Underutilized program pays for care provided to undocumented aliens

David Harlow CMS is trawling for providers and suppliers providing free emergency care to undocumented aliens.  It has $250 million a year available through FFY 2008 under Section 1011 of the MMA (divided among the states mostly based on undocumented alien population; Massachusetts’ annual allotment, for example, is about $2 million), but has spent less […]

Medicaid reform in the states: Will West Virginia PCPs heed the call to revolt from the New England Journal of Medicine?

David Harlow The Bush administration’s emphasis on personal responsibility for health care decisions and costs seems to have reached new heights (or depths, depending on one’s perspective) in its super-swift approval, in May, of West Virginia’s Medicaid state plan amendments. The plan (as described here, in a state powerpoint presentation and here, in a link-rich […]

Bush signs executive order on HIT and transparency

David Harlow As reported in the Washington Post, President Bush signed an executive order yesterday, "Promoting Quality and Efficient Health Care in Federal Government Administered or Sponsored Health Care Programs."  This is the latest in a series of administration initiatives regarding EHR interoperability, price transparency and quality transparency that are intended to promote better decisionmaking […]

Will EHR systems add costs or bring savings to the health care economy overall?

A RAND study cited in yesterday’s N.Y. Times pegged potential health care cost savings enabled by widespread adoption of EHR systems at about $42 billion a year. Sounds good, no?  The same article, though, highlighted the fact that such widespread adoption could also increase costs.  For example, consider prescription drugs.  On the one hand, getting good […]

HIT resources on AHRQ website

David Harlow The AHRQ National Resource Center for HIT has a Knowledge Library with links to a wealth of information.  Its home page says: The Knowledge Library contains both evidenced-based and theoretical content gathered by health IT experts. The content is organized into two categories: Core Collection and Partner Contributions. The Core Collection contains items […]