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Viewing entries tagged with 'evidence-based care'

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Cost Effective Care: How Do We Get The Waste Out of the System?

Udow Phillips2014

Posted by Marianne Udow-Phillips on July 25, 2011

In the May 18 issue of the New England Journal of Medicine, Rashi Fein and Arnold Milstein tackled the question of why evidence-based care diffuses so slowly. The article is compelling because of its fundamental conclusion: institutionalized interest group pressure against change in health care and consumer misunderstanding of health care financing make it hard to envision how health care spending could be reduced in significant ways.

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Arizona and Bad Public Policy on Health Care

Udow Phillips2014

Posted by Marianne Udow-Phillips on January 10, 2011

The Arizona Medicaid program has been much in the news lately for its decisions to deny Medicaid coverage for certain transplants. The state has variously argued several things about these decisions. First, that these are evidence based decisions; that is, that the transplants were denied because the research shows that they don’t actually work. But, when challenged by transplant surgeons and others, the state has given other reasons for their denial, with cost being at the top of the list.

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