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Tag Archives: Healthcare

The Relative Value Scale Update Committee is secretly setting physician prices

I should have plaque on the wall of some hospitals stating I was there and we (the hospital) made out like bandits. Some of the procedures and meds they do and give me are not in your average Tylenol category. Not much I can do about it. Merril at GoozNews posted this exposé on how the pricing for physicians is set and to which there is no outside attendance. If you do attend, you sign an agreement not to reveal information. If you are wondering...

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Most Medicaid enrollees were unaware states can drop People “Now”

Fred Dobbs had a comment “a poll from KFF” on the Open Thread which led to this article. Read it, rewrote much of it, and posted it. More on the economics on healthcare. What is not being said here is what are the costs to the nation of no healthcare. Here we are just reporting on the disenrolled and not what is happening later. “The Unwinding of Medicaid Continuous Enrollment: Knowledge and Experiences of Enrollees,” KFF, Multiple Authors....

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Laboratory Benefit Managers on the Horizon?

I read through this short report on Laboratory Benefit Managers which included commentary on Pharmacy Benefit Managers. My overall opinion is they are middlemen and as such they add cost to the delivery of healthcare. The explanation does provide insight. The Time is Now for Laboratory Benefit Management, Managed Heathcare Executive, April 2022. PBMs Explained We have Pharmacy Benefit Managers (Pharmacist Society of the State of New York)...

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Tracking States Implementing Medicaid’s Postpartum Coverage Extension

As taken from an earlier post on a woman’ healthcare. There are quite a few issues which can arise while a woman gives birth which I detailed in the 2019 post. Having good healthcare insurance is a big factor in having safe deliveries before, during, and after a birth. The first line of this section was healthcare for women and maternal mortality is an important indicator of a nation’s overall quality of healthcare. If a person has healthcare...

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The expanding role of Medicaid in US health care

Mostly taken from “The expanding role of Medicaid in US health care: A research roundup, journalistsresource.org, Kerry Dooley Young. May 2023.” I have added commentary to this report. I do have another report on Medicaid which I have to deep dive to make shorter sense of it. This report includes information going back to Obama’s introduction of the PPACA and the impact of it on Medicaid. It offers information to a reader which they may not be...

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Another Legal Challenge of the ACA Coming Out of Texas and the Fifth District

Cost-Free Preventive Care Under the ACA Faces Legal Challenge, JAMA | JAMA Network, Gregory Curfman, MD; Kirsten Bibbins-Domingo. The same federal Jackass judge in Texas who struck down the entire ACA (2018) has risen again. In this particular instance, he is taking aim at a core protection of the ACA or Cost-free preventive care. These services range from cancer screening to pregnancy care and have benefited more than 150 million US residents of...

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Piercing the myth: How privatizers got their mitts on Medicare

Piercing the myth: How privatizers got their mitts on Medicare, The Stand, Kip Sullivan Insurance companies decried Medicare’s fee-for-service model. But then Congress let them replace it with something much worse. (May 4, 2023) — Congress enacted Medicare in 1965 as a fee-for-service system because the insurance industry did not want to insure the elderly and the poor. Today the insurance industry spends megabucks on advertising to lure...

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Insurance Carriers Are About To Rebate Another $1.1 Billion To Policyholders Thanks To The ACA

My old Michigan standby on the PPACA. If there was something I needed to know, I could always count on Charles knowing the answer. I believe some of the state and federal politicians also relied on Charles for information. What is also kind of cool is Michigan Governor Gretchen Whitmer issuing a directive on Medicaid re-enrollment. The federal Families First Coronavirus Response Act, passed to respond to the COVID-19 pandemic, required Medicaid...

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You can move the people to a better environment, or you can move the polluting facilities

I had read the JAMA Network version of this report although I could not get into the Full Text version. You can find a more open version by using a New in Private Window. Cliff notes . . . the polluting company paid for moving the people. In which, the health of the people, the children improved. The options are move the company or move the people. The findings from articles? “Children whose families participated in a program that helped them move...

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Why Does Poverty Continue to Exist in America?

A long and good NYT take on why poverty continues to exist, stays stagnant or continues to grow in one of the richest nations in the world and the most capable of all to end poverty. A good read. “Those who have amassed the most power and capital bear the most responsibility for America’s vast poverty. Political elites have utterly failed low-income Americans over the past half-century. Corporate bosses have spent and schemed to prioritize...

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