Food Security and Health Care

Food security and our health what perspectives are we looking for?

Market Research for Health Care and beyond

Today, I watched this wonderful presentation of OCP Group CEO and Chairman, and I was wondering about the two slides he was presenting. He is really a great presenter. The event is great in part because, food security is a critical to growth and well-being of the population, and in part health care should be built or should evolve around food consumption and quality of food produced. I would like to have a chance to present in this event and meet this knowledgeable CEO,  and more specifically, I would like to present and provide some concrete solution for North-South collaboration in improving population health.

Africa as other part of the world experience deficit in number of food calories per capita, the West on the other hand has an excess. However, the question of fair trade is required, people need the know-how not hands-out.

Robinson Crusoe will not succeed in…

View original post 34 more words

Do we need to change our behavior to avoid chaos?

Dr. Markides on financial crise

Market Research for Health Care and beyond

Dr. Markides,

Dr. Markides is talented speaker, and as reasonable human being I will be influenced by his talk, and I am confident that his audience does. I like when Dr. Markides asked an important question about what are the underlying sources of our current and future problems? this is a powerful statement and his answer and his research focus a very small picture of the system or superficial answers to current problems.

Dr. Markides is true to pinpoint to that our problems is the making for our behavior and our inability to solve the complexity of the system. We are all responsible and we need to believe that our differences are our weaknesses.

The financial market is just one piece of our current problems. I am looking for bloggers are researchers who are interested to join me and develop a comprehensive map of our underlying sources in health care…

View original post 1 more word

Difference-in-differences an application in health care

Healthy behavior is the key to sustain who we are. “Adam Bouras”

Market Research for Health Care and beyond

Difference-in-differences (DID) methods is used to evaluate the impact of different policies. the simplest of these DID is when there are two groups and two time periods. where one of the groups is exposed to the treatment in the second second period and the control group is not exposed to the treatment in both periods, and both two groups are followed in two time periods. From this short review, I would like to share the findings of Okoro et al. (2014) on the effects of MA health reform on the use of clinical preventive services . The authors compared the change in health care access as a result of the expansion of the health insurance coverage. the authors compared MA with other New England states (ONES). To do so, they used BRFSS, and as well they looked at different preventive services and health access by age group and gender over different time periods…

View original post 124 more words

Difference-in-differences an application in health care

Difference-in-differences (DID) methods is used to evaluate the impact of different policies. the simplest of these DID is when there are two groups and two time periods. where one of the groups is exposed to the treatment in the second second period and the control group is not exposed to the treatment in both periods, and both two groups are followed in two time periods. From this short review, I would like to share the findings of Okoro et al. (2014) on the effects of MA health reform on the use of clinical preventive services . The authors compared the change in health care access as a result of the expansion of the health insurance coverage. the authors compared MA with other New England states (ONES). To do so, they used BRFSS, and as well they looked at different preventive services and health access by age group and gender over different time periods both for ONES and MA. The authors found a significant improve in MA in access to care. For clinical preventive services, MA showed to have greater increases in colorectal cancer screening and not to have had a decline in cervical cancer screening as was observed in the ONES. These results are significant but they can’t be generalized to other states, which decides to expand their health insurance coverage. More research is needed to be conducted, which control of health behavior of the population from which states. Reference: Okoro, C. A., Dhingra, S. S., Coates, R. J., Zack, M., & Simoes, E. J. (2014). Effects of Massachusetts health reform on the use of clinical preventive services. Journal of general internal medicine, 29(9), 1287-1295.

Do we need to change our behavior to avoid chaos?

Dr. Markides,

Dr. Markides is talented speaker, and as reasonable human being I will be influenced by his talk, and I am confident that his audience does. I like when Dr. Markides asked an important question about what are the underlying sources of our current and future problems? this is a powerful statement and his answer and his research focus a very small picture of the system or superficial answers to current problems.

Dr. Markides is true to pinpoint to that our problems is the making for our behavior and our inability to solve the complexity of the system. We are all responsible and we need to believe that our differences are our weaknesses.

The financial market is just one piece of our current problems. I am looking for bloggers are researchers who are interested to join me and develop a comprehensive map of our underlying sources in health care system.

Physician Market Power in Perspective

Today, I have read an article entitled ” Market power and contract form: evidence from physician group practices,” Town et al. (2011) published in International Journal Health Care Finance Economics Vol. (11), pp: 115-132. The article is well written, and it addresses a critical issue about physicians behavior. Although Physicians are critical in providing health, this critical position shouldn’t be used to abuse the system (probably this is a strong conclusion).

