Entries by David Anderson

Reducing errors

One of the better ways to reduce errors is to admit what went wrong and then how to solve those problems.  538 and Nate Silver got the Republican race fundamentally wrong as they were applying a modified “The Party Decides” framework as a core assumption to their analysis. Nate Silver has a good tweet on […]

Information not leading to informed decisions

The Journal of the American Medical Association**  has an interesting article on the utilization of patient centered consumer driven decision support tools that are supposed to allow for people to choose cost-effiecient and effective treatments that they pay for with their deductible dollars. Results  ….After adjusting for demographic and health characteristics, being offered the tool […]

Profitable non-profits

The Washington Post reports on the most profitable hospitals in the country based on their operational margins. Seven of the top 10 most profitable hospitals in the United States are nonprofit facilities that each netted more than $150 million from caring for patients in 2013, according to a study published Monday…. The authors analyzed Medicare data […]

Woodworkers and assignment flexibility

Charles Gaba notes today that Pennsylvania’s  Medicaid Expansion has seen more people sign up for it than were projected to be eligible for it.  Michigan had the same pattern. Officials expected that up to 600K would be eligible, and as of last summer 439,000 had already signed up. By December it was up to 500K. Well, […]

Variance, risk adjustment and targeting

Risk adjustment is the process by which insurers with sicker than average populations get money from insurers with healthier than average populations. One of the  goals is to make cherry picking an inherently not particularly profitable activity. Some companies, like Centene/Ambetter, will deliberately seek out to insure a reasonably healthy population while accepting that they’ll […]