What you are reading here is a piece on the costs of Medicare Advantage Plans versus Traditional Medicare. Why is one so different than the other? The differences in MA and FFS are in coding intensity and selection. The later does not have such. MedPAC March 2025 report to the Congress Pages 338 to Page […]
During my career, I served on NIH study sections and NSF grant review panels. What I personally witnessed was discussions over the scientific merits of various applications. There was no discussion of whether a proposal should be prioritized because the investigator worked at an elite institution on the east of west coast. Could the applicant […]
This entirety of this piece by Commonwealth Fund covers more than a Jobs cutback. There is a definite meanness in this legislation by President Tru_p and Republicans. It is meant to skew tax breaks to people who do not need tax breaks at the expense of overall healthcare cuts. This will impact more than just […]
One of embarrassments of our time is the medicalization of food. No, kale isn’t a superfood. No, Froot Loops are not poison. Food isn’t medicine. As for the risks of ultra-processed foods, any pharmacologist or toxicologist will tell you that the dose makes the poison. Ultra-processed foods don’t cause obesity. Obesity is caused by consuming […]
Charles Gaba assessing Republican and Trump’s mandated changes to the ACA. One sure thing the Congressional Republicans are resisting is the thought of extending the enhanced tax credits. Without which, most people could not afford healthcare insurance. Keep in mind what this is all about also. Just in case you forgot, the program cuts is […]
Looks like RFK Jr has pivoted from lying about the long-discredited Thimerosal-autism connection to blaming aluminum-containing adjuvants for autism. Since there’s no evidence for this, RFK Jr’s position is that studies have not definitively ruled out a link between vaccines and autism. Well, science doesn’t deal in proof, it deals in the weight of evidence. […]
Abbreviated look at the impact of discontinuance of ACA subsidies in 2025 if Congress does not extend them. Keep in mind the discontinuance of these subsidies will help to balance out the tax breaks President Trump and Republicans have planned for upper income brackets. Much needed by Republicans and Tru_p.. “Health Insurance Premium Spikes Imminent […]
This does not surprise me. Medicare Advantage is more costly. Medicare Advantage plan extends services well beyond what Traditional Medicare provides. Furthermore, the Advantage plans were heavily subsidized with Traditional Medicare funds. How is Medicare Advantage funded? This was a long time coming . . . Some Medicare Advantage funding comes from the enrolled people’s […]
If Congress does not extend the enhanced premium tax credits, older Marketplace enrollees, especially early retirees and the self-employed, would see some of the steepest increases in premiums. The enhanced premium tax credits lowered the share of income enrollees had to pay toward premiums and expanded subsidy eligibility to people with incomes above 400% of the federal […]
Republicans are campaigning for work requirements in order to get Medicaid. According to one report in May: “Between 4.6 million and 5.2 million adults would lose Medicaid coverage in 2026 due to proposed work requirements.” Denying Medicaid does not mean people will not get healthcare if needed. It does mean, hospitals would not be paid […]