Tag Archives: Healthcare

This post uses material that a Facebook friend posted. I re-post it here with her permission.Any provider that uses a Billing Software (that has Change HealthCare integrated in their system as the main clearinghouse) can’t get claims to insurance companies once they medically bill for something/services in their software. Change Healthcare is the ‘bridge’. The claim goes from the provider, over the bridge, to the insurance company. Then once the claim...

Millions of People Who Could Benefit from Obamacare Don’t Because They Don’t Know About It, and Neither Does the New York Times Center for Economic and Policy Research, Dean Baker. I and others have written about the PPACA multiple times over since it came out and has been improved repeatedly since its introduction. Lets start with the subsidy cliff which was at 400% FPL. President Biden changed the law on it allowing higher incomes to receive...

This is not just Physican practices being bought up. A while back I was writing about hospitals merging with other hospitals and healthcare practices being bought up. The advantage of such is in negotiating rates with insurance companies. ~~~~~~~~ A measurement of the competitiveness of a hospital within a certain area of the country is done utilizing the Herfindahl-Hirschman Index (HHI). It has been used to measure competition in and around...

The Trump administration and the ACA marketplace: An assessment (Part 1), xpostfactoid, Andrew Sprung. In the wake of Trump’s vow to repeal the ACA if elected, Larry Levitt, EVP of health policy at the Kaiser Family Foundation, outlines the former president’s past and purported future healthcare agenda. One of Trump’s biggest political failures as president was his inability to persuade Congress to repeal the Affordable Care Act (ACA)....

Factual story, not quite a year old. and more than likely still, still having relevance. Prior authorizations for care before getting it should not be problematic. Prior authorization should have been far easier. Except some healthcare insurance use delays to discourage patients. Indeed. one would think no more than 24 hours would be needed for authorization. Quick cure to some of the delays would be to publicly publish the amounts of delays and...

Remember chasing the mosquito man’s truck? silive.com, Cassy Sommer  During the fifties and sixties, it was not unusual to see trucks spraying DDT near heavily wooded and swampy areas. I certainly do not recall kids running behind truck spraying the areas. Some claim this was a common practice. My aunts and mom would have had a fit is we did such. ~~~~~~~~ The U.S. Department of Agriculture was the federal agency with responsibility for...

Who owns your medical records? Gooz News, Merrill Goozner February 12, 2024 Hint: It’s not you. Nor do they belong to taxpayers, who paid for their collection. Merrill Goozner talks about Medical records. Merrill comments also offer up more detail about Lurie Hospital being hacked. Angry Bear had also covered the Lurie Hospital. Cyber thieves hacked their way into the computer system at Lurie Children’s Hospital in Chicago last week,...

This is a tough issue if it is the employer. By that I mean, you may have to put up with it if the economy is poor and jobs are few. I have run into similar situations. When the economy turns around, I left. Just said my good-byes and left. No incriminating remarks as to why I left as it may do no good. Indeed, someone from a company may ask them about you and your remarks about the former employer may come back to haunt you. When it involves...

Other than among Jehovah’s Witnesses, vaccination rightly gained widespread trust and acceptance in America. Innoculation against smallpox was around for hundreds of years before Jenner described the eponymous vaccine. Polio was a scourge in the US through the 1950s until it was virtually eliminated by vaccination. Many deadly diseases like whooping cough and measles were all but elimated in my lifetime through vaccination.Now, thanks to rank...

What’s Medicare’s secret sauce for controlling costs? The agency sets provider prices. It’s still the prices, stupid, GoozNews, Merrill Goozner, Sept. 7, 2023 AB: What is fun is my being able to talk to these guys and exchange thoughts. Then I bring them to Angry Bear. Kind of under the weather yesterday and today. Got the chills and a headache. The Times’ Upshot columnists weighed in on Labor Day on a subject I’ve written about extensively...