In a story about the future of Medicare and how the government will pay for the care of older Americans, Elliott Fisher, a professor of medicine at The Dartmouth Institute for Health Policy and Clinical Practice (TDI), a professor of community and family medicine at the Geisel School of Medicine, and director of the Center for Population Health at TDI, tells The New York Times that Medicare spending per person varies widely throughout the United States regardless of the quality of the care. Bringing the entire country in synch with the prevailing hospital-stay lengths of Medicare enrollees in Oregon and Washington would result in a dramatic savings, Fisher tells the Times.
Video: Medicare 4: Straight Talk on Medicare and Social Security from AARP Oregon
Daily Kos: House Republicans vote to end Medicare, again
whose memorization skills are awasome are lacking is a sense of time. There’s a clue in the fact that all economic theory is based on models that are focused on conditions at a specific point in time. That is, the models are all static. If there are series or sequences, those are still perceived as static isolated instances. For comparison, think of the frames in a moving picture or video or cartoon. In a movie, these static images move at the rate of 30 per second, too quick for the human eye to perceive as static. So, we see them as continuous motion. Now imagine a person who can’t see change — i.e. the relationship between prior, present, and later images. Or call it progression. Some brains just take snap shots and can’t register change, progress, motion. Kenneth Galbraith said the problem is an inability to model the economy as a dynamic system, which it is. Economists can’t track change over time. Meteorologists are trying to do it for the weather, with some success. But, I suspect people attracted to economics aren’t even interested in trying, either because they don’t understand what a dynamic system is or because what they’re really after is changing how people behave. If the economy isn’t working as they expect, then people’s behavior has to be changed. It doesn’t even occur to them that their models are wrong.
Is Medicare Really Working in Oregon?
One certain reason enrollees are continually satisfied is that 2012 premiums are lower on average than 2011 premiums. In 2011, the Centers for Medicare and Medicaid Services (CMS) found that the Medicare Part D program saved enrollees $2.1 billion in 2011 because of the Gap Discount program, which requires drug manufacturers to provide discounts on brand-name and generic drugs to seniors in the gap or “donut hole.” About 3.6 million enrollees nationwide benefitted from these discounts, at an average of $604 each.
Oregon’s great health care experiment: State puts $240 million on the line with coordinated care
The Oregon Health Authority formally certified the Collaborative to become a CCO on July 31, and it will begin providing care to 180,000 Oregon Health Plan patients living in Multnomah, Washington and Clackamas counties on Sept. 1. The Tri-County Medicaid Collaborative will, by far, be the largest CCO in Oregon. It is composed of every major health provider in Multnomah, Washington and Clackamas counties: Adventist Health, CareOregon, Central City Concern, Kaiser, Legacy Health, Oregon Health & Science University, Providence Health & Services, Tuality Healthcare, and representation from the three metro counties. Its annual budget is expected to be around $750 million dollars, and it will provide care for roughly a third of the state’s Oregon Health Plan patients.
Natural Gas: Oregon’s Energy Independence
“After years of being dependent on foreign sources of energy, we are now at the point of being able to export energy,” he said. The financial possibilities for our nation “take your breath away.” He advocates finding a balance by allowing some exports but not so many that it jacks up prices for American consumers and businesses.Southern Oregon has great potential for alternative energy sources including geothermal, hydropower and biomass, a forest source that can help reduce wildfire fuels and promote healthy forestation practices, he said.
Oregon Picked To Lead National Innovation In Health Care Improvements
Oregon Health Authority will administer the grant, which will support the state’s ongoing health system transformation and require Oregon to share what it learns with other states. Oregon’s health reform to its Medicaid program started with the creation of coordinated care organizations last year.
A Call for Mandatory Disclosure of Corporate Political Spending
Second, over the years, this issue has been caught, legislatively speaking, in a weird deadlock between Democrats and Republicans that involves, oddly enough, corporate philanthropic grantmaking. As readers know, corporate grantmaking through 501(c)(3) corporate foundations that file 990s gets disclosed, but direct grants from companies’ executive offices, marketing and PR arms, community relations divisions, etc. can be, and frequently are, done without disclosure. For some years, a Republican member of Congress would introduce a bill calling on disclosure of corporate charitable giving. Democrats (and leading nonprofit associations) have consistently opposed corporate charitable disclosure, saying that disclosure would make corporations apprehensive about supporting some causes and charities. Democrats would instead counter that if Republicans wanted disclosure of corporate philanthropic spending, they should be willing to require the disclosure of corporate political spending. And that’s where the debate would always grind to a halt.
OHSU hiring freeze over $30M sequestration impact
One current pressing financial challenge for the university is the likelihood of sequestration, automatic spending cuts that will take place on March 1 unless Congress takes action to avert the reductions. OHSU depends on public resources – primarily federal grants, Medicaid and Medicare payments, and to a lesser extent state funds – for about half of its $2 Billion budget. The overall impact of sequestration on OHSU is estimated to be between $31 million and $33 million this year. That estimate includes federal cuts in Medicare funding, National Institutes of Health research funding, Department of Defense research funding and National Science Foundation funding.