The authors used a simple but appealing model to reach their objective that physicians market power affects the form of their contracts (Town et al., 2011). The authors maximized physician income and quality by using physicians profit under constraint of their utility. The model is  a variation from Evans’s model if I am not wrong. In their model, the authors assumed that physicians have certain reservation value or utility, for which the physicians will provide their services that correspond to certain level of quality and income. in addition, the physician will not provide any quality care, if their reimbursement or income drop below a certain level; but also the authors noted that some physicians could provide service under capitation, but they will not care less (See Pauly, 1995).

The take point from this short analysis is related to ACO and bundle payment. In other words, what will be the physicians behavior in terms of type or form of contract they will accept, known that they will be forced to accept bundle payment with the expectation for high quality care.

Food Security and Health Care

Today, I watched this wonderful presentation of OCP Group CEO and Chairman, and I was wondering about the two slides he was presenting. He is really a great presenter. The event is great in part because, food security is a critical to growth and well-being of the population, and in part health care should be built or should evolve around food consumption and quality of food produced. I would like to have a chance to present in this event and meet this knowledgeable CEO,  and more specifically, I would like to present and provide some concrete solution for North-South collaboration in improving population health.

Africa as other part of the world experience deficit in number of food calories per capita, the West on the other hand has an excess. However, the question of fair trade is required, people need the know-how not hands-out.

Robinson Crusoe will not succeed in his island if he did not have the know-how. This is true with the deficit that the African nations have when it comes to population growth and relevant technologies to balance with their population growth.

Medicaid Expansion Some Numbers and Association

Several states are reluctant to go for Medicaid expansion. I am not sure whether Medicaid expansion will be beneficial for those who decided not to implement it. The resistance to implement the expansion in the first place shows that they don’t believe that everyone should have a chance  to care. Moreover, it shows that they are using this notion that ” if you can’t pay for it, you don’t even think about it”. The same people think that businesses should thrive under their watch, though it affects negatively the health behaviors of their citizens, that businesses are worth implementing as long as they are profitable. The question, why don’t we make those who influence negatively our citizens health and behavior pay the price.

Imaging Robinson Crusoe in his beautiful island hurting himself, evidently his coconut production will decrease thus his injures will be worse than before.

I conducted a simple Bootstrap regression analysis with 1000 replication, and I used data from CMS and America Health Rank to find the type of association between those states that expanded medicaid and their overall health ranking. although this is very simple analysis, it provides an overview for interested audience to investigate more on this matter and see if Expanding or not expanding Medicaid is within their reach.

An Econometric note:

Please note that when I run the regression analysis including the constant, the coefficient corresponding to medexp becomes negative and statistically highly not significant. however, when I run the model without a constant, the coefficient becomes positive and statistically less significant. in case, I include the constant basically I assume that each state have an initial ranking. Meanwhile, the case I exclude the constant term, I am assuming that or forcing all state not to have any ranking.

correlate Rank MedExp
(obs=19)

| Rank MedExp
————-+——————
Rank | 1.0000
MedExp | -0.1953 1.0000

. regress ranks MedExp, noconstant vce(bootstrap, reps(1000))

(running regress on estimation sample)

Bootstrap replications (1000)
—-+— 1 —+— 2 —+— 3 —+— 4 —+— 5

Replications = 1000
Wald chi2(1) = 2.01
Prob > chi2 = 0.1564
R-squared = 0.1234
Adj R-squared = 0.0747
Root MSE = 26.4752

——————————————————————————
| Observed Bootstrap Normal-based
Rank | Coef. Std. Err. z P>|z| [95% Conf. Interval]
————-+—————————————————————-
MedExp | .0000881 .0000621 1.42 0.156 -.0000337 .0002098
——————————————————————————

https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/MedicaidDataSourcesGenInfo/Downloads/Dec10-1115f.pdf

What do we know about health care determinants?

ImageAs a nation, we only spend 9% of national health expenditures in embracing healthy behavior. On the other hand, only 6% of health determinates are related to access to services, although 90% of national health expenditures is spent on medical services.[1] Therefore, presumably, providing primary care providers the tools and the means to change and educate patients about their health determinate will have a significant impact on overall spending on medical services.