Boston researchers find high #spending on docs doesn’t produce better care

A group of doctors from a range of Boston-area institutions looked at patient outcomes and physician. Their findings were published online via JAMA Internal Medicine.  Abstract here.  While the substantial variation in health care spending across regions and hospitals is well known, key clinical decisions are ultimately made by physicians. However, the degree to which spending … Continue reading Boston researchers find high #spending on docs doesn’t produce better care

Boston Globe: Sachs, Angell, weigh in on health care reform

Jeffrey  Sachs of  Columbia University is not a health care guy; he's a big picture guy. One in  a series of lengthy columns in The Boston Globe offered this: OBAMACARE INCREASED health care coverage but did not solve the crisis of sky-high prices, and may well have exacerbated it by adding government subsidies into a … Continue reading Boston Globe: Sachs, Angell, weigh in on health care reform

Can #Massachusetts tame #health #spending with transparency and oversight?

Stuart Altman, the Brandeis University healthcare economist who has advised presidents from Nixon to Obama, talked to Health Leaders last week. He is now  the head of the Massachusetts Health Policy Commission, which tracks total health spending statewide.   HLM: How is Massachusetts trying to address high costs? Altman: First of all, it is the … Continue reading Can #Massachusetts tame #health #spending with transparency and oversight?

Are two big #hospital groups better than one? #consolidation

At Wednesday's meeting, the  Massachusetts Health Policy Commission heard a staff report on the proposed merger of Beth Israel Deaconess Medical Center  In summary, we find that these transactions are anticipated to increase market concentration, solidify BIDCO’s position as the second largest hospital network in the state, and could strengthen BIDCO’s ability to leverage higher … Continue reading Are two big #hospital groups better than one? #consolidation

Health care in Massachusetts: Affordable or not?

Not affordable: From this week's paper Rising health care costs have outpaced the incomes of Massachusetts families over the past decade, despite efforts by the state to control medical expenses, according to a report released Wednesday. Affordable: Two weeks ago. Despite concerns about rising health care costs, the head of the state’s largest and most … Continue reading Health care in Massachusetts: Affordable or not?

Former Tufts doc: “Widespread dishonesty” leads to unjustified health care fees #HCR

Former Tufts doc and current Mainer Howard A.Corwin comments this weekend on the latest in Elizabeth's Rosenthal's great NYTimes series on insane health care costs. In her latest piece, she reports that "In operating rooms and on hospital wards across the country, physicians and other health providers typically help one another in patient care. But in … Continue reading Former Tufts doc: “Widespread dishonesty” leads to unjustified health care fees #HCR

Globe: For-profit hospitals in low-income communities want a cut of high fees paid to competitors #healthcarecosts

It is well documented that some Massachusetts hospitals -- read Partners -- have the bargaining power to  extract higher pay rates from the feds and private payers.  Today's Globe offers two takes on the ongoing battles. This one is behind the paywall:  A new coalition led by the state’s biggest health care company and its … Continue reading Globe: For-profit hospitals in low-income communities want a cut of high fees paid to competitors #healthcarecosts