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

Health care expenditures are three times greater for patients who have both functional limitations and multiple chronic conditions than for patients without functional limitations. This was the impetus for a recent report, entitled High-Need, High-Cost Patients: Who are They and How Do They Use Health Care?1 The following is...
Today, prices driving prescription drug spending are largely rooted in a long history of pricing by dosing unit.  In most cases, the pricing of a given prescription drug or biologic does not vary by clinical indication it is being used for, whether the use is on-label or off-label, or...
For the 2.4 million Americans with an opioid use disorder, the over 10 million who abuse prescription opioids, and the nearly one million heroin users, access to medication-assisted treatment (MAT) is critically important, according to the National Institute on Drug Abuse (NIDA) and Substance Abuse and Mental Health Services Administration (SAMHSA) guidelines....
Teen Hospital Stays for Childbirth Latest Trends
Teen pregnancy rates in the U.S. remain high with significant variation among states in both pregnancy rates and teen hospital stays for childbirth, according to a recent brief from the Agency for Healthcare Research and Quality (AHRQ).  Entitled Teen Hospital Stays for Childbirth, 2004-2013,1 the report compares hospital-acquired data...
Physician Practice Patterns and Perspectives on Change: Insights from National Survey
Physicians are in the midst of dramatic change, affecting practice patterns, care delivery models, payment methods, performance expectations, patient relations, business relationships, incomes, careers, retirement plans - and particularly morale.  Physician perceptions of changes in their profession and the U.S. health system are the focus of a recent 84-page...
Medicare Episode-Based Payment Reform Demonstrations GAO Review of Voluntary and Mandatory Models
The Centers for Medicare and Medicaid Services (CMS) is investigating the effects of different episode-based payment methodologies on health care cost efficiency and quality in the Medicare program. A new report released by the U.S. Government Accountability Office (GAO) details the results of some of CMS' most...

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