Posts Tagged ‘Health Care Media’

Costs are up…because they’re higher than they were

Monday, May 30th, 2011

By Evan Falchuk

In perhaps no other country is there a greater abundance of data about health care than there is in the United States.  And in perhaps no other country is there more confusion as to what’s really going on.

Take the recent report by powerhouse actuarial firm Milliman (disclosure:  Best Doctors uses Milliman for actuarial work).  It’s a fascinating report with some of the best information on American health care there is.

The major take-away:  U.S. health care costs continue going up.

But when people start interpreting the data, well, that’s where the trouble starts.

(more…)

In the News

Wednesday, August 25th, 2010

By Evan Falchuk

ABC News reports on the murky world of discount medical plans.  They scored a series of quotes from me, including this one:

If your gut tells you that you need to wonder about what you’re hearing, it’s a bad sign. If it seems too good to be true, it probably is.

Read the whole thing.

Elsewhere, David Williams of the Health Business Blog now has the transcript of our podcast up on his site.  He’s split up the interesting discussion into two parts, with the first part here and the second part here.

Michael’s Story: Media Round-Up

Friday, December 18th, 2009

By Evan Falchuk

You know what a good day is?  It’s one where you feel like you made a difference in someone’s life.

By this standard, yesterday was a an incredible day.  We got to meet Michael Sanders, 3, and his wonderful family, as they shared with us how we at Best Doctors had helped Michael’s parents save their son’s life.

Aside from the the Boston Herald, this story was seen on Boston’s WHDH-TV (NBC), and on MSNBC.com. Here’s a clip from Boston’s Fox affiliate Fox 25.

Among the top-tier blogs, big Boston blog Universal Hub also carried the story.

More Good Reading

Monday, December 14th, 2009

By Evan Falchuk

A round-up of interesting things found on the web:

1. Joe Lieberman wants you dead.

Well, maybe not you, in particular.  But Ezra Klein can’t figure out why Senator Joe Lieberman opposes the current version of the Senate health care reform bill.  So, he has reflected on the point concluded that it is because he

seems primarily motivated by torturing liberals. That is to say, he seems willing to cause the deaths of hundreds of thousands of people in order to settle an old electoral score.

Well, ok, then.  Health care seems to make people say some crazy things.

2.  Jonathan Bush doesn’t like Congress.

Babies are enjoying a renaissance.  First, they day trade.  Now, they seem to have access to Israeli-manufactured submachine guns:

I still have to keep going to Washington and sucking up. . . . Because the problem is when you have a baby with an Uzi, right, they might accidentally mow you down. But here’s the thing . . . they’re brilliant people. It’s just that the idea of a market in health care never occurred to them.

But the CEO of Athena Health makes some interesting points.  He doesn’t think the reform proposals in Washington are a good idea, but says that companies like his stand to make a lot of money implementing whatever it is that is passed.  It’s a colorful interview that is worth reading.

3.  Massachusetts businesses are worried that federal reform will undermine the Massachusetts reforms of 2006

For all the talk about how bad the Massachusetts health care reforms are, a coalition of the most important business groups are worried federal law might undermine them.  So they wrote a letter to  Senator Kennedy’s (temporary) replacement Senator Paul Kirk asking him to make sure this doesn’t happen:

Our hope was that national health reform efforts would compliment, rather than undermine, our state efforts. In recent weeks, we have grown increasingly concerned that many provisions contained in the health reform bills before Congress could actually undo the success of Massachusetts health reform by making coverage more expensive. . . . .Employers cannot absorb this increased cost, particularly when our health care costs are already among the highest in the nation.

The business groups are especially concerned with taxes on health insurers and so-called “Cadillac” plans, but also raise a number of other issues.  Their biggest concern is cost-containment and they are worried that the Senate bill isn’t going to address that problem.

4.  The UK’s Health Insurance and Protection Magazine featured an interesting story on Best Doctors

As I noted after my recent visit to our European headquarters, different countries may have different health care systems, but the experience of being sick or treating patients is very similar:

The fact that medical treatment varies locally and internationally is well-established.  In the UK, mastectomy rates for breast cancer patients range from 36% to 53% between regions, and between surgeons from 19% to 92%. . . . [T]hese examples serve as useful reminders that doctors operate within a complex context. While national guidelines exist, there remain difficult choices to be made.

Bottom line: everyone wants more control over their health care.

5.  Tinker!

At Healthcare etc., Marya Zilberberg says good things happen when we question authority and try things for ourselves:

People, we are no better informed than our ancestors banging their drums to ward off solar eclipse. . . . If we want true innovation, we need to get back to our tinkering roots. Learn to darn your socks, help your child to read and teach her to tinker, so that she can stay curious. Question “experts”: most of the time the mountains of complexity behind their concepts are useless or unnecessary, or created for the purpose of exclusion by obfuscation. Throw open these black boxes and shine a light in them. Play with stuff. Play with ideas. Tinker!

I’m all in favor of her advice.  Except the the part about sock darning.

UPDATE 12/15/09: This was cool and came out late yesterday:  My brother and his co-creators of the show Glee received 2 nominations for awards from the Writer’s Guild of America.

UPDATE #2: And they got four Golden Globe nominations.  Not a bad day.

What in the World is Judge Napolitano Talking About?

Tuesday, September 15th, 2009

By Evan Falchuk

The politicization of everything to do with health care reform continues.

In today’s Wall Street Journal, Fox News contributor Judge Andrew Napolitano writes about the President’s health care reform plan. He claims it is “unconstitutional at its core.”

