Relevant and even prescient commentary on news, politics and the economy.

Part 2: Building on the ACO Model

Part Two explores where Medicare should be going forward as determined by doctors Richard Gilfillan and Donald M. Berwick. It is an endorsement of the ACO model with changes to it creating greater efficiency. I am not so sure Kip Sullivan would endorse this approach as opposed to Single Payer. Ultimately Single Payer is less […]

February jobs report shows decelerating trend continuing

February jobs report: the decelerating trend resumes   – by New Deal democrat As I’ve written several times this week, my focus on this report was on whether manufacturing and residential construction jobs turned negative or not, whether temporary jobs continued on their downward trajectory, and whether the deceleration apparent in job growth would reappear after […]

Direct Contracting and The Medicare ‘Money Machine’

This is Part One covering Medicare Advantage, Direct Contracting, and the MA Money Machine of which the Risk Scores drive the payout. If the Risk Scoring methodology was eliminated, ~$355 billion over the next eight years if just the risk-score related overpayments were eliminated. This is a pretty good read if you have the patience […]

Who invented the mRNA-based COVID-19 vaccine Technology?

Parts of this Covid Vaccine Story came via the Daily Beast; But there is more to this story than what is being revealed in this rendition about the Moderna vaccine. Moderna reported it paid or will pay $400 million to the National Institutes of Health (NIH) for the rights to use publicly funded technology. The publicly funded […]

Michigan Supreme Court hearing on the State’s automobile no-fault reform

“Michigan Supreme Court hearing on automobile no-fault reform: What to know,” Bridge Michigan, In reading this, I can almost guarantee, the citizens of the state of Michigan had not given any thought to the screwing over of those who suffered catastrophic injury due to automobile accidents. Indeed, it was business interests who set the pace […]

Coronavirus dashboard: the first year of COVID endemicity

Coronavirus dashboard: the first year of COVID endemicity  – by New Deal democrat As I indicated back in January, I don’t plan on any regular COVID dashboard updates unless something noteworthy has occurred. Since we are now 1 year into endemicity, this is a good time to look back and see what that means. The huge […]

AARP Healthcare Insurance Plan, Just Another Corporate Profit Center?

I am a member of AARP. I am also a part of its MediGap Plan N Program, and Part D Pharmaceutical. Just like to shop at one store. Some do not believe in MediGap. If you are healthy and do not think you will have to pay the Part A $1600(?) deductible and the 20% […]

Humana takes next step towards CEO’s “Medicare Advantage for All” gamble

I agree with Charles Gaba. Medicare Advantage is not much better than Commercial Healthcare Insurance. To wit, it is Commercial Healthcare Insurance gussied up to look like FFS Medicare. The extra benefits given to enrollees in Medicare Advantage comes from FFS Medicare expenditures. Furthermore, the companies providing healthcare to those on Medicare bid low and […]

When Confronted By the Truth . . .

“Jawboning, the moral suasion in the context of economics and politics. In action such is the use of authority to persuade various entities to act in certain ways. It can sometimes be underpinned by the implicit threat of future government regulation.” President Joe Biden uses the bully pulpit during the State of the Union address to call […]

Salve Lucrum: The Existential Threat of Greed in US Health Care

The biggest driver of healthcare cost is simply “pricing” increases reflected in hospitals, pharmaceuticals, and healthcare insurance. It was Dr. Donald Berwick while head of Medicare and Medicaid during the 1st half of the Obama administration has said, repeatedly, that at least 1/3 of Medicare dollars ware wasted on unnecessary tests, procedures and drugs that […]