We often point to the third-party payer problem as the cause of the explosion in health care costs. Insurers pay doctors who provide services to patients. This separation of payer and patient means the patient has little incentive to question the cost or even the quality of service. Now imagine what would happen if a big part of a state's spending ...

by Charles Katebi Liberals frequently claim that Medicaid expands healthcare options to the less fortunate. But without major reforms, Medicaid will become a major barrier for patients seeking care. Medicaid's looming threat to patients stems from its wasteful reimbursement regime. The program pays most doctors, hospitals, and clinics on a fee-for-...

by Charles Katebi Governor Matt Mead's critics rightly chastised his plan to expand Medicaid without any foreseeable way of paying for new patients. Now it turns out we can't even afford totake care of patients already on Medicaid. In April, Wyoming's Consensus Revenue Estimating Group (or CREG) reported that the state will take in $110 to $130 mil...