Entries by David Anderson

Saying no to drugs

Cost control on healthcare is often a matter of saying “No”, or at least “No, not at that price.” Michael Bertaut of Blue Cross/Blue Shield of Louisiana has an excellent example of the escalating arms race to say no and then avoid the no between insurers and drug marketeers: Imagine I send you to your […]

ESI cost control and networks

There is an interesting discussion thread on Twitter about how the way Medicare for All saves money is by significantly reducing provider, device, and prescription payment rates. @charles_gaba @mattyglesias @nicholas_bagley Also, how do you squeeze down large-employer ESI payment rates short of all-payer. — xpostfactoid (@xpostfactoid1) January 15, 201   There was a related but […]

Good news everybody

I’m a little late on this but  Louisiana is set to expand Medicaid  with a go-live date of July 1. They are able to go relatively fast because they are just doing a straight up expansion. There are some significant back end plumbing tasks that need to be hammered out before expansion (risk sharing, risk […]