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06/12/2014 It’s time to move beyond current debate on Obamacare

03/11/2014 Obesity in Michigan: What Can We Do?

12/16/2013 To Improve Mental Health Care in Michigan: The Need for Unprecedented Commitment and Cooperation

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Viewing entries tagged with 'cost'

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Obamacare seems to be Helping to Curtail Health Care Costs

Posted by Marianne Udow-Phillips and Nancy Baum on July 8, 2013

Editor's Note: This column previously appeared in Bridge Magazine.

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New Approaches to Payment: Will They Work?

Udow Phillips2014

Posted by Marianne Udow-Phillips on April 22, 2013

Great news! The latest and greatest approaches to reducing health care spending are here: paying primary care doctors more, bundling payments for doctors and hospitals; sharing savings and investing more in systems that integrate care. Hooray! New answers to the cost curve dilemma!

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The Bitter Pill: Time Magazine's Story on Health Care Costs

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Posted by Marianne Udow-Phillips on March 25, 2013

Steven Brill’s article on health care costs in the March 4 issue of Time magazine is the talk of the town in health care. While journalists have generally praised the piece, reactions from those in health care have been mixed. The American Hospital Association critiqued a number of Brill’s major points in a fact sheet, Setting the Record Straight on TIME’s Article “Bitter Pill.”

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The Slowdown in Health Care Costs: Is it Real?

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Posted by Marianne Udow-Phillips on March 11, 2013

On February 5, 2013, Congressional Budget Office (CBO) director Douglas Elmendorf testified before Congress on the CBO’s budget outlook for 2013-2023. As reported in the New York Times and elsewhere, the health care outlook was remarkable: projected Medicare and Medicaid spending for 2020 was down 15 percent over projections made three years ago.

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Positive Steps Towards Improving Quality and Reducing Costs

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Posted by Marianne Udow-Phillips on February 18, 2013

Why does health care cost so much more in America than in any other country in the world? One major reason is that our system is really a non-system. That is, in America we have many different payers, financing mechanisms, benefit designs, and structures. Every health plan has its own ways of doing things, and every health purchaser wants a customized benefit plan that meets its own specific goals.

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The Medicare Facts

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Posted by Marianne Udow-Phillips on January 7, 2013

Medicare is a sensitive political topic. Today's seniors are understandably protective of their benefits, and future seniors are worried those benefits won’t be there when they become eligible (whether the eligibility age is increased or not).

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It’s the Math: The Medicaid Expansion in Michigan

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Posted by Marianne Udow-Phillips on October 15, 2012

In many respects, the Affordable Care Act is a law about health care coverage. It is designed to expand coverage, mostly by using two tools: (1) the requirement for individuals to have/purchase health coverage or face tax penalties (known as the individual mandate), and (2) the expansion of Medicaid eligibility to all with incomes at or below 138 percent of poverty.

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Another Missed Opportunity in Communicating Health Care Reform: The Case of the Aggressive Collection Agency

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Posted by Marianne Udow-Phillips on May 29, 2012

While many have criticized the Obama administration’s communication about the benefits of the ACA (and justifiably so), few have focused on the role of the press.

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Poverty and Health: A Connection We Can't Ignore

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Posted by Marianne Udow-Phillips on May 14, 2012

In a New York Times op-ed last December, Elizabeth Bradley and Lauren Taylor wrote about the study of global health spending published they published in the journal BMJ Quality and Safety. Their analysis broadened the concept of international health care spending to include spending on social services.

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Cardiac Care - A Case Study in Practice Variation

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Posted by Marianne Udow-Phillips on April 30, 2012

In 2010, when we published our study on healthcare variation in Michigan, we were able to show considerable geographic variation around the state of Michigan on a variety of procedures and services. We intentionally chose services where the research indicated either a tendency toward over-utilization (relative to evidence-based guidelines) or where the guidelines were unclear.

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