Napolitano is a former state court judge, so I respect his credentials as a fellow member of the bar. But a first year law student could demolish most of Napolitano’s argument. And that same first year student, having done some quick research, could dispense with the rest.

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“The Case for Killing Granny”

Monday, September 14th, 2009

By Evan Falchuk

There’s a case for killing Granny?  I guess so, or at least according to Evan Thomas’ article in the most recent Newsweek. Thomas, after sharing the story of his mother’s last days, concludes that death is the key to health care reform:

Until Americans learn to contemplate death as more than a scientific challenge to be overcome, our health care system will remain unfixable.

Does everything need to have a political spin on it nowadays?

But let’s take Thomas’ advice and talk about death.  Not “death panels,” not the politics or the cost of end-of-life care.  Just plain old death.

(more…)

Five Myths About American Health Care

Wednesday, September 2nd, 2009

By Evan Falchuk

Newsweek tries refute the “Five Biggest Lies In the Health Care Debate.”

But I’ve heard much bigger lies than the ones in this article.

I mean, are people really showing up angry at town hall meetings over fears that “the government will set doctor’s wages”?

Misinformation – or just plain old confusion – about our health care system is common.  To try to help fix this, I offer five of the biggest, most commonly repeated misconceptions I hear regularly about the U.S. health care system.

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How the Curve is Already Bending

Tuesday, August 25th, 2009

By Evan Falchuk

Bad news in the paper today: health care costs are expected to rise another 10.5% next year. It’s a serious problem that affects businesses and families across the country.

But the headlines miss something important: the rate of increase has been steadily slowing.

Are we already bending the health care cost curve?

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The Curious Case of Medical Tourism

Saturday, August 22nd, 2009

By Evan Falchuk

In our survey of major U.S. employers, we found very little interest in medical tourism.

But there is a great deal of interest in it among the major media – the Wall Street Journal, the New York Times, and today, Forbes (via the Associated Press) have done major stories on it.

But here’s something curious.

All three stories have featured the exact same medical tourist – Ben Schreiner of Camden, South Carolina.

Back in March, I wrote about how curious this was.  I guess it’s curiouser now.

Are there this few patient stories?  Based on our survey, maybe.

Whether medical tourism becomes a trend in America remains to be seen.  But since he’s appeared three times, one thing is certainly a trend – Ben Schreiner’s role as the go-to guy for stories on it.

WELCOME Instapundit readers.

This blog is about health care.  It is from the perspective of someone actually in the health care business.  It is a perspective informed by the health care system as it actually works.

And what it is really about is this:  Health care has become focused on the unit cost of care – treating it like something that can be produced on an assembly line.

But it’s not.

It is about thinking, judging, and deciding what is wrong with a patient.

The trouble is, our system systematically undervalues this process.  When your doctor can only spend 15 minutes with you, why are we surprised when things go wrong?

Proposed reforms continue to see health care in this light, hoping that through ever-more clever ways to pay for care, we can fix a problem created in that very same way.

If you read this blog, you will see not just the reality of how this works, but also the good news – the stories of patients, doctors, employers and others who are doing real and meaningful things to put right what is wrong.  You won’t hear much about it in the media – well, sometimes you will – but there are people out there changing the face of health care even faster than the politicians can.  And perhaps you will see what politicians might learn about how to actually make change.

Please visit again, join the discussion, and add your voice to this most important debate.

To Serve Man

Friday, August 14th, 2009

By Evan Falchuk

Fresh off labeling opponents of reform “political terrorists,” the Washington Post’s Steven Pearlstein says that, well, actually, “it is possible to disagree about health reform without being disagreeable.”

ToServeMan3

That’s nice.

I don’t think he means to, but Pearlstein shows one of the reasons why reform has been so contentious:  It’s because people are suspicious that they aren’t getting a clear, direct, honest story from their leaders.

They fear that buried in the thousands of pages of unread legislation is much more than just harmless changes to the health insurance market, or ways to help doctors do a better job, or to control expenses while improving the quality of care. They are skeptical, and the President’s assurances that if they like their coverage they can keep it – that they can somehow “opt out” of reform – aren’t working.

I think it’s because they keep hearing things that make them think otherwise.  The foolishness around “death panels” had such bite because it seemed like just the sort of thing you might try to sneak in as a way to fix “the most important fiscal issue we face as a country.”

I’ve knocked Pearlstein before, but he’s doing a better job of saying what reformers really want than the President and Congressional leaders.  He says reform should be a “bold national experiment aimed at redefining the doctor-patient relationship and dramatically altering the way health care is delivered.”  That’s fine, but if this is what we’re doing, we should be honest about it, and have the kind of thoughtful discussion that kind of endeavor deserves.

Absent that, people get nervous, and they have every right to be.

hen we talk about health care reform, we are really talking about dozens of different issues. Is health care reform about covering the uninsured, or about cutting costs for employers? It is about having a publicly-funded health plan, or changing reimbursements to doctors? Is it about longer life expectancies or creating insurance cooperatives? Is it about caps on medical malpractice awards, or comparative effectiveness? Is it about healthier lifestyles, or cutting the cost of prescription drugs? Is it about cutting administrative waste, or incentives for more people to go to medical school? Is it about implementing new health care IT, or preventing insurers from making excessive profits?

  • "Medicine is learned by the bedside and not in the class room. Let not your conception of manifestations of disease come from work heard in the lecture room or read from the book: see and then research, compare and control. But see first."
    - Sir William Osler, MD
    The Father of Modern Medicine
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