Current Events

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Misperceptions of people with disabilities. A bundled payment success story.   Do people with COVID-19 tell their employers? The history of vaccine backlash. Oral COVID-19 vaccine? Things are getting better. Vaccines in Gibraltar.

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Public health spending lags medical spending. On the importance of pre-analysis protocols. Medicare spends over $10 billion on COVID-19 in 2020.  Home health = infrastructure? Will enrollment in cancer clinical trials continue to be difficult post-COVID? Yes vs No.

Mid-week Links

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Health insurance coverage for sexual minorities. PhD = doctor? Ghost rides. Mini-COBRA. Pasaporte corona en Dinamarca.

Friday Links

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COVID-19 vaccine monitor. Impact of immunotherapies on Medicare cancer cost. Amazon Care telehealth. What’s wrong with my model? Is Brazil’s health system collapsing?

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ISPOR’s new Science Strategy. MedPAC: “CMMI has put 54…[alternative payment] models into practice during the past decade. But only four of them have met the criteria for expansion.” Lifestyle and mental health disruptions since COVID-19. Impact of COVID-19 on small business CDC guidance for the… Read More »Links

Friday Links

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Food insecurity and health care spending. Access in a new world. Credibility Revolutionistas.  Do individuals with limited English proficiency use telehealth? Desk clearing and drug safety. UCI: Re-open California schools

Healthcare Economist joins FTI Consulting’s Center for Healthcare Economics and Policy

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I am very excited to announce that I have joined the FTI Consulting team. An excerpt from the press release is below. WASHINGTON, March 01, 2021 (GLOBE NEWSWIRE) — FTI Consulting, Inc. (NYSE: FCN) today announced the appointment of Jason Shafrin, Ph.D. as a Senior Managing Director in the Center for Healthcare… Read More »Healthcare Economist joins FTI Consulting’s Center for Healthcare Economics and Policy

Friday Links

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Impact of reducing air pollution on health expenditures. Does psychotherapy work? Does losing health insurance increase claims for SSI? Why governments decide to de-fund medical services. Can nonrandomized RWE replicate RCTs?

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Medicare Advantage star ratings and quality. ACA and cancer detection. We can open schools safely. SF eliminates gas stoves? Overshooting the output gap?

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Cost of care for residential opioid use disorder treatment 2021 Deficit: $2.3 trillion GAO recommendations on the COVID-19 supply chain “recreational marijuana policies were positively associated with opioid‐related hospitalizations” COVID and mental health. A tale of two thresholds. Hedonic vs. capability views on health. Patients… Read More »Links

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What is The birthday rule? EHR kickbacks? Who will be the digital head coach? Why did Haven fail? (one perspective) Is workers’ comp still in the quality-measurement dark ages?

Friday Links

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Appropriateness of step therapy. Fiscal impact of anti-obesity medications. Can individual hospitals survive? A health economist takes on Kenya’s pandemic. The invisible graveyard.

Friday Links

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Faster drug access in the Netherlands (Drug Access Protocol) “Hospitals might annually exploit extra reimbursements of about 8%–10% from primary diagnosis manipulations” Comparison of costs and benefits of European country COVID-19 responses Health Affairs’ priorities for Biden. Fauci on Trump.

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Pharmacy desserts. Why Israel leads in COVID vaccinations (speculative).  Does temperature screening really work? A mRNA vaccine for multiple sclerosis? Mark Cuban Cost Plus Drugs.

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Palau: A leader in health? The Great Bucatini Shortage of 2020. Bayesian fatigue. Illinois to cover undocumented seniors. Excess returns in Rx supply chain?

A Haven No More

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Haven was a high-profile effort whereby three industry titans–Amazon, Berkshire Hathaway and JP Morgan–created a joint venture with the hope of lower costs and improving quality. Today, Haven announced it is shutting down in February. What happened? I don’t know the answer, but below are… Read More »A Haven No More

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No more snow days in medicine. Hospitals overwhelmed. Drug lag. Racial bias and treatment algorithms. Number of COVID-19+ individuals that will show up at your event.

The 3Cs

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The Economist has an interesting article on how Japan has been able to largely contain COVID-19. Part of the success has been a strong public health initiatives around avoiding the san-mitsu, or the “3Cs”. The 3Cs to avoid are: Closed spaces, Crowded places, and Close-contact… Read More »The 3Cs

Friday Links

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Am I disabled? EHR burden on physicians: US vs. rest of world. COVID-19 vs. religion. Toilet politics. Giannis on COVID-19. Bonus: Largest US metro areas across decades (for some reason I find this fascinating)

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Smile when you get your vaccine. Financial toxicity and QoL among cancer patients. How does ICER use RWE. Challenges to buying more vaccines. Trump administration to void existing health regulations?

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Impact of unemployment insurance on health. Digital Health trends in 2021. Making coal history. How a libertarian would allocate vaccines. LA County sets new infection record.

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Who gets the vaccine first? Amazon Pharmacy. What’s different now? Interoperability and the pandemic. Becoming homebound.

