November 16th, 2015
Medicaid is the largest health care program in the United States. It spends a lot on relatively low quality care. Since 2007, Colorado officials have acceded to the federal government’s wishes, expanding both Medicaid and the role of government in Colorado health care. The feds said it would reduce health expenditures by improving health. Now it’s [...]
July 23rd, 2015
In the recent King v. Burwell decision, the U.S. Supreme Court said that the federal health benefits exchange can provide Obamacare premium subsidies. Given this, it may be time for Colorado officials to shut down the Colorado exchange and let people use the federal one. In 2012, the Colorado exchange predicted that its 2015-2018 expenditures would [...]
July 16th, 2015
Understanding the price of ketchup may go a long way towards explaining why mainstream health care reformers gives such bad reform advice. Per-capita health spending varies a great deal. It varies by geography, it varies by health status, it varies by demographics, and it varies by individual patient characteristics. Academics and government officials decry this variation. [...]
May 18th, 2015
The federal Health and Human Services Inspector General’s Office recently issued a report finding fault with Colorado Medicaid’s internal accounting controls. In 2011, it paid 798,411 Medicaid claims worth $425.4 million even though they were missing legally required National Provider Identification (NPI) numbers. Services provided under the Home & Community Based Services Waiver generated 767,936 claims [...]
May 1st, 2015
Some members of the Colorado legislature want to be exempt from the Health Insurance Portability and Accountability Act (HIPAA), the federal law requiring everyone else to protect individual health information from purposeful or accidental disclosure. “Health oversight agencies” are exempt from HIPAA requirements. If Senate Bill 275 passes, the entire Colorado legislature will become a [...]
April 13th, 2015
Government does a variety of things that make health coverage more costly. Now that the legislature has empaneled a commission (disclosure, I sit on the commission as health care economist) to look at Colorado health care cost drivers, we can hope that it will encourage officials to take a hard look at what the state and [...]
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December 1st, 2015
As most of you know, and as I will proudly proclaim once again, your pal Little Eddie has officially turned six. I’m practically a grown-up. That means I have more liberty to stay up later, make choices regarding vegetable consumption at dinner, and riddle my blog posts with six-year-old snark. To ring in my newfound [...]