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

The economics of medicine: personal reflections

When I was growing up, I viewed being a physician as the zenith of achievement for someone interested in science. That changed when I got to college and became interested in research. I realized I didn’t have the temperament for a physician (OK, maybe a radiologist or a pathologist) and I became a lab rat. […]

Can Retail Business Implement Primary Healthcare?

The question here is whether primary care can be commercialized more so than what it has been to date? Will profitability deliver a better healthcare model? Who will it serve? Can it survive without large healthcare institutions and hospitals supporting it? It might given where its location and the costs of utilizing it. Can Primary […]

Medicare Part D Increases

A heads up on changes to Part D in 2025. Some you already know as a $2000 cap on Meds Part D. Premiums may increase. There is a chance for subsidies. Read on . . . These increases in Medicare part D premiums are for 2025 Medicare, a federal health insurance program, is vital for […]

Candidates’ Stances on Healthcare Issues, including Drug Pricing, Medicaid and AI

The article is talking around the issues. The country is calling on former drug company management to assist in taking down an industry giant. It probably will not succeed as many of these experts still have ties to the industry and the companies employing them. Think Azar . . . Pharma companies were using “value-based” […]

Medicare Doctor Payment System is Not Keeping Up with Inflation

There is a story here somewhere, I have to look at it a bit closer in what Medicare is doing. As you can see expenditures in the US are double or more than what occurs in other countries. Yet, the US life expectancy is less than other countries. It appears there is a cut which […]

More on Arizona Politics and one particular representative

And Arizona has its share of nut-jobs too. One representative is more interested in controlling the lives of others. In particular those being the lives of women. And yes, one representative is making the right of women to control their lives an issue in Arizona. This is much like those creatures of control found in […]

An Admission of Guilt in Medicare Advantage Healthcare

The message can not get any clearer than what is being stated by CVS management. The discussion now being had is things will be better in 2025. Kind of doubtful as MedPac zeroes in on Medicare Advantage plans. I suspect more will be done to rein in MA plans. Read on and also the article. […]

A machine learning algorithm can identify 500 people, who go on to be shot within 18 months.

– by Sara B. Heller and Max Kapustin Econofact, November 2022 Let me be clear on the topic before you read the article. The full text is: “In a research  paper with colleagues, we find that it is possible by using data such as arrest and victimization records that cities already collect, to accurately identify specific […]

Decoding Medicare Advantage

Decoding Medicare Advantage by Andrew Sprung xpostfactoid Can STAT’s exposure of UHC’s exhortations to goose Medicare Advantage enrollees’ risk scores spur action to reduce MA overpayment? Load these Codes It is beyond reasonable doubt that the federal government’s payments to Medicare Advantage plans are grossly inflated by the plans’ gaming of the program’s risk adjustment […]

This Weeks Covid spiel includes current details on variant proportions

– by R.J. Sigmund Most of the demographic indicators of this summer’s Covid wave continued to recede rapidly in this week’s reports, and wastewater levels of the virus, the most definitive indicator of infections, have fallen to “low.” Among the CDC’s “early indicators” “test positivity”, or the percentage of tests for Covid that were positive, […]