On The Record (with daily recap)

  • GAO: The Federal Government’s Long-Term Fiscal Outlook: Fall 2011 Update
  • GAO: Health Care Price Transparency: Meaningful Price Information Is Difficult for Consumers to Obtain
  • CBO: Trends in the distribution of income

Today in TIE: Reflex, Austin provides macro health care chart dump, and is hitting the road, Don compares Heritage ideas for LTC to CLASS, Aaron looks at the cost of drinking

About Don Taylor
Professor of Public Policy at Duke University (with appointments in Business, Nursing, Community and Family Medicine, and the Duke Clinical Research Institute). I am one of the founding faculty of the Margolis Center for Health Policy, and currently serve as Chair of Duke's University Priorities Committee (UPC). My research focuses on improving care for persons who are dying, and I am co-PI of a CMMI award in Community Based Palliative Care. I teach both undergrads and grad students at Duke. On twitter @donaldhtaylorjr

3 Responses to On The Record (with daily recap)

  1. JayB says:

    http://onlinelibrary.wiley.com/doi/10.1111/j.1475-6773.2011.01276.x/full

    New paper on Medicare spending and outcomes.

    “Conclusions. On average, greater medical spending is associated with better health status of Medicare beneficiaries, implying that across-the-board reductions in Medicare spending may result in poorer health for some beneficiaries.”

    Would love to hear Austin’s take on the significance of the methodological differences with Dartmouth and their significance. (1. IV analysis vs averages for geographic spending quintiles 2. Incorporating metrics for prior health. 3. Measuring spending over a much longer time)

  2. JayB says:

    Another key point from the discussion:

    “Conversely, as noted above, even if our primary result is accurate on average, it does not imply that all medical spending for all medical conditions and situations necessarily has the same positive effects on health. For example, Kaestner and Silber (2010) found significant variations in the magnitudes of the estimated positive effect of spending on health across several medical conditions. These results suggest that the search for inefficiencies in Medicare spending needs to be conducted on a more disaggregated basis, focusing on the effectiveness of specific treatments and care patterns for particular conditions and combinations of conditions”

    Amen.

  3. Al Charbonneau says:

    I am surprised that the GAO’s report on price transparency doesn’t mention Arrow’s paper (which I only discovered a few years ago) on healthcare markets. If appropriate, it would provide an important historical perspective: we have tried for almost 50 years to make healthcare markets work.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: