It’s The Prices, Stupid: Why The United States Is So Different From Other Countries

@merovingians I still think the high cost of care is the biggest millstone. Unfortunately, going after hospitals and insurance simultaneously isn’t a great strategy in the short run. https://t.co/fITSMJVX8a

Obviously this is out of date but it was recreated in 2018 and found a similar result https://t.co/flfx0Lk6Ok.

@JamesGLeckie https://t.co/aSAnxut0Yl https://t.co/Me9VrHdPVe

Why does the US spend more? It’s The Prices, Stupid: Why The United States Is So Different From Other Countries https://t.co/N6wKzpCbdo It’s Still The Prices, Stupid: Why The US Spends So Much On Health Care, And A Tribute To Uwe Reinhardt https://t.co/

@JConnol Great point @JConnol! A perspective shared by many in health policy - https://t.co/ULTTPaR3bZ

@yzafar @bobjherman @statnews @DusetzinaS @StephWheelerUNC @fumikochino @DrRobinYabroff @mcpoliti @QasimHussainiMD @EthicsdoctorP Reminds me of one of my favorite papers that makes one of the strongest cases for high prices as cause for our cost excesses h

“It’s the prices, stupid” https://t.co/fRgD8JnBqd

@Health_Affairs Anderson GF, Reinhardt UE, Hussey PS, Petrosyan V. It's the prices, stupid: why the United States is so different from other countries. Health Aff (Millwood). 2003 May-Jun;22(3):89-105. doi: 10.1377/hlthaff.22.3.89. PMID: 12757275. https://

RT @phealthsean: We’re on the verge of Medicare being allowed to negotiate healthcare prices, which means it’s time to repost the @Health_A…

RT @phealthsean: We’re on the verge of Medicare being allowed to negotiate healthcare prices, which means it’s time to repost the @Health_A…

RT @phealthsean: We’re on the verge of Medicare being allowed to negotiate healthcare prices, which means it’s time to repost the @Health_A…

RT @phealthsean: We’re on the verge of Medicare being allowed to negotiate healthcare prices, which means it’s time to repost the @Health_A…

RT @phealthsean: We’re on the verge of Medicare being allowed to negotiate healthcare prices, which means it’s time to repost the @Health_A…

RT @phealthsean: We’re on the verge of Medicare being allowed to negotiate healthcare prices, which means it’s time to repost the @Health_A…

RT @phealthsean: We’re on the verge of Medicare being allowed to negotiate healthcare prices, which means it’s time to repost the @Health_A…

We’re on the verge of Medicare being allowed to negotiate healthcare prices, which means it’s time to repost the @Health_Affairs classic https://t.co/mT6ZpspPgN

RT @jlevinscherz: It’s the prices stupid! https://t.co/z3jDBd8QiF. The value of health care is undermined by our high unit prices.

RT @jlevinscherz: It’s the prices stupid! https://t.co/z3jDBd8QiF. The value of health care is undermined by our high unit prices.

It’s the prices stupid! https://t.co/z3jDBd8QiF. The value of health care is undermined by our high unit prices.

@janintheusa2 @DCSZ14 @DirkvanLinth @Dianodontcare @Henkie2020 @aveldjesgraaf @HaHaGentherapie @vanranstmarc @PaulGanck @Marc_Veld @njmidm @BkassaNamoomba @klus_nico @muumi_tweets @LaceyX1989 @deBeroepsgroep @mus_nico @OlifaNT @Luketheduke1960 @jorgje @HTi

@janintheusa2 @DCSZ14 @DirkvanLinth @Dianodontcare @Henkie2020 @aveldjesgraaf @HaHaGentherapie @vanranstmarc @PaulGanck @Marc_Veld @njmidm @BkassaNamoomba @klus_nico @muumi_tweets @LaceyX1989 @deBeroepsgroep @mus_nico @OlifaNT @Luketheduke1960 @jorgje @HTi

Reminds me of the classic hit “it’s the prices, stupid”. The creation of Medicare part D and the ACA are the major health legislation passed since it was published in 2003, and neither really addressed prices. https://t.co/wkIiQre4f3

RT @phealthsean: @Health_Affairs hall of fame article https://t.co/mT6ZpspPgN

@Health_Affairs hall of fame article https://t.co/mT6ZpspPgN

@SpicyTake69 @barnes_law US citizens pay more yet receive less 'real' care. https://t.co/4FN2WvK4iq

Here's the 2003 article from Uwe Reinhardt and colleagues on how higher prices in the U.S. explained why we spent so much more than other countries on health care. It's still true. https://t.co/Y63WFnpKec

@radoncodonk @ParikhSimul @DrAntoParavati @bananaP08 @toddscarbrough @DrChowdharyMD @SprakerMDPhD @SorenBentzen @ASTRO_org @theNCI Seminal work on subject from 20 years ago and the thousands of articles that followed: https://t.co/D6bhzpaSne

@bp22 Bill, this has been studied to death. The overwhelming driver of higher US costs is...the prices. We pay more for same thing than others. The definitive study from 2003 by the late, great Uwe Reinhardt has been tested and retested and still holds up.

https://t.co/l5BBGCts3v

@Noahpinion Yep. Well known and clearly the biggest problem: https://t.co/l5BBGCts3v

RT @eemoin: The culture of US healthcare has been hurtling in this direction for some time. It feels insane to say we're not spending enoug…

RT @eemoin: The culture of US healthcare has been hurtling in this direction for some time. It feels insane to say we're not spending enoug…

RT @eemoin: The culture of US healthcare has been hurtling in this direction for some time. It feels insane to say we're not spending enoug…

RT @eemoin: The culture of US healthcare has been hurtling in this direction for some time. It feels insane to say we're not spending enoug…

RT @eemoin: The culture of US healthcare has been hurtling in this direction for some time. It feels insane to say we're not spending enoug…

RT @eemoin: The culture of US healthcare has been hurtling in this direction for some time. It feels insane to say we're not spending enoug…

RT @eemoin: The culture of US healthcare has been hurtling in this direction for some time. It feels insane to say we're not spending enoug…

The culture of US healthcare has been hurtling in this direction for some time. It feels insane to say we're not spending enough on healthcare—haven't we been writing think pieces for decades about how healthcare spending is too high? 4/ https://t.co/EkmkD

RT @AceTrainerZack: @duffonpolicy @LouiseNorris It’s the prices. Always has been. Always will be. https://t.co/v7KbhzkOcN https://t.co/7…

A memorial for Uwe Reinhardt. https://t.co/I8vUEyrxmr https://t.co/HOGC7wjNVu

RT @MGF91: EE.UU. es el país de la OCDE que más gasta en atención médica. Peeeero eso no se traduce en más recursos hospitalarios. ¿Por q…

EE.UU. es el país de la OCDE que más gasta en atención médica. Peeeero eso no se traduce en más recursos hospitalarios. ¿Por qué? Por los costos administrativos del sistema de EE.UU. y los sobreprecios. https://t.co/RZoR82M5PE https://t.co/2RTsHhusw

38/ …too deep. If this all sounds like an absurd approach to negotiate prices, yeah, welcome to the US health care system. The most famous health policy article ever is: https://t.co/qsJG0Av47b

@singhns Narinder, Shouting? Hardly. I didn't use 𝙖𝙣𝙮 caps ;-) Glad we're in agreement on "2nd order issues," but I will always argue that the 1st order issue remains the headline that Uwe Reinhardt captured so succinctly in 2003: "It's The Prices, Stup

@imjustinho @NoamLevey @larry_levitt https://t.co/AOUK1Fpmyv

@erenbali 100% agree. Delivering care at a lower *price* is what's needed to reduce healthcare costs. Too many healthcare companies focus on reducing utilization rather than reducing price. Prices are the issue. That means we need to deliver care at lower

@naumanbilly @AttractaMooney https://t.co/pQZlepyoyc

⁦@JoeBiden⁩ It’s The Prices, Stupid: Why The United States Is So Different From Other Countries | Health Affairs https://t.co/uFt9ATX2ev

@chrissyfarr @DrZackaryBerger Why is healthcare in the US so expensive? There are a lot of things that contribute but fundamentally it’s the prices... https://t.co/1OBb8BAigJ

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @CM_Whaley: Really good thread by @MarkMiller_DC ⬇️

It’s The Prices, Stupid: Why The United States Is So Different From Other Countries | Health Affairs https://t.co/hWfuUKgpzz

I'm late to this (cocktail) party, but this is SPOT ON.

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

Read the whole thread.

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @rshawnm: Important thread from @MarkMiller_DC

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

Making the case for, oh hmmm, maybe a purchasing alliance model?

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

and patients bear portion of this burden through cost sharing

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

Must read🧵

Important thread from @MarkMiller_DC

In addition to having a great last name, Mark happens to be spot on here.

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

Really good thread by @MarkMiller_DC ⬇️

RT @MarkMiller_DC: Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen thi…

Great thread. Important heads-up that if you don’t delete the (long since debunked) “cost-shifting” canard from your talking points, you won’t be on the list for @MarkMiller_DC’s next party.

Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care https://t.co/8IX8AU312e -we have seen this in the literature for 20+years https://t.co/z2Hidonrhg -it has been confirmed (repeatedly) by HCCI; MedPAC; KFF; and here by RAND 1/

@batwingdings @not_that_donald @madsmaru America's high healthcare costs are largely down to a combination of us paying far more per procedure for little benefit and high administration costs from multipayer: https://t.co/6eJvncvNwb

@Rowdy_Doody https://t.co/xDrLFcZymj

@scottlincicome Really good starting point for understanding why US health care system is so terrible both in costs and outcomes: https://t.co/a3oXeVlu3D

@_vectorist Health care is the least perfect “market” there is. Also, ACA incidentally led to greater hospital/provider consolidation (a lot of “expensive” regs to comply with), meaning that hospital leverage in bargaining went up. It’s the prices, stupid!

Does your boss know your quoting 17 year old studies on Twitter during work hours

@813JAFERD @Reese_Tassey @amitabhchandra2 @UnitedHealthGrp Start here, then try to be less predictable. https://t.co/i6356DagJ3

10/10: Sum: Lots of tension between payment policy that tries to restrain cost growth (this policy, Oncology Care Model, others) while allowing access to new drugs that are $$$$$. If only we could get to the root of the problem... https://t.co/twvUUCY54V

Health care in the US is among the most expensive in the world, and why https://t.co/MsitroetoG

@pnwgeo @harveyjkaye @johncusack @prof_shelton @NomikiKonst @_michaelbrooks @SamSeder @adventuregirl It pays out more then any other country: https://t.co/oAGrVPcKVb

@pnwgeo @harveyjkaye @johncusack @prof_shelton @NomikiKonst @_michaelbrooks @SamSeder @adventuregirl M4A would expand to cover everything, and we need lower prices like Medicare has: https://t.co/oAGrVPcKVb M4A addresses cost as discussed above, it opens

@marcfs13 @Noahpinion https://t.co/KLzLcshQCL

Add other sources, like the paper linked in this article https://t.co/rvWQVOun5P or the prices for operations listed by the KFF here https://t.co/vI8B6I7NJR which references this paper https://t.co/MGPc0cmOc5 or data on pharma https://t.co/vnL8z7qbBl and y

"It's the Prices, Stupid" https://t.co/j3tN0K1gg8

But hospitals, doctors, pharma generate much greater unnecessary costs than insurance. “It’s the price, stupid” https://t.co/YBoSDXgY4D

RT @johnjacobi6: Thanks @FishmanEliot for the reminder of great article. It’s esp powerful when read with the ’03 article fm Anderson et a…

Thanks @FishmanEliot for the reminder of great article. It’s esp powerful when read with the ’03 article fm Anderson et al, It’s the Prices Stupid https://t.co/7PEOdpPU9v.

(4/8) The dysfunctional picture of U.S. #healthcare spend was clear 16 years ago. Why has the problem not changed, and arguably gotten worse? https://t.co/WhTMMueWbu https://t.co/Azn4Duo4FV

RT @healthpolity: First there was the "over-utilization" hypothesis (popularized by Gawande) Then the "prices are too damn high" hypothesi…

First there was the "over-utilization" hypothesis (popularized by Gawande) Then the "prices are too damn high" hypothesis (Brill, Anderson et all) https://t.co/IwHbF4Z8lK) Next, we have the "who pays?" hypothesis. Required reading from @awgaffney https:/