The Costs of Avoidable Hospital Visits in Virginia and a Proven Solution
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12 responses to “The Costs of Avoidable Hospital Visits in Virginia and a Proven Solution”
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Are my figures wrong, or is $66.7 million about 0.70% of overall healthcare expenditures in Virginia? The figure I found for 2019 was $92.2 billion dollars.
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As I wrote, the avoidable ED visits costs is not the big fish here.
It is the costs of avoidable hospitalizations for poor people that will drive this program. Medicaid spent over $1.5 billion for acute care in 2020. Inpatient Medicaid funded hospital care was $412 million.
It is Medicaid that is the Virginia budget item.
That is why I wrote the column – to get VDH to direct its contractor to run the numbers on avoidable Medicaid inpatient care. They appear to have proven to have both the data and the methodology to do it.
As you have read, HEZ is also designed to address health disparities in Virginia, a subject upon which I have been writing for more than a decade.
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Could you provide the operational definition of a HEZ, particularly the types and frequency of services offered. Thanks.
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Go to https://health.maryland.gov/healthenterprisezones/Documents/sb0234t.pdf and scroll down to “Article – Health – General SUBTITLE 14. HEALTH ENTERPRISE ZONES” starting on page 4 Line 20. That was the bill that established the pilot program which is now permanent. Should answer your question.
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Here is a presentation with the information you seek. https://www.baconsrebellion.com/wp-content/uploads/2022/07/HEZ-Presentation.ppt
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Yea! Obamacare!
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Might be too simplistic of a view but having a regular primary care doctor that you see on a regular basis can head off a lot of downstream problems and I’m wondering what HEZ is in terms of incentivizing more primary care doctors in geographic areas that are underserved and this includes other insurance besides just MedicAid. Folks who are on Medicare, if they live where there is a shortage of primary care doctors, -have the same issues. It not necessarily just because people are low-income. Obamacare has this issue in some areas also.
I support any program, HEZ or other that would incentivize new doctors to serve an under-served area in return for forgiving all or part of their education debt.
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See my responses to Carter Melton above.
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would like YOU to lay out YOUR specifics, are you really advocating just a clone of the Md program?
we’ve talked about loan incentives and mobile clinics, and satellite clinics from Hospitals and Medical Colleges.
I really don’t think any of this is rocket science now that we’ve addressed the core problem of insurance – even if not everything we’d want.
And I’d not be surprised at all if the rural version is different than the urban issues.
You’re a bit of a different critter in terms of Conservatism – you actually do think government should be involved as well as taxpayer money!
Which is a shift from before when you were on a tear against CON.
Is there any connection between HEZ and CON in Maryland?
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I remain on a tear against COPN because it has created and protects monopolies. There is no connection between COPN and HEZs. HEZSs are about primary care, which is not subject to Virginia COPN regulation.
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Maryland also has COPN. Right?
COPN is about the theory/claim that the private sector could provide more/better/cheaper services than the bigger, more established providers who, without “competition” can charge more for some services which they claim they use to subsidize other services that, without subsidies, may not be provided.
Are we convinced the two have nothing what-so-ever to do with each other?
In both cases, it’s govt involvement verses claims of hobbling the private sector from providing services to underserved areas, no?
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Always an excellent and interesting article read. Thanks Capt.
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