Tag Archives: Healthcare

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...

An Introduction Ok, What is or who is The Lever? “The Lever, formerly known as The Daily Poster, is a reader-supported investigative news outlet that holds accountable the people and corporations manipulating the levers of power. The organization was founder and owner is David Sirota, an award-winning journalist and Oscar-nominated writer who served as the presidential campaign speechwriter for Bernie Sanders.” What type of Org and how factual?...

Coronavirus dashboard for August 24: the post BA.5 wave respite In general, things are headed in the right direction for now in the pandemic. BIobot’s latest wastewater update from one week ago shows a 1/3rd decline in COVID particles nationwide. Here’s the regional breakdown: The West, spearheaded by CA, is down 50%, and the South 33%. The Midwest is down the least, perhaps due to the larger % of BA.4.6 in that area. Speaking of which,...

Approvals for disability claims for Marine Veterans who were at Camp Lejeune between 1953 and1987 have dropped. This is in reference to disability claims filed with the Veterans Affairs Department for illnesses and disorders related to drinking and showering in contaminated water. I was stationed at Camp LeJeune on and off from 68 to 71 when I wasn’t overseas doing what I was asked to do. I am sure I was receiving a healthy dose of the water...