geoffrey modest medical blogs

A recent systematic review found that the projected cost of single-payer health care is likely to save money   in the short-term,  as compared to our current system, and produce significant increasing long-term economic benefit (see   medicare for all lower costs plos2020  in dropbox, or doi.org/10.1371/journal.pmed.1003013 J, or go to  https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003013 ) Details: -- PubMed, Google scholar, and Google search: single-payer AND the words 'cost', 'model', 'economic', or 'cost-benefit'; consultation with those in favor or in opposition to single-payer reform, and a convenience sample of 10 single-payer experts -- 90 studies reviewed: primary analyses on 22 single-payer plans from 18 studies , published between 1991-2018, including 8 national and 14 state-level plans     --the US studies were based on trials in several different US states, including Pennsylvania, New York, Vermont, Mar...

home-based hospital level care works G  Like     Geoff A. Modest, M.D. Wed 1/8/2020 8:19 AM Geoff A. Modest, M.D.  A recent RCT found that hospital level care   delivered at home   for acutely ill adults  was not only less expensive but also reduced hospital readmissions, as compared to in-hospital care (s ee  home based   hosp   care AIM2019  in   dropbox , or doi:10.7326/M19-0600 ) Details: -- 91 adult patients presenting to the ED at either Brigham and Women’s Hospital (BWH, an academic medical center) or Brigham and Women’s Faulkner Hospital (a community hospital with medical residents from BWH), both in Boston -- median age 76, 36% female, 50% white/22% black/18% latinx, 37% partnered/15% divorced/30% single, 75% English speaker, 35% <high school education/14% high school, 25% employed, 55% never-smoker/14% current, 3...