Tag Archives: Healthcare

I found this report on Health Affairs a day or so ago. It was long and I spent the last two days condensing it so it could be presented and read on Angry Bear. Briefly, the author(s) detailed four main prices which consist of a List Price, an Out-of-Pocket Price, Insurer’s responsibility price, and the Negotiated price once all rebates are accounted. Exhibit 1 is a quicky study to understand how the authors arrived at the breakdown. Also detailed is...

Been lucky to have Andrew Sprung of xpostfactoid writing on the topic of perpetrators conceiving, executing, and expanding their carefully planned scheme of large-scale unauthorized plan-switching amongst ACA healthcare insurance subscribers. In the end, people switched over to other plans get lesser healthcare insurance than what they had signed up for initially with a different plan. The plan switch generates a bonus for the person selling a plan...

New Medicaid Rule Adds Fuel to The Fire of Commercial Hospital Price Inflation, Health Affairs Opinion Piece Hospital services prices grew faster than any other sector of the US economy. To address the underpayment of hospitals by Medicaid, the federal government issued a regulation correcting the underpayment of hospitals. However, the issue of higher prices and Medicaid paying more to correct the underpayment does not fit in the opinion of The...

Two in five Americans have outstanding health care bills, according to the Kaiser Foundation. Those with payments overdue are more likely to be uninsured, low-income, and either Black or Hispanic. What’s more, the total amount of outstanding medical debt in the United States is much bigger than people think. ~~~~~~~ Most states have not yet enacted laws preventing the accrual of medical debt, but many have implemented protections for people who...

The university where I was on faculty for 37 years has one of ten NIH-funded vaccine testing and evaluation units in the US. I vividly recall attending a presentation by the clinical director of our vaccine center in January of 2020 on the then-new SARS-CoV-2 virus. By the summer, our vaccine center became a clinical trial site for the Moderna mRNA vaccine. I immediately enrolled, even though I knew I had a 50% chance of being in the placebo arm (in...

Biden-Harris Admin awards $100 Million to navigators to help Americans sign up for healthcare coverage by Charles Gaba ACA Signups ~~~~~~~ The Biden-Harris Administration today continued its historic investment in health care coverage and the Affordable Care Act (ACA) by awarding a new round of $100 million to organizations vital to helping underserved communities, consumers, and small businesses find and enroll in quality, affordable...

There are dangers involved in the manufacture of some medical supplies. Most companies will take adequate protection of the process to manufacture. At times the safety measures do become outdated as the manufacturing process changes due to new product. Then it becomes a matter of cost to improve safety measures. The article states ethylene oxide usage was in 2003. I believe I can vouch for its usage back to the mid-seventies. As the story...

Medicare Advantage Plans are funded by Traditional Medicare which is slowly being depleted. Much of what MA does which proves to be so costly is due to MA up coding of its patients. It is estimated this will cost an ~$88 billion in 2024. This is up from $80 billion in 2023. Studies have found evidence of upcoding and favorable selection of patients are driving significant overpayments to MA plans. MedPAC also said the program’s quality bonus...

What is the issue(s) here is larger hospitals such as “Bon Secours (48 hospitals) has been slashing services” at its facility in a poorer, predominantly Black part of Richmond. At the same time, it is ‘investing in the city’s wealthier, white neighborhoods.’” By maintaining the Richmond hospital, it keeps access to the 340B program, provides drugs to the hospital in the wealthy section, and goes around the 340B rules. 340B hospitals are also...

The Arizona secretary of state’s office recently certified 577,971 signatures which is far above the number required to put the question of Abortion before voters. PHOENIX (AP) — Voters in Arizona will be able to decide in November whether they want to protect the right to an abortion in their state constitution. The Arizona Supreme Court ruled Tuesday that a 200-word summary that abortion advocates used to collect signatures for a ballot...