FAQ: What Are the Strongest Criticisms of the Oregon Health Plan for Healthcare Reform?

Fixing US Healthcare blog has touted the Oregon Health Plan of 1994 as a model of U.S. healthcare reform. But what are the strongest criticisms of OHP? Let’s look at 8 criticisms from 3 critics. Which criticisms are valid and which ones questionable? Finally, what about ethics? Jonathan Oberlander PhD: 5 Criticisms The first critic … Continue reading FAQ: What Are the Strongest Criticisms of the Oregon Health Plan for Healthcare Reform?

Cost-Effectiveness: From Genes to Healthcare System Reform

British health economist James Buchanan D.Phil. is skeptical that Geisinger Health System’s (Pa.) genomics project will prove to be cost-effective. But what about the cost-effectiveness of the whole U.S. health system? As a physician and resident of the southern reaches of Geisinger Health System’s catchment area in central Pennsylvania, I was intrigued by Dr. Buchanan’s … Continue reading Cost-Effectiveness: From Genes to Healthcare System Reform

Response to Peter Orszag: Efficiency Is Not Enough!

Economist Peter Orszag, who blogs regularly on the economics of healthcare, recently highlighted a survey of healthcare CEOs conducted by his firm Lazard. The survey showed that these CEOs see that “Healthcare is reforming, just not in Washington.”  Business (small and large) is rightly fed up with Washington’s petty partisan tinkering with the healthcare system. … Continue reading Response to Peter Orszag: Efficiency Is Not Enough!

Will New Trump-GOP Tax Plan Trigger PAYGO Cuts to Medicare?

The Trump-GOP tax plan will add to the national debt by $1 trillion (Joint Committee on Taxation) or $1.4 trillion (Congressional Budget Office). Under the pay-as-you-go (PAYGO) law, Congress will need to make a choice to cut Medicare or to allow the increase of the national debt. The PAYGO law says that the revenue shortfall … Continue reading Will New Trump-GOP Tax Plan Trigger PAYGO Cuts to Medicare?

FAQ: How Would Cost-Benefit Analysis Be Used to Restrain Healthcare Costs? – The Case of an Expensive New Cholesterol Drug

Executive Summary Some experts say that cost-benefit analysis is the way to restrain soaring healthcare costs and reform the system. How exactly would cost-benefit analysis work? This blog argues: Forget the caviar.  But keep costworthy care on the menu. To explain what this means, let’s look at the case of Repatha (evolocumab), the new cholesterol-lowering drug, … Continue reading FAQ: How Would Cost-Benefit Analysis Be Used to Restrain Healthcare Costs? – The Case of an Expensive New Cholesterol Drug