by Matthew Cunnigham – Cook The problems with Medicare Advantage is coding and pricing for care. And Fee for Service participants pay for the MA costs even though they do not use MA. “When accounting for favorable selection of enrollees in MA and higher MA coding intensity, we estimate Medicare spends approximately 22 percent more for MA enrollees. This spend is more than if those beneficiaries were a part of FFS Medicare. The difference...
Read More »The preemption stakes in Idaho vs. U.S.
A high court decision in favor of Idaho puts at risk the federal government’s ability to set national environmental, labor and consumer protection standards. by Merrill Goozner Angry Bear can not add to Merrill’s remarks on Idaho’s stance banning abortion in almost all circumstances and their claims to preempt the federal Emergency Medical Treatment and Active Labor Act. Until it is them who are endangered will we find the rules (which they...
Read More »Trump vs. Biden: Who Got More Done for Veterans?
by Suzanne Gordon and Steve Early Washington Monthly Trump has mocked veterans and privatized their health care. Biden honors them but hasn’t challenged Trump’s privatization policies. Currently, they are moving more and more veterans to commercial healthcare. This rather than restoring VA healthcare to a better place for veterans to be and at a lower cost. Think of Medicare Advantage. From mocking John McCain’s military service...
Read More »Managing risk
Decades ago, the artificial sweetener cyclamate was banned because it caused bladder cancer in rats. Later, it turned out that this was an artifact of (1) the tendency of cyclamate to form a precipitate with the male rat urinary globulin in the bladder, which leads to inflammation and promotes cancer, and (2) the fact that experiments were only done with male rats. Are cyclamates dangerous for humans? Who knows? The lesson here is not that we should...
Read More »More on Reproductive Freedom…and Polling
By annie annieasksyou . . . Angry Bear lacks a woman writer. In the past we had several excellent writers. They offer a different perspective than my writing gymnastics or Joels for that matter. I am happy to have Joel offer up his words on other topics. If you are bold enough to plunge into Angry Bear’s environment, we would love to have you aboard. Meanwhile, enjoy Annie from Annie Asks You on this Sunday morning. ~~~~~~~~ And JUST...
Read More »Sovereign citizens
Visiting writer’s commentary on Sovereign Citizens by Infidel753 from his own Blog of similar name. Readers may be unfamiliar with the “sovereign citizen” movement, a fringe ideological belief system which asserts (for complex, fatuous, and extremely boring reasons) that certain everyday laws either do not exist, are not real laws, or at least don’t apply to individuals who assert some imaginary special status that makes them exempt. In...
Read More »The dose makes the poison
When I was growing up in East Tennessee in the 1960s, there was a local grocery chain owner and right-wing politician named Cas Walker who railed about, among other things, water fluoridation. Water fluoridation was alleged to be a communist plot. If so, then God must be a communist, since water in some parts of the country is naturally fluoridated. In fact, that natural fluoridation, and its correlation with lower incidence of tooth decay, helped...
Read More »On student loans
Most students who attend medical school in the US do so with student loans. Yes, some have military scholarships and some have wealthy parents, but most don’t. I’m guessing that most students reckon they’ll easily pay off the loans with the income that an MD or DO degree commands, and so far, they’ll be right.But the immensity of these loans has negative externalities. Here are two:1. It affects the residency choices of graduates. Students with large...
Read More »Texas Seniors Suddenly Lose Medicare Benefits
Suzanne Blake Newsweek Nothing unique here. Just another Texas screwup while trying to eliminate people from state and federal programs. The problem being they mistakenly injure the innocents. No problem though, it happens in other states or so Texans claim. Hundreds of Texas seniors lost their Medicare benefits after Texas Health and Human Services made an error in the Medicare Savings Program. “Medicare is health insurance for people...
Read More »59% of People Retaining Medicaid Coverage Were Renewed Through Ex Parte Processes
Medicaid Renewals Of the people retaining Medicaid Coverage as of April 11, 2024 . . . Fifty-nine percent were renewed on an ex parte basis while 41% were renewed through a renewal form, though rates varied by state. Federal rules require states to first try to complete administrative (or “ex parte”) renewals by verifying ongoing eligibility through available data sources. Sources such as state wage databases. Doing this before they send a...
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