Derek Thompson
๐ค SpeakerAppearances Over Time
Podcast Appearances
And so there's this interplay between lots of fury at the system, but also a status quo bias that makes it difficult to change the system. Where do you think change can or should start here when we're thinking about the phenomenon of upcoding and Medicare Advantage?
Final question, guys. This is a really interesting and unique moment of public attention on waste and fraud and government spending.
Final question, guys. This is a really interesting and unique moment of public attention on waste and fraud and government spending.
Final question, guys. This is a really interesting and unique moment of public attention on waste and fraud and government spending.
You know, whether one conceives of Elon Musk and Doge as a wrecking ball to dismantle bureaucratic progressivism or a good faith effort to identify fraud or some combination of the two, there is a ton of heat right now, a ton of energy on the fact of and the question of government waste.
You know, whether one conceives of Elon Musk and Doge as a wrecking ball to dismantle bureaucratic progressivism or a good faith effort to identify fraud or some combination of the two, there is a ton of heat right now, a ton of energy on the fact of and the question of government waste.
You know, whether one conceives of Elon Musk and Doge as a wrecking ball to dismantle bureaucratic progressivism or a good faith effort to identify fraud or some combination of the two, there is a ton of heat right now, a ton of energy on the fact of and the question of government waste.
What would be your parting wisdom to people who are listening to news about government waste, seeking out government waste themselves, if people from the government are listening to the show right now? What's the parting wisdom that you would leave with these folks?
What would be your parting wisdom to people who are listening to news about government waste, seeking out government waste themselves, if people from the government are listening to the show right now? What's the parting wisdom that you would leave with these folks?
What would be your parting wisdom to people who are listening to news about government waste, seeking out government waste themselves, if people from the government are listening to the show right now? What's the parting wisdom that you would leave with these folks?
what you often have is not obvious waste or fraud, but rather good intentions gone slightly awry and trade-offs shifting ever so slightly out of balance. I really like the way that Tim described the dual-sided problems of a fee-for-service system versus a capitation system. On the one hand, if you pay doctors
what you often have is not obvious waste or fraud, but rather good intentions gone slightly awry and trade-offs shifting ever so slightly out of balance. I really like the way that Tim described the dual-sided problems of a fee-for-service system versus a capitation system. On the one hand, if you pay doctors
what you often have is not obvious waste or fraud, but rather good intentions gone slightly awry and trade-offs shifting ever so slightly out of balance. I really like the way that Tim described the dual-sided problems of a fee-for-service system versus a capitation system. On the one hand, if you pay doctors
to provide more services, you may accidentally or on purpose encourage healthcare inflation to run rampant. On the other side, if you try to control healthcare spending with capitation, you might accidentally or on purpose keep certain patients from getting the care that they need. Diagnostic codes emerge from a recognition of a problem that's real.
to provide more services, you may accidentally or on purpose encourage healthcare inflation to run rampant. On the other side, if you try to control healthcare spending with capitation, you might accidentally or on purpose keep certain patients from getting the care that they need. Diagnostic codes emerge from a recognition of a problem that's real.
to provide more services, you may accidentally or on purpose encourage healthcare inflation to run rampant. On the other side, if you try to control healthcare spending with capitation, you might accidentally or on purpose keep certain patients from getting the care that they need. Diagnostic codes emerge from a recognition of a problem that's real.
but they create an incentive whose costs might number in the tens of billions of dollars in terms of excess payments. I simply find that a very, very interesting illustration of the principle that policy is hard and policy is trade-offs. And people who pretend sometimes to have as their third job be the identification of government waste, fraud, and abuse.
but they create an incentive whose costs might number in the tens of billions of dollars in terms of excess payments. I simply find that a very, very interesting illustration of the principle that policy is hard and policy is trade-offs. And people who pretend sometimes to have as their third job be the identification of government waste, fraud, and abuse.
but they create an incentive whose costs might number in the tens of billions of dollars in terms of excess payments. I simply find that a very, very interesting illustration of the principle that policy is hard and policy is trade-offs. And people who pretend sometimes to have as their third job be the identification of government waste, fraud, and abuse.
need to remember just how hard and complicated this system actually is. Thank you very much. And we'll talk to you later this week.