Health care finance and utilization is a Pareto curve. A small minority of people drive the vast majority of costs and utilizations. Conversely, most people are minimal users of healthcare services in any given year. This means there are two very distinct strategies that should promote good outcomes. But first, let’s look at a great […]
About David Anderson
I'm a research associate at Duke University Margolis Center. I used to be Richard Mayhew, a mid-level bureaucrat at UPMC Health Plan. I started writing here and have not found a reason to stop.
Entries by David Anderson
The Federal Trade Commission (FTC) was in the news earlier this week. They, in conjunction with the Commonwealth of Pennsylvania, are filing suit to stop a hospital chain merger in the middle of that state. The Federal Trade Commission has authorized an action to block Penn State Hershey Medical Center’s (Hershey) proposed merger with PinnacleHealth […]
There are three competing choices in the American healthcare system. Reasonable costs Unlimited choices Quality care At best this is a one plus one of two choice scenario. You can have reasonable costs and quality care by restricting choices, you can have quality care and unlimited choices. It is very hard to have reasonable costs and unlimited choices. […]
At least that is the the public health take-away of a recent study analyzing the public health impacts of an increase in the alcohol tax in Maryland. The Baltimore Sun: Maryland recorded 7,400 cases of the bacterial infection in 2010, when alcohol, like other goods, was taxed at 6 percent. But two years later, with […]
Reference pricing is a common payment reform for commercial insurance. Common, non-urgent, deferrable procedures are prime candidates. Hip replacement is the classic example in California. There, CalPers sets a flat fee for hip replacement. If a covered individual chooses a hospital that has a price below the benchmark, CalPers pays the full benefit minus any normal […]