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|Articles - July/August 2014|
|Friday, July 11, 2014|
Page 2 of 6
The Big Pill
The Oregon coordinated-care solution seeks to align hospital and doctor incentives. “Everybody has looked out for themselves. That’s the way the system was built,” observes Davidson. “Breaking down those walls, you have hope for creating a system that’s incented to do less with less.”
There’s one problem: Not all the walls have come down. Drug companies and medical-equipment manufacturers, for instance, remain outside the purview of reform, despite the fact that their products are huge drivers of health care costs. “Oregon hospitals and physicians have bought into this concept, but drug companies and medical-equipment manufacturers clearly have not — and they threaten to sink it,” says Dannenhoffer.
He points to a $1,000 pill: a new hepatitis-C drug he calls useful but ridiculously priced. “It’s hard to live within a 3% or 4% increase a year when some of the component costs are going up at a far greater rate.”
Long-term care providers, too, have managed to avoid transformation. “They negotiated a great political deal to not be included,” Davidson notes.
But health care reform is inherently political and therefore requires compromise. “We can’t let the perfect be the enemy of good,” says Davidson. “Drugs aren’t in. Durable medical equipment’s not in. Long-term care’s not in. And we need to have policy conversations about adding them in. But we had to do something to get everybody in the same tent.”
Saturday, February 21, 2015
BY LINDA BAKER | OB EDITOR
Will community banks survive the digital age? Three CEOs peer into banking's crystal ball.
Thursday, January 29, 2015
BY JASON NORRIS | OB GUEST BLOGGER
Active vs. passive investing: what you need to know.
Friday, March 27, 2015
BY AMY MILSHTEIN
Damian Smith bets on changing himself — and Portland — through consulting.
Thursday, March 26, 2015
BY JACOB PALMER
Enjoying a power lunch at Court Street Dairy Lunch in Salem.
Monday, February 23, 2015
Yeah, we know: Oregonians are way too cool for umbrellas. But today’s stylish, high-tech models will soften the resistance of the most rain hardened.
Friday, January 30, 2015
BY JACOB PALMER | OB DIGITAL NEWS EDITOR
For those who were working, here are a few highlights of Charlie Hales' State of the City address.
Wednesday, January 28, 2015
BY LINDA BAKER | OB EDITOR
What is the impact of the legal pot industry on carbon emissions?
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