Tag: health care costs

What is the point of a primary care doctor; A writer compares the US System to Britains.

What is the point of a primary care doctor; A writer compares the US System to Britains. According to the author of this article, regarding healthcare access and cost, we have met the enemy and the enemy is us. For those of us used to the system in the U.S., primary care is often no more than a referral doctor who sends us to an endless stream of other providers, after meeting with us for a brief visit.   There is also the walk-in clinic that does not do primary care but is more like a doc you can see when Read More »

Accountable Care Organizations were supposed to reduce healthcare costs and maintain profits for health care organizations. Why did Dartmouth College end its ACO program?

Accountable Care Organizations were supposed to reduce healthcare costs and maintain profits for health care organizations. Why did Dartmouth College end its ACO program? Accountable Care Organizations (ACO’s) were one of the big ideas designed to reduce healthcare costs under the Affordable Care Act, also known as Obamacare.   While Obamacare has succeeded with increasing enrollment in Medicaid for the poor through the exchanges, and ultimately reduce the amount of uninsured patients, it also set up guidelines for what would be covered and what would not for those who participated. ACO’s and Medical Homes  were in theory going to reduce costs by helping doctors communicate Read More »

Proof that market forces, rather than insurance companies may be a viable way to reduce healthcare costs.

Proof that market forces, rather than insurance companies may be a viable way to reduce healthcare costs. The media has echoed the idea of market forces helping to reduce healthcare costs.  The problem has been that their definition of market forces really were insurance companies negotiating with different groups for procedures like hip or knee replacements, where the cost could differ by thousands of dollars depending on how the negotiation went. Insurers, actually have been responsible for hospital systems getting larger and the larger systems are now raising prices and making it more difficult to negotiate with due to monopolistic Read More »