Tag Archives: Healthcare

It appears Primary Care is becoming a hot market practice for nonhealthcare US retail and healthcare corporations to invest in today. Big corporations are chasing the Primary Care market worth about $260 billion in 2022, which is big enough to attract attention. The other factor is a shift from FFS healthcare model to a Fee For Value healthcare model. There is a potential for increasing costs in the latter. Primary care disruptors could capture...

This is an interesting take on small hospitals and also covering smaller hospitals in small towns or rural areas. It is an issue as the larger hospitals buy them up. Rather than invest in them, they close them down. One reveal is those hospitals closings coming as a result of what private insurance pays for patient care. This is an issue which both state and federal governments. should be addressing. Why are 600+ rural hospitals at risk of...

Angry Bear had written about the forthcoming state Medicaid-Purge the later part of May. The reason for the purge of many Medicaid enrollees was the ending of Joe Biden’s pandemic Medicaid enrollment program. It was a much needed program during the pandemic if one could not afford healthcare insurance and did not have Medicaid. Not being able to afford healthcare insurance was not the only gain from Medicaid. The extension of Medicaid postpartum care...

Value-Based Payment Is the New For-Profit Health Care Industry first appeared at Angry Bear as written by Kip Sullivan, Kay Tillow, & Ana Malinow. This came after it appeared at Truthout. I reposted this one commentary and an early one by Kip because I am starting to see more activity on Value Based medicine. It is worthwhile to go over again. Before I get started on the main text of Kip’s expert article, I wish to point out something which is...

The following definitions I found in the article “What Kaiser’s Acquisition of Geisinger Means For Us All,” Forbes, Robert Pearl M.D. May 31, 2023 There are a couple of terms within the article which I would like to point out. Fee For Service and Fee For Value. For clarity, Traditional Medicare uses Fee For Service methodology and Medicare Advantage uses Fee For Value methodology. The following paragraphs were pulled from the Forbes article...

Kip Sullivan sent this article to me a while back and it was posted. I am starting to see more activity on Value-based-care as an alternative to Fee For Service. The question arises as to how does one measure value received from the care under this regime. It is difficult to measure the value and what value found can not justify value-based care. A quick introduction to the topic of this article. Hence a repost of this article and one other...

I agree with the author’s reasoning for domestic supply manufacturing. I have battled the issues with pharma, medical supply, and also food manufacturing. Batches are problematic as well as the USDA and FDA labeling requirements. You wait for approvals. As of August 2019, 28 percent of the manufacturing facilities producing active pharmaceutical ingredients (APIs – drug substances formulated into tablets, capsules, and injections) to supply the...

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...

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....

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)...