HCMG 250 Lecture 16: Week 16 Notes

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Former chief economist of the president"s council of economic advisers. Relevant policy to the aca: health policy, delivery system, access to providers, etc. Insurance policy: how do we pay the bills, budget policy, what do the numbers look like, what"s gonna happen, economic policy. Income growth rate vs health spending growth rate. First criteria for aca: bend the cost curve. Spending slowed down initially, then cost rate began to rise a bit in 2013 then more in 2014. Hawthorne effect: newness of something booms activity/ when people felt they"re being looked at they will be more productive, or in the example of doctors, be more careful about spending. Don"t get shared savings if they don"t hit certain quality measures. Start of aca program: some hospitals dropped out because they were at a loss. These initial people are the sicker people, so the balance of the pool dipped. Risk corridors: ask private to work in something you created.

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