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Tag Archives: Medicare

Medicare vs Commercial Insurance Pricing 2012 – 2019

Copy and Paste for now until I can get into the Health Affairs article. Hospitalization averages a third of all healthcare costs. The pricing (Pricing equals costs in this instance) varies by region which kind of tells me there “may” be variation due to the strength of ACOs in regions. Trends in Hospital Prices Varied Widely Across the United States | RAND The average prices charged to commercial health plans by hospitals, as compared to what...

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Healthcare Sector Indicators and Insights

This is mostly a C&P with editing involved. Taken from Altarum Health Sector Economic Indicators, and “Insights from Monthly National Health Spending Data through December 2021.” I have added the link Altarum to return to the original article. Without the additional government spending covering Covid costs and a recession during 2020 -2021, overall healthcare spending would have been higher. The nation is also having one Covid issue which...

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Healthcare News – Georgetown Center for Children and Families

These are sections of healthcare news articles which I thought might catch your eye and may interest you on topics in healthcare. I added the links to each article so you can read “the rest of the story” if you care to do so. Georgetown Center for Children and Families – What can be found in the News: “Pandemic’s end could surge the number of uninsured kids” (axios.com) Once the temporary reforms to Medicaid are lifted the ranks of uninsured...

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Increasing Costs are driving Insurers and Systems Apart

Some History 2014: A frenzy of hospital mergers into ACOs as detailed by Philip Longman and Paul Hewitt could leave many families having lesser amounts of healthcare paid for by healthcare insurance due to healthcare industry consolidation leading to higher prices. We have seen this happen with higher prices for insurance plans, increased deductibles, and less covered. I think we have all experienced this in the last couple of years,...

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Safe Healthcare Outcomes for Women Giving Birth

April 2019, I wrote on the topic of A Woman’s Right to Safe Healthcare Outcomes as asked by one organization a woman at ConsumerSafety.Org. It took me forever as I had to acquire greater understanding of the issues. In the end it was well received even though I did not feel it did the topic justice. At the time I noted, commercial healthcare insurance, the ACA covers Postpartum care up to one year. Medicaid covered Postpartum cover after...

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VA health care system treats vets better than private facilities

Coming fresh off of featuring Kip Sullivan’s “Single Payer Health Care Financing Presentation – Three Part Series,” also “Continuing the Conversation concerning Medicare and Medicare Advantage Part 1 and Part 2.” and Kip Sullivan and Ralph Nader Talk Tradition Medicare vs Medicare Advantage; I came across this article by Suzanne Gordon concerning Veteran healthcare and its facilities. Suzanne advocates for veterans and the VA along with Phillip...

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Why is CMS Overpaying Medicare Advantage Plans?

Introduction I am fortunate to have made the acquaintance of Kip Sullivan from reading his articles and exchanging notes over the last couple of years. He is one of the more knowledgeable authorities on Single Payer as well as healthcare costs and price, commercial healthcare insurance, Traditional versus Advantage Medicare, and why today’s healthcare is not working efficiently. For example, commercial insurance administration costs are an...

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“No” to Having Premiums in Medicaid

“Biden Administration (CMS) Says No to Premiums in Medicaid,” Georgetown University Health Policy Institute, Joan Aker Georgia, Arkansas, and Montana recently had their 1115 Medicaid waiver requests denied. All three states were asking they be allowed to charge premiums to low income adults on Medicaid. A Section 1115 demonstration is intended to test new approaches promoting the objectives of Medicaid.  The Biden Administration’s painstaking...

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Kip Sullivan and Ralph Nader Talk Tradition Medicare vs Medicare Advantage

This podcast came to me by way of Kip Sullivan, the expert on Traditional Medicare and Medicare Advantage. We have had a running dialogue for about a year now. Most recently, Angry Bear featured Kip’s PNHP Single Payer Healthcare Financing Series detailing why healthcare is expensive in the US. I have put up numerous posts on healthcare, Medicare, Medicare Advantage. This podcast by Kip and Ralph Nader gets into the take over of Traditional...

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Single Payer Healthcare Financing – Part 3

PNHP Single Payer Healthcare Financing Series, Kip Sullivan JD As you can determine for yourself, this is the last Part of the Series by Kip Sullivan. I hope you have been listening to everything and reading being presented. A lot of detail here about what is wrong with Commercial Healthcare, Managed Care, and Medicare Advantage. I posed a question to Kip after a couple of paragraphs. Me: This series is perfect for me. It arms me with...

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