Author: Avalon Health Economics LLC

U.S. Health Care Costs: Disentangling Underlying Trends from the Effects of the Affordable Care Act
August 2, 2013 - 12:40 pm, by
During the health reform discussions leading up to the passage of the Affordable Care Act (“ACA”), there was a lot of talk about the costs of health care services in the U.S. Some argued that the legislation did not go far enough in controlling the underlying upward trends in health care costs, while others argued...
Women and the Affordable Care Act
July 20, 2013 - 12:44 pm, by
Women make about 80% of the health-care decisions for their families, utilize more health care than men, and are the more likely to be the care givers when a family member becomes sick. Females of all ages accounted for 60% of all expenses incurred at doctors’ offices in 2004. According to the Bureau of Labor...
Health Care Costs and Value: An International Perspective
June 20, 2013 - 12:33 pm, by
During the recent debates over the Affordable Care Act (“ACA,” or Obamacare) a commonly raised issue was that U.S. health care does not offer much in the way of “value for money.” The argument, generally, is that we spend a lot more in the U.S. relative to comparable countries but in turn receive poor quality...
Tobacco Butts and Litter Costs
June 18, 2013 - 12:30 pm, by
Tobacco product litter is one of the most ubiquitous forms of litter, accumulating in increasingly large numbers on streets, highways, sidewalks, beaches, storm water drains, waste treatment plants, parks and other public places. Tobacco product litter (“TPL”) is not simply unattractive; it has been shown to be toxic and costly to clean up. More than...
Training the Health Economics and Outcomes Research Workforce of the Future: Opportunities for Program Development in Colleges and Universities
June 18, 2013 - 12:26 pm, by
The health care landscape in the U.S. has been changing rapidly in the past 20 years, a phase of evolution that began with the reluctance of private employers to continue to fund double-digit growth in employee health care costs, thereby creating incentives for third-party payers to develop “managed” insurance products. The next phase of those...
The Declining Health of the Local Market: When and How Should Your Health Care Business Expand into New Markets
March 21, 2013 - 7:52 pm, by
A large proportion of our nation’s health care infrastructure is located in urban markets with declining population. For example, according to the U.S. Census, cities with the largest population decline in recent years include New Orleans, Detroit, Cleveland, Pittsburgh, Toledo, and Buffalo. These very same cities, however, are home to some of the most reputable...
Nobody Pays Retail: A Primer on Valuing Medical Care Bills
March 21, 2013 - 12:23 pm, by
In most markets and in most industries, the prices paid by consumers (or businesses, in the case of business-to-business transactions), are not randomly made up by sellers. To be sure, in less competitive markets, where information is “fuzzy” or sellers have monopolistic power, a seller might be able to name a price and get it....
Using Publicly-Available Health Care Databases to Value & Price Medical Care Services
March 21, 2013 - 12:19 pm, by
In the United States, a variety of “usual, customary and reasonable” (UCR) databases are used by health care entities to benchmark their fees (in the case of health care providers) and to create prospectively determined fee schedules (in the case of health care payers). Both of these exercises have essentially the same objective: to assign...
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