Friday Links

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US debt rises about 100% of GDP. Racism and sickle cell disease. Health insurance among the self-employed. The interaction of minimum drinking age laws and genetics on binge drinking. Sanctuary policies and crime. Does social care prevent healthcare utilization? HDHPs impact the extensive but not… Read More »Friday Links

Friday Links

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Performance of private equity-owned nursing homes during COVID-19  GrimAge #WhiteCoatsForBlackLives Jews and Catholics come together in Wisconsin. The disappearance of the primary care physical examination. Remdesivir final report. (Self-reported) mask use tops 90%.

Friday Links

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Clinical trials going digital.  JAMA return-to-play guidance. Would a COVID-19 vaccine produce larger health or economic benefits?  Pros and cons of telemedicine. Are we there yet? A review of 4 value-based care programs.

Friday Links

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AZ/J&J resume COVID-19 trials. Nature and Predictors of Response Changes in Modified-Delphi Panels. Thanksgiving and COVID-19 risks. Misleading maps? Average annual premium for a family of four is $21,342.

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Trump vs. Biden: Impact on the deficit How does mental illness impact COVID-19 mortality rates? 11pt font. Physicians on proposed changes to Medicare Physician Fee Schedule. Shakespeare’s greatest villain Half of black adults won’t get a COVID-19 vaccine. Remdesivir final trial findings.

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Trump vs. Biden: Impact on the deficit How does mental illness impact COVID-19 mortality rates? 11pt font. Physicians on proposed changes to Medicare Physician Fee Schedule. Shakespeare’s greatest villain Half of black adults won’t get a COVID-19 vaccine. Remdesivir final trial findings.

Friday Links

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ADHD, financial distress and suicide. Will approval of ‘so-so’ COVID-19 vaccine preclude development of a better one? International price index: Lessons from Europe COVID and homelessness.  Explaining variation in wait times by socioeconomic status

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Specialist compensation and ACO performance Racism in health services research. FDA updates Sentinel System website. Drone sanitation. What if the Supreme Court kills Obamacare?

Friday Links

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ACA: In peril with Ginsburg’s seat in play RCT: App to help you quit smoking DCE: Framing bias? pCODR: Do they care about patient advocate input? CRFB: On the fiscal impact of the Biden health plan

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Mathematical vs. conceptual simplicity. “Hell has frozen over” Former FDA Commissioners on EUA for COVID vaccine Drug imports from Canada coming? ED wait times during COVID. COVID money tracker.

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Can hydroxychloroquine prevent COVID-19? Clinical trials during COVID-19. Specialist compensation in ACOs. Moral hazard in the Netherland health insurance system? Where do children play?

Masks work

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That is based on an event study approach from a recent Health Affairs article by Lyu and Wehby (2020). Specifically, Mandating face mask use in public is associated with a decline in the daily COVID-19 growth rate by 0.9, 1.1, 1.4, 1.7, and 2.0 percentage… Read More »Masks work

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Wear a mask. Election forecast uncertainty. Baby born after uterus transplant. Organ sales. Will pandemic lower health insurance premiums?

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JAMA perspective on back to school. Americans with HDHP aren’t using HSAs. Where are they now: digital health unicorns. EITC and mental health. Dems: $25 billion for vaccines.

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How are mosquitos benefiting from COVID-19. Sweden. Explaining Gödel’s proof. L.A. Teachers Union response to COVID-19: end charter schools? defund the police? COVID-19 vaccine = hope-driven hype?

LA: Distance learning only

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The New York Times reports: California’s two largest public school districts said on Monday that instruction would be online-only in the fall, in the latest sign that school administrators are increasingly unwilling to risk crowding students back into classrooms until the coronavirus is fully under… Read More »LA: Distance learning only

Some good news

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As COVID-19 cases continue to rise in the US, there was some good news last week from this year’s AIDS conference. Due to COVID-19, the conference had to be held remotely. One policy goal is known as the 90:90:90, which means to identify 90% of… Read More »Some good news

Friday Links

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Long waits for COVID-19 tests. Quantifying the benefits of the Clean Air Act. Pooled testing. Double dipping? Excess deaths trends.

What explains the decline in COVID deaths despite the rising number of cases?

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Take a look at these two graphs. The first gives the number of new COVID-19 cases from John Hopkins University. It is a scary graph. https://coronavirus.jhu.edu/data/new-cases The second graph is the number of COVID deaths from IHME. Not nearly as bad. https://covid19.healthdata.org/united-states-of-america CDC reported death… Read More »What explains the decline in COVID deaths despite the rising number of cases?

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Why payers support prior authorizations. Russia health care fact of the day. Doug Glanville, comma. “Schizophrenia is not a casserole illness.” Mortality vs. new cases.

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Modelling COVID-19 dynamics. The cost of medication non-adherence. Hydroxychloroquine is out; dexamethasone is in. CMS and value-based pricing. PhRMA: After 6 months of the COVID-19 pandemic, where are we now?