Kip Piper's Health Care Blog
Medicare, Medicaid, Health Reform

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Monthly Archives: August 2014

Hospital Emergency Room Use in Medicaid: What We Know

High hospital emergency room use by Medicaid enrollees is a perennial concern. What do we know about Medicaid emergency department visits? Are they medically necessary? What drives Medicaid emergency department visits? Is Medicaid ER utilization increasing under the Affordable Care Act? The Medicaid and CHIP Payment and Access Commission (MACPAC) attempts to answer some of these questions.  In a new...

Generic: The Unbranding of Modern Medicine

The practice of medicine in the age of generic pharmaceuticals is built upon the premise that these chemically identical medications have the same therapeutic effect as the brand-name ones. But do they? Generic: The Unbranding of Modern Medicine by Jeremy A. Greene, MD, PhD, of John Hopkins University is a fascinating exploration and challenge of this premise. Generic Drugs Are...

Hospitalizations for Opioid Overuse and Abuse: Growing Impact on Medicare and Medicaid

Overuse and abuse of opioid drugs, particularly prescription pain killers, is a serious, costly problem, with a host of challenges for purchasers, payors, patients, physicians, pharmacists, regulators, public health, and drug manufacturers.  For 20 years, overuse of opioid drugs has steadily increased, as have inpatient hospitalizations for opioid overdoses.  Together, Medicaid and Medicare pay for two-thirds of inpatient stays for opioid overdoes. ...

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