10 09, 2019

Paper of the Week: 10th September 2019 – At last, value measured by the opportunity cost of an intervention

2019-09-10T09:43:21+00:00

This week’s blog is brought to you by: Professor Sir Muir Gray Full reference and title from the journal: Uterus at a price: Disability insurance and hysterectomy Fan E. (et al) Journal of Health Economics 66 (2019) 1-17 Link to Paper: https://www.sciencedirect.com/science/article/abs/pii/S0167629618308142?dgcid=rss_sd_all Authors conclusion: Taiwanese Labor, Government Employee, and Farmer Insurance programs provide 5 to 6 months of salary to enrollees who undergo hysterectomies or oophorectomies before their 45th birthday. These programs create incentives for more and earlier treatments, …..Induced hysterectomies increase benefit payments and surgical costs, at about the cost of a mammogram and 5 pap smears per enrollee. 3V bottom line: Expressing value in terms of other things that could be one with the same amount [...]

Paper of the Week: 10th September 2019 – At last, value measured by the opportunity cost of an intervention2019-09-10T09:43:21+00:00
2 08, 2019

Paper of the Week 2nd August: Lessons on paying for value from the US health policy laboratory

2019-08-02T06:20:37+00:00

This week's blog is brought to you by Dr Tim Wilson, 3V Managing Director. Full reference: Health Care Spending, Utilization, and Quality 8 Years into Global Payment Song, Z., Ji, Y., Safran, D. G., & Chernew, M. E. (2019). Health Care Spending, Utilization, and Quality 8 Years into Global Payment. New England Journal of Medicine, 381(3), 252–263. Web Link to Paper Authors conclusion: During the first 8 years after its introduction the Alternative Quality Contract of Blue Cross Blue Shield (BCBS) of Massachusetts, a population-based payment model, was associated with slower growth in medical spending on claims, resulting in savings that over time began to exceed incentive payments. Unadjusted measures of quality under this model were higher than [...]

Paper of the Week 2nd August: Lessons on paying for value from the US health policy laboratory2019-08-02T06:20:37+00:00
26 07, 2019

Paper of the Week: 26th July – Clinicians belief drives variation

2019-07-26T13:02:01+00:00

This week's paper is brought to you by: Dr Tim Wilson, Managing Director Full reference and title from the journal: Cutler, David, Jonathan S. Skinner, Ariel Dora Stern, and David Wennberg. 2019. "Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending." American Economic Journal: Economic Policy, 11 (1): 192-221. WEB LINK TO PAPER Authors conclusion There is considerable controversy about the causes of regional variations in health care expenditures. Using vignettes from patient and physician surveys linked to fee-for-service Medicare expenditures, this study asks whether patient demand-side factors or physician supply-side factors explain these variations. The results indicate that patient demand is relatively unimportant in explaining variations. Physician organizational factors matter, but the most [...]

Paper of the Week: 26th July – Clinicians belief drives variation2019-07-26T13:02:01+00:00