By Dr. Tom Gottlieb The recent Time Magazine Special Report by Stephen Brill Why Medical bills Are Killing Us demonstrates a series of narratives that describe problems in our health care system. The article focuses on the cost of health care services. Brill blames cost problems on insurance companies, medical equipment manufacturers, hospitals (both for-profit and nonprofit) and pharmaceutical companies. He says that excess costs by and large are not related to physician and patient behaviors. Brill suggests that real solutions might be related to lowering the age for Medicare eligibility and implementing a single-payer system. He further states that…
Category: Health Care Industry - Part 10
Katie Kerwin McCrimmon Colorados health exchange board approved administrative fees of 1.4 percent on insurance plans that will be passed on to customers to help fund the exchange. If Colorado lawmakers do not back a proposed measure that aims to divert cash from Colorados high-risk health insurance fund Cover Colorado to the exchange to help cover their costs, those fees could rise to an estimated 3.4 percent. Cover Colorado will no longer exist because the federal Affordable Care Act requires commercial health insurance companies to accept all customers, including those with serious health problems and pre-existing conditions. The high-risk pool…
By Cari Frank An email with the subject line Patients Prefer High Cost Care came through my inbox a few weeks ago. It was spurred by a recent study in Health Affairs revealing that patients would typically select a higher cost service like an MRI over a lower cost CT scan even after being educated on the marginal difference between the results. As a part of CIVHCs Colorado All Payer Claims Database team, Im working to develop publicly available consumer information on cost and quality for health care services. The primary purpose of the patient focused information (planned for release…
By Linda Gorman New results from Arkansas suggest that Colorado officials who favor Medicaid expansion may be able to negotiate a better deal for both low-income people and state taxpayers. Arkansas Gov. Mike Beebe has negotiated an alternative to the standard Medicaid expansion offered by the U.S. Department of Health and Human Services under Obamacare. Health and Human Services has agreed that Arkansas can pay premiums for commercial insurance purchased through the states health insurance exchange using the federal funding that would have gone to expand Medicaid. The program will extend commercial coverage to adults earning up to 138 percent…
By Dr. Greg Mann The next time you read news reports about rising health care costs, consider this: Some 39,000 Coloradans sought treatment last year at hospital emergency rooms for toothaches and other dental problems. Such unnecessary and expensive emergency room care affects all of us by contributing to health care costs. An estimated $2 million to $5 million could be saved each year in Colorado by preventing needless emergency room visits through timely dental care. Most hospital emergency rooms simply arent equipped or staffed to provide the ideal treatment for dental problems. Typically, the emergency room can offer a…
By Sofia Griffin High school isnt the place where the worlds or even our own countrys problems are the main topic in the hallways. Sometimes I wonder why my teachers always told me that they were going to prepare me for the outside world, but failed to explain crucial problems in our society. For example, besides my personal struggles with health care, I never had to think about our health care system in high school. Get Healthy SLV has been educating the freshmen health class of the Alamosa High School about access to health issues. Our activities range from lectures…
By Katie Kerwin McCrimmon Sen. Irene Aguilar, D-Denver, plans to introduce a bill on Friday seeking universal health care in Colorado. Under her plan, employers would pay a 6 percent payroll tax for each worker while employees would pay a 3 percent share. Self-employed people and investors would pay a 9 percent tax on income and capital gains. In exchange for those costs, all Coloradans who have lived in the state for at least one year by the beginning of 2016 would become part of a statewide health care co-op and would get platinum-level health plans, the most generous package…
By Dr. Anthony Vigil None of us is competent to make the decision when to end life. We just dont, and never will, have all the data. Since we cannot see into the mind or the heart, we cannot weigh all the factors that may be going into a patients decision to end life. Patients are not obligated to fully disclose everything. We have no idea what is going on in the concious or unconcious of a person during the last moments. When we artificially bring them to the last moment, we are interfering with that process. In the Netherlands,…
By Dr. Jay Want I do a fair amount of work in payment and delivery system reform in various communities around the country.I have been speaking to physicians about change coming for over a decade.If you have done any of this work, you may have had this common experience: that change is hard and people have to have a really good reason to change the status quo.I admit it sometimes seemed to me that change would never come. But lately I have noticed some of the conversations are different.I have been in a couple of meetings recently where audience physicians…
By Bob Semro Colorados Health Benefit Exchange is on schedule and heading for a successful startup on Oct. 1, 2013, top officials told lawmakers on Thursday. On that date, Colorado citizens and small businesses (with 50 or fewer employees) will be able to easily compare and shop for affordable health insurance coverage in a brand-new online marketplace. The exchange is a key feature of the Affordable Care Act and is designed to help more Coloradans get insurance. Through the exchange, Coloradans will be able to purchase insurance with the help of federal tax credits. One goal of the exchange is…