Our last Potpourri for 2012 is the ultimate in health information, containing not lumps of coal but tasty nuggets of holiday goodies, including transition care from hospital to primary care, how to control health spending growth, use of market incentives to improve the health system, building a good health insurance exchange and Massachusetts’ experience with the uninsured after reform.
Another in our series of Potpourris, tasty, succulent morsels of health data food, including this week the effect of mammography screening, improving health and health costs, state costs to run health insurance exchanges, family caregiving and the costs of fixing Medicare’s physician reimbursement.
Another consultant’s report on the American health system, this one from KPMG and focusing on the supposed transformation from a volume-based system to one founded on value. While leaders of health care system participants recognize the likelihood of significant change, they also seem determined not to let their share of health system spending drop.
Another paper from the National Bureau of Economic Research, this one examining consumer behavior in the context of the Medicare Part D exchange and finding that beneficiary inertia seems to result in less than optimal choices and lost savings opportunities.
PriceWaterhouseCooper publishes a report on the status of health insurance exchanges and issues which states and employers are considering as exchanges slowly lumber toward reality.
The Employee Benefit Research Institute releases a report looking at private health insurance exchanges and defined contribution plans, putting them in historical perspective and suggesting that adoption of these initiatives may not meet the objectives employers hope they will attain.
An interesting paper from the National Bureau of Economics focuses on moral hazard in health insurance and more specifically the extent to which consumers anticipation of future spending affects utilization, given the complicated nature of insurance cost-sharing, with a deductible, copays and an out-of-pocket maximum.