In May of 2023 The $20 Billion Scam At The Heart Of Medicare Advantage, PNHP, Matthew Cunningham-Cook and Andrew Perez, Lever News, May 2023. Health insurance company Humana enjoyed a banner year in 2022. Humana made $2.8 billion in profits in 2022, while paying out $448 million in dividends to shareholders, and paying more than […]
“REACHing” for Equity — Moving from Regressive toward Progressive Value-Based Payment, NEJM, Suhas Gondi, Karen Joynt Maddox, and Rishi K. Wadhera. A pretty good take on Value Based Payment Programs and what are the issues. Keep in mind, who determines what the value is to the patient. What is the rub here. Who ascertains the degree […]
The article (example) is about one person suffering from an ailment at 19. Hospitalized at an out-of-network facility, the burden of costs for treatment were his responsibility due to insurance denial. A particular issue with commercial healthcare insurance not covering the costs of treatment because you went to the wrong doctor, etc. for care. More […]
I use the Veterans Administration also. I do not use it as widely as I could and I am ineligible for some of the care I really need. This does not mean it doesn’t offer the care I might need. I leave it for those who can not go elsewhere and maybe do not have […]
In 2010 Congress passed the Patient Protection and Affordable Care Acts (there were 2) from now on called the ACA. One of the aims was to bend the Medicare spending curve and, they hoped (or dreamed) stop the increase in spending per beneficiary. The spending per beneficiary ceased increasing. Oh crap Chrome refuses to upload […]
Excellent take on Drug Pricing as written by Dr. N. Adam Brown at MedPage Today. In 2016 the 21st Century Cures Act was passed by the House. The intent was to make it easier for pharmaceutical companies to bring new drugs to market and short cut the clinical trial processes. Health Affairs had this to […]
Coronavirus update: the virus is back; everyone should return to their prior precautions and get boosted this fall – by New Deal democrat At the beginning of this year, I indicated that I anticipated only writing about Covid if something significant was happening. It is, so let’s look at the data. Almost all State and Federal […]
Not too much has changed in the process food industry. Baloney, salami, hot dogs, sweet rolls, etc. are still the same. Process foods consists of any “raw agricultural commodities that have been washed, cleaned, milled, cut, chopped, heated, pasteurized, blanched, cooked, canned, frozen, dried, dehydrated, mixed or packaged or anything done to them altering their […]
There has been some head-scratching about the recent COVID variant, BA.2.86, which has 34 amino acid changes in the spike protein compared to its closest reference sequence. Commenter rjs asks: “how can one virus suddenly wake up one morning and find it had mutated 30 times overnight? And that all 30 of its mutations were […]
The topic is important as too much resource and funds may be being spent on care with little return. Eighty-one percent of combined low value care was by out of network clinicians of which 90% was by specialists. There is some issues here. If I can find more detail, I will revise this short blurb. […]