Tag Archives: Healthcare

Part Two explores where Medicare should be going forward as determined by doctors Richard Gilfillan and Donald M. Berwick. It is an endorsement of the ACO model with changes to it creating greater efficiency. I am not so sure Kip Sullivan would endorse this approach as opposed to Single Payer. Ultimately Single Payer is less costly when we consider the elimination of much of the administration effort. There is another post I will be putting up when I...

February jobs report: the decelerating trend resumes   – by New Deal democrat As I’ve written several times this week, my focus on this report was on whether manufacturing and residential construction jobs turned negative or not, whether temporary jobs continued on their downward trajectory, and whether the deceleration apparent in job growth would reappear after the blockbuster January report. Deceleration absolutely reasserted itself:...

This is Part One covering Medicare Advantage, Direct Contracting, and the MA Money Machine of which the Risk Scores drive the payout. If the Risk Scoring methodology was eliminated, ~$355 billion over the next eight years if just the risk-score related overpayments were eliminated. This is a pretty good read if you have the patience to cover all of it. I have added acronym and other definitions at the bottom. I have also added some additional...

Parts of this Covid Vaccine Story came via the Daily Beast; Just hours after Sen. Bernie Sanders (I-VT) swore to question Moderna’s chief executive in a Senate hearing next month about plans to quadruple the price of its COVID-19 vaccine, the company abruptly reversed course, announcing in a statement that the vaccine would remain free to all consumers “regardless of their ability to pay.” The pharmaceutical giant was widely denounced last...

“Michigan Supreme Court hearing on automobile no-fault reform: What to know,” Bridge Michigan, In reading this, I can almost guarantee, the citizens of the state of Michigan had not given any thought to the screwing over of those who suffered catastrophic injury due to automobile accidents. Indeed, it was business interests who set the pace for the repeal of No-Fault Auto Insurance. Michigan residents lived with the higher insurance...

Coronavirus dashboard: the first year of COVID endemicity  – by New Deal democrat As I indicated back in January, I don’t plan on any regular COVID dashboard updates unless something noteworthy has occurred. Since we are now 1 year into endemicity, this is a good time to look back and see what that means. The huge initial Omicron spike started in late November 2021 and ended early in March 2022. Since March 1 of 2022, here is the range of...

I am a member of AARP. I am also a part of its MediGap Plan N Program, and Part D Pharmaceutical. Just like to shop at one store. Some do not believe in MediGap. If you are healthy and do not think you will have to pay the Part A $1600(?) deductible and the 20% of costs. Then skip MediGap. Do you feel Lucky? Then toss the dice. You may be lucky, I am not. With Part D, I use Walgreens and we are having a faceoff. Everything was fine until they...

I agree with Charles Gaba. Medicare Advantage is not much better than Commercial Healthcare Insurance. To wit, it is Commercial Healthcare Insurance gussied up to look like FFS Medicare. The extra benefits given to enrollees in Medicare Advantage comes from FFS Medicare expenditures. Furthermore, the companies providing healthcare to those on Medicare bid low and are paid high: “benchmarks and payments remain above FFS spending levels. We estimate...

“Jawboning, the moral suasion in the context of economics and politics. In action such is the use of authority to persuade various entities to act in certain ways. It can sometimes be underpinned by the implicit threat of future government regulation.” President Joe Biden uses the bully pulpit during the State of the Union address to call for a universal price cap on insulin for all diabetes patients. The proposal is very unlikely to pass the...

The biggest driver of healthcare cost is simply “pricing” increases reflected in hospitals, pharmaceuticals, and healthcare insurance. It was Dr. Donald Berwick while head of Medicare and Medicaid during the 1st half of the Obama administration has said, repeatedly, that at least 1/3 of Medicare dollars ware wasted on unnecessary tests, procedures and drugs that provide no benefit for the patient. Here is Dr. Berwick again discussing healthcare...