Many of Medicare’s alternative payment models are based on the premise that there is a lot of waste in health care. If that is the case, we could reduce cost with little to no effect on quality. While that would be nice, is that really the case? Consider two articles from the most recent edition of Health Affairs. Barnes et al. (2018) look at trends in the use of non-physician clinicians. They find an: increasing [nurse practitioner] NP presence in both rural and nonrural primary care practices in the period 2008–16. At the end of the period, NPs constituted 25.2 percent of providers in rural and 23.0 percent in nonrural practices, compared to 17.6 percent and 15.9 percent, respectively, in 2008. States with full scope-of-practice laws had the highest NP presence, but the fastest growth occurred in states with reduced and restricted scopes of practice. A key question is whether or not this a positive development? Clearly, nurse … [Read more...] about Can we save money and still maintain quality?
Save money good health
Share on twitter by Peter Ker BHP chief executive Andrew Mackenzie has lamented the scale of infrastructure spending in this week's federal budget, suggesting that corporate balance sheets should instead be put to work to fund the nation's infrastructure needs.Infrastructure was one of the major focuses of the budget, with the Turnbull Government committing to $24.5 billion worth of projects and taking its ten year infrastructure program to more than $75 billion.But many of those pledges have been made through equity investments rather than grants, which allow big-ticket items like the National Broadband Network to be kept off the government's balance sheet, and some like opposition infrastructure spokesman Anthony Albanese have warned the strategy could backfire in the future if such projects do not achieve a commercial return.BHP is Australia's biggest company by market capitalisation, and Mr Mackenzie told an audience on Thursday that governments should be … [Read more...] about BHP boss says government should save money for health, not infrastructure
PUBLISHED: 06:00 03 May 2018 Tony Wenham Water meters are still the best way to save money, says Anglian Water. Picture: Anglian Water Archant East Anglia’s main water supplier is working to manage demand for its product in consultation with customers. Peter Simpson, Anglian Water chief executive. Picture: Anglian Water It’s an unusual business model: a company wants its customers to cut back on consumption. In the case of Anglian Water, however, there is a finite if shifting supply of product – and, if demand ever exceeds supply, not only is the business finished, so also potentially are its customers. So the company, which supplies more than one billion litres of water a day to over 4 million customers and over 120,000 businesses in the eastern counties, has dual objectives: economic and social. Anglian Water chief executive Peter Simpson explains: “Starting with the most basic and vital of natural resources, our business underpins the health and … [Read more...] about Get smart… save money with a water meter
Digit, the developer of a wildly popular automatic savings mobile app, is moving beyond its core business with a new feature enabling users to pay down credit card debt from their Digit account. Announced earlier today, the new Digit Pay service uses savings in a Digit account to pay off credit card debt for any registered account. The new feature works by enabling users to create a “credit card debt” goal in their Digit settings and activate the Digit Pay service. Digit automatically will begin to save money from a linked checking account — and use those funds to pay off credit cards. Credit card payments can even be prioritized through Digit’s boost feature. So far, the Digit app has been used to save roughly $1 billion for its customers according to chief executive officer Ethan Bloch . Bloch says that Digit has been focused on solving the biggest financial pain points for the most customers it can reach in the U.S. For the company, that meant starting with … [Read more...] about Digit’s first move beyond saving money is a feature to pay down credit card debt
August 26, 2015 - We were poor when I was growing up, to be blunt about it. My parents immigrated to the US in the late 1980s as grad students (immigrants and grad students: talk about a double financial whammy), and worked a number of minimum-wage jobs — including waitress and convenience store clerk in NYC* — before finally settling down in Pennsylvania. By my teens we were much better off, but by then the frugal mentality instilled in me in childhood was firmly ingrained. As soon as I turned 15, I started looking for jobs to start earning my own money to be less of a burden on my parents…and, let’s be honest, so that I could buy whatever I wanted without judgment or approval. I didn’t realize that my ‘stingy’ approaches to money would also lay the foundation for what would eventually become my travel fund. Even in college**, while everyone else was buying the latest Abercrombie & Fitch hoodie, I was traveling to … [Read more...] about 13 ways I saved money for travel as a teenager