Health Care Costs

The Down-streaming of Health Care

In addition to the opportunities for policymakers to actually reduce rather than merely shift health care costs noted in  Don’t Confuse Cost Shifting with Cost Savings  (such as bundled payments for certain episodes of care and value-based payments for prescription drugs), there is a larger trend that also promises to reduce health care costs. However, be forewarned – [...]

By | September 9th, 2017|Categories: Vanner Perspectives|Tags: , , , |

Large Numbers, Risk Pooling and Adverse Selection

As legislators continue to repeal and replace the ACA, they look for new ways to separate portions the insurance markets into different segments. Some efforts counter actuarial and insurance principles: segmenting the risk pool increases volatility and that creation of different risk pools based on health status and effect premiums

Don’t Confuse Cost Shifting with Cost Savings

As the debate in Washington rages on over the efforts to repeal and replace the Affordable Care Act (ACA) there is a fundamental truth that is being ignored: there are no provisions of the current ACA replacement bills - either from the House (the American Health Care Act, or AHCA) or the Senate (the Better [...]

Senate Releases Health Care Bill

On June 22, the Senate Republicans released the Better Care Reconciliation Act of 2017 (“BCRA”), their version of a bill to repeal and replace the Affordable Care Act. The bill repeals some provisions of the ACA. However, in many instances the bill retains the ACA framework, but dramatically reshapes provisions of the ACA. Here are [...]

Telemedicine: Poised for Takeoff or Frustration?

Telemedicine - which includes a variety of electronic media to provide medical services and monitor patients with certain chronic conditions – holds much promise for reducing costs and improving outcomes. What are the obstacles to achieving even greater results?

By | May 9th, 2017|Categories: Uncategorized|Tags: , , , , , |

Your Money and Your Life

Health care is complicated – not just for politicians, but for consumers. You have a number of choices to make in buying health care and those choices require understanding some complicated topics. The challenges in shopping for health care are only going to increase, regardless of who wins the political wars over health care.

By | April 25th, 2017|Categories: Uncategorized|Tags: , , , , , , |