Tag Archives: Healthcare

I believe it was 2019 when I was asked to write on women’s healthcare issues. I was not asked because I was an expert. They were asking me because they wanted a male’s perspective on women’s healthcare issues. In particular, the topic was maternal healthcare and mortality. “A Woman’s Right to Safe Healthcare Outcomes” – Angry Bear (angrybearblog.com) My wife and I were fortunate to have three healthy children born to us. We did lose one birth...

Introduction: Before I get started on the main text of Kip’s expert article, I wish to point out something which is happening nationally. There is a plan afoot of forcing people into Value-Based Payment plans from traditional Medicare. The players include Iora Health (subsidiary of One Medical), Privia, General Catalyst, agilon health, Caravan Health, Signify (CVS owned), Village MD (Walgreens owned), Premier, etc. This is being done in...

“Coronavirus dashboard for September 7: the slow ebbing on the way to endemicity continues” I promised a COVID update, so I suppose I ought to follow through. Let’s start today with a graph of South Africa’s cases and deaths for the past year: South Africa is where BA.1 and BA.4&5 originated. You can see the huge spike in cases last December from original Omicron, and the smaller spike this June from BA.4&5. And yet deaths never...

In 2020, after Democrats had retaken control of the House of Representatives, the third version of the larger bill managed to actually pass the House under the more reasonable title of the Patient Protection and Affordable Care Enhancement Act. Of course, it didn’t even get a vote in the Senate. In early 2021, a temporary version of this bill by Rep. Lauren Underwood, was in the American Rescue Plan (ARP). It passed both the House & Senate on...

This was sent to me by Dale Coberly. I was wondering why Dale was sending me trash advertisements. Skimmed it and then it dawned on me. Much of this advertising is made to sway people’s minds to do something. It is the type of advertising I sometimes wish to throw a shoe at the 65-inch screen when it should be shown on a 12 -inch screen. It is especially aggravating, when the advertising includes the famous, the rich, the good-looking, etc....

“What the Inflation Reduction Act means for PBMs” Times of News This is a strange little article trying to fill a gap in knowledge. The italicized sentences are mine. It does make some sound points on PBMs so I kept it. If you can get into Seeking Alpha or Modern Healthcare, you may find a better version. The sweeping law President Joe Biden enacted Tuesday offers relief to some prescription drug users. However, the pharmacy benefit managers...

Some pretty interesting articles this week. I like the one about Alito. With trump, I can not figure out what was in his mind when he walked off with boxes of classifies documents. You are I would be in jail right now. Usual stuff about student loans. The $10,000 on many of these loans will go to pay fee, interest, penalties and consolidation fees. What will me left is more of the same and few dollars will get to relieve the original loan amounts. No...

Let’s answer the question. I am going to break this up into several segments as it takes into consideration multiples of people, income, etc. I think it will be easier to absorb. A well-known expert in MIchigan has put together the answers. This is Part 1 – Single Individuals “How much does the #IRA lower YOUR health insurance premiums? A case study in Virginia” | ACA Signups. Charles Gaba, 08/24/2022 Some History Back in 2019, long before...

“Major Insurers Are Scamming Billions from Medicare, Whistle-Blowers Say” – PNHP, John Tozzi, Bloomberg, April 12, 2022 Teresa Ross had been raising objections at work for months when her bosses brought in a psychologist hoping to make her question her own sanity. A longtime manager at a Seattle health plan called Group Health Cooperative, Ross had opposed changes to the way the company billed Medicare. With the help of a new vendor, the...

I believe we should fund traditional Medicare more, if the funds are going there (the funds are not going there). If you want something else, you are on your own. I do not want to pay the additional costs involved with MA Plans which we are doing out of Medicare funds. It is also no secret Medicare Advantage has been over coding patients they do accept, rejects those patients who may be more ill, and selects healthier patients. In some cases and...