Category: Blog

“How Medicare and Private Spending Differs – And Why That’s Important to Employers”

How Medicare and Private Spending Differs – And Why That’s Important to Employers  A recent Commonwealth Fund blog – Understanding Differences Between Medicare and Private Insurance Spending -validates what many of us might have guessed all along:  Medicare and private insurance spending – while both high – are high for nearly opposite reasons.  Specifically…  Medicare spending is […] Read Article

Save Over $800 Million in Avoidable ED Visits According to New APCD Analysis!

A new cost driver analysis based on commercial health payer data in the Colorado All Payer Claims Database (CO APCD) shows that Colorado could save an average of $1,150 per visit and over $800 million annually if patients used a clinic or doctor’s office for non-emergent situations. The report also identifies staggering cost differentials between non-urgent health issues seen […] Read Article

Is Cost of Cancer Care Ground Zero for Reform?

Is Oncology Ground Zero For Reform?   By Brian Klepper http://thedoctorweighsin.com/is-cost-of-cancer-care-ground-zero-for-reform/ A few weeks ago, the clinically positive results from the CLEOPATRA oncology trial were released, showing that pertuzumab, when added to docetaxel and trastuzumab as first line chemotherapy, produces an average survival benefit of 15.7 months in HER2 positive breast cancer patients. That good […] Read Article

The price of excess: Identifying waste in healthcare spending

Don’t believe that over half of the $2.2 trillion we spend on healthcare is due to waste?  Check out the recent pwc article, “The Price of Excess: Identifying Waste in Healthcare.”  It’s a compelling argument that expands – though only marginally – prior estimates by various researchers (including the Institutes of Medicine in their seminal […] Read Article

Can Health Insurance Exchanges Bend the Cost Curve?

  On the surface, health insurance exchanges seem like a good idea: an open marketplace where insurers compete with each other to be more efficient and cost-effective in offering standardized products.  After all, that’s the essence of a free market.  Isn’t that exactly what many of us have argued that health care needs? Well, actually […] Read Article

Why Most People Don’t Shop Around For Medical Procedures-The National News Story

We shop around when we get a plane ticket or buy a couch. But we spend thousands of dollars on health care without comparing prices. What happens when you pay patients to choose the cheaper option? October’s CBGH meeting  with cost commission discusses price transparency: hear the national news story today at http://www.npr.org/2015/10/09/447098694/why-most-people-don-t-shop-around-for-medical-procedures   Read Article

Slowing Health Costs? Not for Employees.

A terrific chart from the Kaiser Family Foundation (KFF) and Health Research Educational Trust (HRET) shows why, despite the relatively slower 5% per year growth in healthcare care costs over the past five years, consumers aren’t “feeling the love.” As documented in the KFF’s  2015 Employer Health Benefits survey published last week and reported in […] Read Article