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

Health Care Thoughts: California Assembly Bill 880 (pending

by Tom aka Rusty Rustbelt Health Care Thoughts: California Assembly Bill 880 (pending) It was a no brainer to predict Obamacare would have a major impact on restaurant and retail employers, especially in the throes of a weak economy. The composition of the work forces and often slim margins guarantee problems. Darden Corp. (Red Lobster […]

Health Care Thoughts: Cap per Procedure

by Tom aka Rusty Rustbelt Health Care Thoughts: Cap per Procedure Some employer health plans are experimenting with a cap-per-procedure system, allowing $X for a certain procedure and forcing employees to pay any difference. This is not as harsh for employees as it first sounds, as the plans are using this as leverage to cap fees […]

Health Care Thoughts: Tenet Buys Vanguard, Wave of the Future?

by Tom aka Rusty Rustbelt Health Care Thoughts: Tenet Buys Vanguard, Wave of the Future? The three most frequently used words in health care strategy today are: Integration – more providers employed by hospitals, networks and corporate providers Consolidation – networks and corporate providers getting larger Alignment – trying to develop business models that make […]

Obamacare – Fear – Mongers Poison Minds; Hatred Blinds

Maggie Mahar at Health Beat Blog Obamacare – Fear – Mongers Poison Minds; Hatred Blinds” writes about the confusion about, the anger at, and the mischaracterization of the PPACA by every day people, medical workers, and politicians. Having myself presented the facts to rebut assumptions and fallacies, I find her comments interesting and on the […]

Welfare Reform Kills II

Earlier I noted the research of Peter Muennig, Zohn Rosen and Elizabeth Ty Wilde which proves (at all standard confidence intervals) that welfare reform killed people.  I was alarmed that almost nobody but the must read Bill Gardner noticed this research.  Now Dylan Matthews has a long excellent post on the research and other evidence that anti […]

Health Care Thoughts: Conference Wrap-up

by Tom aka Rusty Rustbelt Health Care Thoughts: Conference Wrap-up So I do some conferences with a lot of people who are way smarter than me, people literally and figuratively on the cutting edge. What thoughts are dominating health care these days, especially the provider community? Here is a list of frequent talking points, further […]

Guest post: The Affordable Care Act’s Prevention and Public Health Fund

Guest post by Michael Cahill The Affordable Care Act’s Prevention and Public Health Fund: Why it needs to succeed for America’s Economic Future What will it take for the Affordable Care, known more commonly as Obamacare, to succeed? Realistically speaking it will take a lot of things for the ACA to be a real success, […]

Health Care Thoughts: On the Road Again

by Tom aka Rusty Rustbelt Health Care Thoughts: On the Road Again The rest of the week is taken up with a conference, at which I will spend time with health professionals from all 50 states, the professionals including physicians and nurses, executives and managers, lawyers and CPAs, financiers, government regulators, consultants and media. Anyone […]

BMI and your health insurance premiums

While Rusty touched on this aspect of the role of employers in enforcing some notion of promoting reducing cost for premiums through wellness programs using ‘carrot or stick’ incentives comes further discussion via Truthout on the changing role of health insurance in America: Numerous companies have redefined their health care incentive programs, focusing on punishment […]