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Insurance Pools: How Do We Pay for the Expensive People?

Why you can’t fool all of the people all of the time.

I think for most people, including me at times, the effort to repeal and replace the Affordable Care Act is an exercise in taking something they didn’t understand well but have feelings about, and replacing it with something else they don’t understand well and will have feelings about.  I could comment on the state of our legislative process surrounding this case, but that’s for another day and another blog. 

Instead, if you can stand it, I’m going to use this column to try to explain the difficulty in reshaping the insurance pools in the ACA.
 

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Why are Prices so High in Health Care?

Jay-Want-for-print.jpgFor many years we have been assuming that if Medicare costs were low in a particular region, like Grand Junction on our Western Slope, then commercial insurance costs were also likely to be relatively low.

 

 

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Undoing American Healthcare

Why assuming we’re rational about health care may be a dangerous assumption

I am reading a wonderful book called The Undoing Project by Michael Lewis, about the development of behavioral economics by two of its pioneers, Daniel Kahneman and Amos Tversky.  One point of their work over five decades is that while we think we make decisions rationally and objectively, in actuality, our thinking and valuation of things are fluid, and uses different criteria with different weights at different times.

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Community Change Agent Chat Briefing - Colorado PERA

The Change Agent Chat Series is a collection of interviews with boots-on-the-ground organizations and individuals working to advance lower cost and better care for all Coloradans. Join us on the 4th Friday of every month from 12-12:30pm MT.

On April 28th, 2017, CIVHC's CMO, Jay Want, sat down with Colorado PERA’s Executive Director, Greg Smith, to discuss the PERACare Select program that bundles hip and knee replacements into one payment.
 

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CO APCD Change Agent Profile: National Bureau of Economic Research

The National Bureau of Economic Research (NBER) was founded in 1920, and is the nation's leading nonprofit economic research organization.

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Plaintalk Blog - What is a Bundled Payment?

What are bundled payments, and how do they help providers reduce waste and deliver better care? Take a look at our interpretation.

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