http://super-sound.shopcool.ru АБСОЛЮТНО БЕСПРОВОДНЫЕ BLUETOOTH НАУШНИКИ (АНАЛОГ AIRBEATS) Беспроводные наушники с...

Lowering costs will increase access to care

Health Overhaul GOP Plan

President Donald Trump talks to House Speaker Paul Ryan of Wisconsin in the Rose Garden of the White House after the House pushed through a health care bill.


Tuesday, October 10, 2017

Lost in the debate over how best to insure Americans against the high cost of health care has been the question of how to bring that cost down. That's a shame, because keeping the cost of medical treatment from rising so fast is just as important as providing access to it.

Promising efforts to get a grip on medical costs have lately run into resistance from the Trump administration. The federal agency in charge of Medicare is moving to curtail new requirements that hospitals "bundle" medical charges for hip and knee replacements, rather than assess separate fees for each appointment. Efforts to arrange similar lump-sum payments for other procedures are to be stopped altogether.

These changes are misguided on two counts: So-called bundled payments increase the quality of medical care even as they save money. In one San Antonio hospital network, bundling saved Medicare more than $5,500 per joint replacement — a 21 percent decline — while fewer patients required prolonged hospital stays.

Administration officials say these Obama-era bundled payment programs unfairly limit choices for patients and doctors. But the only choices taken off the table are unnecessary ones. And since the government is paying, it has a responsibility to see that its money is spent wisely.

Administration officials also argue that bundling should not be mandatory. But if it's voluntary, what's to prevent health-care providers from using the more lucrative fee-for-service model? Even Seema Verma, head of the Centers for Medicare and Medicaid Services, has condemned that model, calling instead for "a system that holds providers accountable for outcomes."

Verma says doctors and hospitals should be able to shape this system as they see fit. Perhaps some local hospitals or networks could be allowed to experiment — much as Vermont and other states have instituted other kinds of pay-for-performance measures. But CMS will still need to monitor progress and make sure medical costs come down.

U.S. spending on health care in 2015 reached $3.2 trillion, or almost $10,000 per person — the highest in the world. And that extravagant spending, as Americans are often reminded, doesn't buy better health or longer lives. It does, however, make it increasingly hard for Americans of all ages to afford their health care bills.

One of the best ways to both improve Americans' care and reduce its cost is to change the way it is paid for. It will be a long and painstaking process, and there are different ways to make it work. What the Trump administration needs to do is make sure the progress continues.

Bloomberg View


Humans of Greenville


Local photographer Joe Pellegrino explores Greenville to create a photographic census of its people.


September 20, 2018 - 6 minutes ago

Earlier this summer, Robert Runcie, the superintendent of schools in Broward County, Florida, sent a back-to-school message to the "families and community" of Marjory Stoneman Douglas High School.

His missive mentioned nothing about teachers or books or curriculum. Instead it went on for four pages…

Florida School Shooting 911 Calls-5

September 19, 2018

Hurricane Florence has lingered over North Carolina. The storm’s initial rain, high winds and storm surge-flooding has been followed by even more rain, swollen creeks and rivers along with impassable roads from interstates to neighborhood drives.

Cities like Wilmington — not merely…

Tropical Weather North Carolina-4

September 18, 2018

"The youth use of e-cigs is rising very sharply," Food and Drug Administration Commissioner Scott Gottlieb said Wednesday, as he issued the federal government's most forceful warning yet that these electronic nicotine-delivery devices are hooking a generation of teenagers. He promised that…

Flavored Vaping Sales Ban

September 17, 2018

America shouldn’t be in the coup business. Period.

It’s a relief, then, to learn that the Trump administration chose not to aid rebellious leaders in Venezuela seeking to overthrow President Nicolás Maduro. But it’s worrisome to think that President Trump and his advisers…

Venezuela Nicolas Maduro

September 14, 2018

Over the past few decades, there has been a proliferation of criminal statutes and regulations carrying criminal penalties at the federal level. As Congress debates criminal justice reform, mens rea reform should be on the table.

For years, Sen. Orrin Hatch, R-Utah, has introduced and called for…

Trump Finance-3

September 13, 2018

It is tremendously sad and horrific to think about the forthcoming disaster and what it could bring to our communities and our neighbors to the south. We did nothing, really, other than live like we always have, to bring this on ourselves. Nevertheless, it is here.

Hurricane Florence, a major storm…


September 12, 2018

You can add the name Jordan McNair to the list of college, high school and middle school players who might have needlessly died for the love of football.

A simple, well-known procedure — immersing McNair, 19, in a tub of ice water — when he collapsed at an off-season University of…


September 11, 2018

By now, few might lift an eyebrow at President Trump’s crusade to delegitimize his own Justice Department and, specifically, his attorney general, Jeff Sessions. It long ago became clear that Trump regards federal law enforcement — as he sees all of government — as a political…

Trump Sessions

September 08, 2018

Republican state lawmakers decided last week to investigate the Cooper administration’s slow response to Hurricane Matthew relief in some of the state’s hardest-hit areas. That could be a useful exercise, if our legislators use what they find to fix real problems, and they don’t…


September 07, 2018

When all of the state’s living former governors, including Pat McCrory, and all of the state’s former chief justices, including arch-conservative I. Beverly Lake Jr., come out against something unanimously, chances are it’s a bad idea.

Even the General Assembly had to notice…

North Carolina Ballot Battle
103 stories in Editorials. Viewing 1 through 10.
«First Page   «Previous Page        
Page 1 of 11
        Next Page»   Last Page»