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sarahkliff's profile
Sarah Kliff
Sarah Kliff
Sarah Kliff
Verified account
@sarahkliff

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Sarah KliffVerified account

@sarahkliff

Senior Policy Correspondent @voxdotcom. Running a year-long project on emergency room billing. Help out by sharing your bill!

Washington, DC
erbills.vox.com
Joined January 2009

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    Sarah Kliff‏Verified account @sarahkliff 3 Sep 2017

    Eight facts that explain what’s wrong with American health care.https://www.vox.com/2014/9/2/6089693/health-care-facts-whats-wrong-american-insurance …

    6:04 AM - 3 Sep 2017
    • 134 Retweets
    • 215 Likes
    • Randy Tomlinson Raj🗽 #Vote4Democrats Mushtaque Ahmad Andrew Shepherd Scott Carswell Justin Thorp Gisella Meghan Andy Finken
    20 replies 134 retweets 215 likes
      1. Karen Sosby‏ @kmhsosby 3 Sep 2017
        Replying to @sarahkliff

        High drug prices don't encourage innovation. They encourage drug companies to look for blockbuster drugs, not ones that can help the most.

        0 replies 0 retweets 1 like
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      1. New conversation
      2. l*ur*n‏ @colorscolor 3 Sep 2017
        Replying to @sarahkliff

        I think alternative payment models will very much not be just "in the margins" within 5 years, at the most

        1 reply 0 retweets 0 likes
      3. steep the tea bun‏ @steamyteabuns 3 Sep 2017
        Replying to @colorscolor @sarahkliff

        You might want to look at similar systems. Ie Ontario MDs mainly fee for service models, but some tests of blended salary models in FHTs etc

        1 reply 0 retweets 1 like
      4. steep the tea bun‏ @steamyteabuns 3 Sep 2017
        Replying to @steamyteabuns @colorscolor @sarahkliff

        Some of the models (ie salaried MD in community health centres) have been worse economically as doctors see few patients.....

        1 reply 0 retweets 1 like
      5. l*ur*n‏ @colorscolor 3 Sep 2017
        Replying to @steamyteabuns

        I have definitely wondered about this. I'll look into it, thanks!

        1 reply 0 retweets 0 likes
      6. steep the tea bun‏ @steamyteabuns 3 Sep 2017
        Replying to @colorscolor

        If you have a look at research on Family Health Teams in Ontario that would be a good start. Ie The Conference Board of Canada report.

        1 reply 0 retweets 0 likes
      7. steep the tea bun‏ @steamyteabuns 3 Sep 2017
        Replying to @steamyteabuns @colorscolor

        It is more focused on quality than cost, but there are some clues in the patient #s: http://www.conferenceboard.ca/e-library/abstract.aspx?did=6711 …

        0 replies 0 retweets 0 likes
      8. End of conversation
      1. New conversation
      2. sdselkie‏ @sdselkie 3 Sep 2017
        Replying to @sarahkliff

        Re 5% spend 50%, what does the cost breakdown look like in other countries?

        2 replies 0 retweets 0 likes
      3. steep the tea bun‏ @steamyteabuns 3 Sep 2017
        Replying to @sdselkie @sarahkliff

        In Ontario, over half of health care spending covers the top 5%. Unfortunately, I think there is an exaggerated belief in how much savings..

        1 reply 0 retweets 0 likes
      4. steep the tea bun‏ @steamyteabuns 3 Sep 2017
        Replying to @steamyteabuns @sdselkie @sarahkliff

        ...can be achieved. A big % of this is cancer care and end of life care. No one seems to know how big a %. Where there is room for saving...

        1 reply 0 retweets 0 likes
      5. steep the tea bun‏ @steamyteabuns 3 Sep 2017
        Replying to @steamyteabuns @sdselkie @sarahkliff

        ...(imho) seems to be for those individuals with multiple chronic conditions especially including mental health, addictions and poverty.

        1 reply 0 retweets 0 likes
      6. sdselkie‏ @sdselkie 3 Sep 2017
        Replying to @steamyteabuns @sarahkliff

        Thanks, so at least in Canada (I assume) the same issues hold for chronic and costs. This seems very intractable then, even w/ single payer.

        1 reply 0 retweets 0 likes
      7. steep the tea bun‏ @steamyteabuns 3 Sep 2017
        Replying to @sdselkie @sarahkliff

        I'm not sure it is as big a problem as people think: it stands to reason that health care for really sick people costs more than for healthy

        1 reply 0 retweets 0 likes
      8. steep the tea bun‏ @steamyteabuns 3 Sep 2017
        Replying to @steamyteabuns @sdselkie @sarahkliff

        Ie it's a feature not a bug. The problem is the underlying cost structure of that care and, in many cases (or cancer care) cost is high.

        1 reply 0 retweets 0 likes
      9. steep the tea bun‏ @steamyteabuns 3 Sep 2017
        Replying to @steamyteabuns @sdselkie @sarahkliff

        Can still manage by managing underlying cost structure, which seems to be the biggest failure in US healthcare.

        0 replies 0 retweets 1 like
      10. End of conversation
      1. HEALTHCAREONOMICS‏ @HConomics 4 Sep 2017
        Replying to @sarahkliff

        WOW...you just. do. not. get. it. It's OK. I understand. Trust me, I really understand.

        0 replies 0 retweets 0 likes
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      1. eric‏ @erictheacrobat 3 Sep 2017
        Replying to @sarahkliff

        This might help the debatepic.twitter.com/1ALIJ3Ju3o

        0 replies 0 retweets 0 likes
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      1. eric‏ @erictheacrobat 3 Sep 2017
        Replying to @sarahkliff

        In 2000, I read that 1/3 of all money spent on HC in US doesn't get past the insurance Co. Yes, the ins Co are hoovering up your money.

        0 replies 0 retweets 0 likes
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