hospitals out of business, hospital…
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Take the Money and Run? GAO Reports Significant Dropping Out of Government Electronic Health Records Program

A previous blog entry noted that Veterans Affairs and the Department of Defense have utterly failed to execute a plan to develop an interoperable Electronic Health Record (EHR), despite five million beneficiaries receiving health benefits from both bureaucracies. Despite its inability to manage this for two closely related federal departments, the federal government decided…
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Least Surprising Health Research Result Ever: Medicaid Increases ER Use

Medicaid is a welfare program jointly funded by federal and state governments, which claims to provide health insurance to low-income people. A few years ago, Oregon expanded Medicaid enrollment by lottery. This created an excellent environment to study the effects of being uninsured versus being enrolled in Medicaid, because it approximated a randomized-controlled trial —…
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Medicaid Expansion Means More ER Visits

A number of years ago, Governor Romney told me that under Massachusetts health reform people would go to physicians’ offices for care instead of going to the emergency room. He wasn’t saying that Massachusetts would deliver more care. He was saying that the care would be more appropriate and less expensive. As it turns…
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Obamacare Health Insurance Has “Narrow Networks,” but Why Are There Any Networks at All?

Julie Appleby of Kaiser Health News recently reported on a presentation by Paul Mango of McKinsey & Co. to an audience of health-insurance executives. According to Appleby’s report, Mr. Mango’s research found: About two-thirds of hospital networks on the exchanges are “narrow” or “ultra-narrow”; This was defined by surveying 20 urban areas and identifying…
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