Author Archives: Derek Delia and Louise B. Russell

Medicaid Accountable Care Organizations: Opportunities for State Cost Control

 > New Jersey is aiming to contain Medicaid costs without cutting benefits or beneficiaries. Pending legislation would authorize the formation of Medicaid accountable care organizations. read more »
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Holding the Line on Health Spending

 > It will probably be years before we can tell whether the health care reform legislation makes a difference to costs, and its effect is likely to be obscured by the poor state of the economy. read more »
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Expensive Procedures Can be Cost Effective, Too

 > Is $300,000 too much to pay for cancer surgery? Not necessarily. Some less expensive widely used interventions, like statins for high cholesterol, may cost more to save a year of life. read more »
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Prevention: Good News for Patients

 > The Senate Finance Committee bill proposes to give the Secretary of Health and Human Services additional responsibility for preventive services under Medicare. The Secretary would have the power to review those services and, based on the recommendations of the United States Preventive Services Task Force, modify or withdraw coverage. This is good news for patients. read more »
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Comparative Effectiveness and Rationing: Lessons from NICE

 > American attempts at comparative effectiveness research have often prompted charges of rationing. However, a free flow of information about benefits, harms, and costs through publicly funded comparative effectiveness research could improve health care in the U.S. Examining how Britain’s NICE uses this research could help us understand its potential benefits. read more »
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Prevention Will Reduce Medical Costs: A Persistent Myth

 > Despite an emphasis on preventive care in some health reform proposals, studies suggest that the use of more preventive medicine may in fact increase, rather than decrease, overall health expenditures. The key may be in realizing that with prevention, as with treatment, better health comes at a higher price most of the time. read more »
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