The COVID-19 pandemic had a dramatic effect on the US economy that was mitigated by the rapid development and deployment of COVID vaccines. I was a subject in the Moderna Phase III clinical trial of their RNA vaccine, and eventually have had six injections.The well-established benefit of COVID vaccination is that it will keep you out of the ED and the morgue. But what about “long COVID,” the post-acute sequelae of COVID infection that can last for...
Read More »New Medicaid Rule Gives Hospitals Greater Market Power
Increasing profits far above actual costs. Think Medicare Advantage as compared to Medicare. Over the past 20 years, the prices of hospital services have grown faster than any other sector of the US economy. Unfortunately, the federal government recently issued a regulation intending to address underpayment of hospitals by Medicaid. However, the new rule could push hospital prices higher for 66 percent of the US population who have commercial...
Read More »Explaining the difference in Hospitals by Location
I have posted about rural hospitals here, here, and here. Resources found at various hospitals can be defined by location. Rural hospitals may have less resource and capability than urban hospitals plus greater costs. Resources may be less due to cost which does not change but has a larger impact on a rural hospital due to patient usage. The cost is not spread across greater usage. Usage has to cover costs or the smaller hospital is in danger of...
Read More »Two ACA Private Sector Enrollment Sites Blocked from the ACA Marketplace
A problem is reining in the rogue ACA Agents without slowing enrollment as also reported by KFF. Regulators are contending with a problem affecting people’s coverage. Some brokers are signing people up for Affordable Care Act plans and are switching them into new ones without their permission. The problem is how to thwart the bad actors without affecting ACA sign-ups. Two private bad actor enrollment sites have been blocked from the ACA market...
Read More »CMS ramps up suspensions of health insurance agents registered with HealthCare.gov
CMS finally clamping down on agents plan switching, assigning existing enrollees to themselves. CMS requires agents seeking to act on an existing account with a different Agent of Record or with no AOR to: – either conduct a three-way call with the client and the marketplace center. The client authorizes the new agent to act on their behalf, or – have the client click the final button after an agent makes changes to the account using a...
Read More »Healthcare Costs Expected to Surge at Highest Rate in 15 Years
Forecast of commercial healthcare costs to come in 2025 (MedCity report), what has occurred in the past, and what is expected beyond 2025. Meanwhile Congress is twiddling their thumbs arguing amongst themselves over what is more important to their existence . . . constituents or big business. Interesting too, how the Sadlers are getting themselves off the hook for the Opioid epidemic. They didn’t know? New Survey, employers’ project trending...
Read More »FLiRT Covid wave is growing less rapidly
r.j. sigmund on Covid a few days ago i read an article on a university website that Covid activity was ‘showing signs of slowing’, so that’s what i expected to find when i checked the data this morning…”growing less rapidly” might have been a more descriptive assessment… among the CDC’s “early indicators“, “test positivity”, or the percentage of tests for Covid that were positive, rose to 18.1% during the week ending August 10th, up from 17.6%...
Read More »Challenges of Poverty
The Chronic Challenges of Poverty – Public Health Post Having empty pockets can impact long-term health. Poverty has been linked to obesity, cardiovascular disease, and diabetes, among other chronic conditions. The symptoms of chronic diseases are caused by inflammation, part of the body’s immune response. Obesity, stress, autoimmune disorders, and other chronic diseases involve a constant state of inflammation, often causing fatigue, joint or...
Read More »Collection of Articles Accumulated Over the Last Few Days
GOP’s attack on Americans’ retirement savings just went to the next disgusting level, Opinion, Alternet. “To protect older Americans’ life savings, President Biden pledged in October to crack down on financial advisers who recommend investments just because they pay higher commissions. Then the insurance industry got to work.” Explained: The Controversy Over Tim Walz’s Military Service, Snopes. The claim that Walz “abandoned” his...
Read More »Income Uncertainty and ACA marketplace Application
by Andrew Sprung xpostfactoid Brian Blase, a conservative healthcare scholar at the Paragon Institute, is out with an analysis of 2024 ACA marketplace enrollment (summarized in this WSJ op-ed) claiming that millions of enrollees have mis-estimated their incomes to claim benefits to which they are “not entitled.” Here are the core claims: In nine states (Alabama, Florida, Georgia, Mississippi, North Carolina, South Carolina, Tennessee,...
Read More »