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Tag Archives: Kip Sullivan

2022 Overpayment to Medicare Advantage? Somewhere between 22% and 35%

Maybe $88 billion and $140 billion will get your attention? Congress does not blink an eye at this expenditure. Received an email from PNHP’s Kip Sullivan who is knowledgeable on Single Payer and Medicare Advantage healthcare plans. Whenever he writes an article, he sends me an email so Angry Bear can be first in line to place it on the blogosphere. Computer was down and I am a couple of days late in posting his commentary. If you are unaware...

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Voting Yes on CalCare Means No on SB770

A bit of Political Activism Here . . . It appears SB770 is a way to slow the move to Single Payer healthcare in California. AB 1690 needs to be approved. HC4US joins union nurses in California who champion AB 1690, which sets in motion a single-payer health care coverage system for all residents in the state called CalCare. Another bill, SB 770, would establish a “working group” to advise the Governor in informal conversations with the federal...

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Minnesota’s future: How to contain health care costs, revisited

This is an interesting occurrence. On its own Minnesota is moving forth with a health care study to be completed by March 2024. The study topic is the implementation of single payer within the state and its impact on administrative costs. This year the state began questioning its present commitment to traditional healthcare’s and its administrative role in healthcare. Kip on numerous occasions has pointed out the costs of administrative costs of...

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Value-Based Payment Is the New For-Profit Health Care Industry

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...

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Value-based payment has produced little value. It needs a time-out

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...

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Piercing the myth: How privatizers got their mitts on Medicare

Piercing the myth: How privatizers got their mitts on Medicare, The Stand, Kip Sullivan Insurance companies decried Medicare’s fee-for-service model. But then Congress let them replace it with something much worse. (May 4, 2023) — Congress enacted Medicare in 1965 as a fee-for-service system because the insurance industry did not want to insure the elderly and the poor. Today the insurance industry spends megabucks on advertising to lure...

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Privatized Medicaid and MinnesotaCare

Kip Sullivan has been comparing Fee for Service Medicare to Medicare Advantage and Commercial Healthcare Insurance at length calling out the failures of the latter. The results of such comparisons show FFS Medicare is far less costly in providing similar and better healthcare. Expanding Medicare to include all constituents as it is or in a Single Payer format would lower costs and provide better healthcare to all constituents. The “if” here is...

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Minnesota’s Sanford-Fairview Hospital merger is a symptom of a larger problem

Sanford-Fairview merger is a symptom of a larger problem, MinnPost, Kip Sullivan. Minnesota has a hospital merger problem. But it didn’t begin last fall when Sanford Health and Fairview Health Services announced their intention to merge. It began in the 1980s and accelerated in the 1990s in response to mergers of unprecedented size among health insurance companies. By the early 2000s, Minnesota’s hospital sector had been transformed into a few...

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Value-Based Payment Is the New For-Profit Health Care Industry

Introduction: Before I get started on the main text of Kip’s expert article, I wish to point out something which is happening nationally. There is a plan afoot of forcing people into Value-Based Payment plans from traditional Medicare. The players include Iora Health (subsidiary of One Medical), Privia, General Catalyst, agilon health, Caravan Health, Signify (CVS owned), Village MD (Walgreens owned), Premier, etc. This is being done in...

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Value-based payment has produced little value. It needs a time-out

Kip Sullivan sent this article to me today. Usually, I find them before he sends them to me. A quick introduction to the topic of this article. Billions of dollars are being spent on value-based ACO programs. They have done little to improve Americans’ health or lower health care costs. As the authors point out, of the 50+ ACOs examined, less than a handful cut costs. The ACO organizational cost saves were one percent or less. “Value-based...

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