Tag Archives: Medicare

“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...

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...

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...

Where we are in the Conversation VBP: I had stopped the dialogue on Kip Sullivan’s paper Medicare’s “Value-Based Payment (VBP)” programs are Failing on page 3 of 12 pages so as to detail it as much as possible and breaking this portion out for readers. It can be reviewed here. This part of Kip’s paper gets to the root of why Value-based rewards to Skilled Nursing Facilities (SNFs) will not work. It is also detailing why Value Based Payments...

[unable to retrieve full-text content]Hey, this is a copy and paste article by Andrew Sprung at Xpostfactoid. He does a nice job of explaining the technical aspects of expanding the ACA and making it more liberal in providing greater Commercial Healthcare Insurance benefits to more US citizens. He also discusses what could happen if we make Biden’s healthcare extensions […] The post What If Democrats Fail to Enhance the ACA? appeared first on Angry Bear.

Continuing the conversation concerning Medicare and Medicare Advantage programs – Value Added Healthcare. Background Kip Sullivan and I have had a running dialogue on Value Added (VA) healthcare. This usually starts up with my asking a question, giving my doubts on certain topics, and a back and forth in an exchange of emails. I have done this before with others, mining their knowledge banks. The likes of which Value Added (VA) is being...

Articles from my Inbox as usual. There is a common thread or threads here of private equity getting more involved. It is bad enough with ACOs buying up medical facilities. We are losing control of healthcare. “Insurers are taking decisions out of the hands of physicians, says ortho surgeon,” beckersasc.com Dr. Grant Shifflett: I don’t want to paint a bleak picture, but I look at this in terms of the voice we have as physicians. And it seems...

The same as the American Rescue Plan Act and the Improving Medicare Coverage Act, no one is talking of the detail within the Build Back Better Agenda bill. This makes it very vulnerable to pseudo Senators like Krysten Sinema and Joe Manchin who are holding out for what ever reasons or just for spite. It is also good for Angry Bear to know its content too. If there are questions, ask away. I will try to answer with what I know. Build Back Better...

Michael Smith on the Open Thread: “‘Found this interesting. Tucked in the reconciliation bill they want to mandate employers with 5+ employees to contribute up to 10% to an IRA. Failure to do so is ‘taxed’.”  Hidden In The Reconciliation Bill: A Retirement Plan Mandate That Will Take Most People By Surprise, Forbes, Elizabeth Bauer, September 25, 2021 “Under the proposal, starting in 2023, employers with five or more employees would have to...

Improving Medicare Coverage Act – H.R. 5165 Medicare – Improving  Medicare Coverage Act; H,R, 5165, September 3, 2021 130+ House Democrats are co-sponsoring a bill by Pramila Jayapal, the Improving Medicare Coverage Act. The impact of which would drop the Medicare eligibility age to 60 years of age. All well and good, it is about time something is changing. Healthcare Insurance and medical costs are exceeding high in the US. Pricing of...