A new report looks at the out-of-pocket health spending in the last year of life for Medicare beneficiaries. The spending is not only large but highly variable and undoubtedly puts a significant financial strain on most of these people.
Yet another study has emerged on the factors responsible for apparent variation in costs of treating Medicare patients, this one focused on the high-cost quartile of beneficiaries and finding that health status accounts for much of the variation.
Researchers writing in JAMA looked at whether the ownership type of a hospice appeared to be correlated with profit-maximizing behavior under Medicare’s per diem payment scheme. They found only weak evidence which could have other explanations.
Another rendition of selections from the health literature, including advance directive issues; guideline problems; physician religious beliefs and end-of-life care; health information exchanges; the results of use of modified global payments with physicians and hospitals; and physician payment reform.
Our usual end-of-the-week collection of health care tidbits, featuring HIE vendor awards; the point-of-care testing market; what makes medical groups successful; family caregivers and technology; clinical decision software for imaging; health care employee compensation; and communication between primary care and specialist physicians.
The newly aging boomer generation is posited to be more receptive to use of a multiplicity of technologies in health care, with the end goal of being more responsible for their health and health care. A new report explores opportunities which arise as boomers age.
An outstanding Rand report describes the potential for home care technologies, barriers to their use and changes needed to overcome those barriers. The report paints a compelling picture of how greater care at home can benefit patients and the health system.
On we go into the New Year, already on our fourth Potpourri, this one rich with information on state Medicaid program issues; what makes for a successful wellness program; what makes for a well-run hospital; pushing back on too much medical care; the value of colonoscopy and walking faster to live longer.
About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
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