Tag Archives: Medicare

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...

President Biden’s temporary ARPA Improves ACA Subsidies through 2022. xpostfactoid: Will 60-64 year-olds have a choice between Medicare and Obamacare? What will that look like?, ARP puts more ‘affordable’ in the Affordable Care Act | healthinsurance.org and How the American Rescue Plan Act will boost marketplace premium subsidies | healthinsurance.org If you have not been reading any of what is going on with the ACA and Medicare; it is time...

Everybody talks about Medicare, Medicare4All, Medicare Advantage. Few talk about costs or what Medicare consists of for those who qualify for it. How can someone be in favor of Medicare4All, if you do not understand what regular Medicare consists and what it costs. I am guessing most people believe it would be free. What if it isn’t and you paid what many people pay today for Medicare and its supplements? Some Absolutes: Traditional...

Why Hospitals and Health Insurers Didn’t Want You to See Their Prices – The New York Times (nytimes.com) Sarah Kliff and Josh Katz Some Background Tipping the balance to single payer? I believe Kliff and Tucker article in the NYT Times on hospitals and insurance helps to tip the balance. It is revealing to see what different hospitals will charge for the same procedure and what various insurance companies will payout to cover the same...