And somewhat blind. Several months ago, I had an operation on my one eye to fix the retina. My eye surgeon and doctor was Derek Kunimoto. I was happy to have him as I know how thorough the Japanese can be having worked with them for years. I was Kunimoto-San’s last surgical patient. As he […]

Since many AB readers are either retired or about to be: “Looking solely at the trust fund that covers retirement and survivor benefits, Social Security will only be able to afford scheduled payments in full until 2033, roughly the same projection as last year. At that time, the fund’s reserves will be depleted, and continuing […]

Executive Summary portion of the Medicare Payment Policy Report to Congress I have only had time to wade through the Executive Summary portion of the MedPac Report to Congress on FFS and MA Medicare plans. If the Executive Summary has any meaning, we will see some changes in how MA plans administer pricing of services […]

by Megan Messerly One more ACA rule was finalized by Biden today. Not something huge in numbers; but something which will impact a few thousand people. People who were allowed to stay in the US or under a program called.  Deferred Action for Childhood Arrivals or DACA. A coalition of states, Alabama, Arkansas, Louisiana, Nebraska, […]

by Andrew Sprung The latest scam in healthcare involves being enrolled in a different healthcare plan than what you initially enrolled in the beginning, The new ACA plan which will not be as good as the one you had. How easy is it for someone to do so to the enrollee? It can be done […]

I first caught up with this article on MedPage Today, “Doc Blows Whistle on Cigna.” I also read the ProPublic report. Both are reporting on denial of claims before and after treatment and the productivity of claims reviewers. Additionally, the report discusses the use of labor (nurses, etc.) outside of the US to evaluate claims […]

 – by New Deal democrat The Bonddad Blog On Friday the CDC updated its COVID death statistics through March 31, which means that we now have 4 full years of data. It also updated its hospitalization data through April 20, and to cut to the chase, last week saw a record low hospitalizations for COVID […]

SWI swissinfo.ch An interesting story coming out of Switzerland about Nestlé. In 2017 Nestlé adds sugar to baby food in low-income countries, report finds . . . made the following plan: Between 2017 and 2020 we want to reduce the added sugar in our products by a further 5%. In 2017 alone, Nestlé Switzerland withdrew […]

by Matthew Cunnigham – Cook The problems with Medicare Advantage is coding and pricing for care. And Fee for Service participants pay for the MA costs even though they do not use MA. “When accounting for favorable selection of enrollees in MA and higher MA coding intensity, we estimate Medicare spends approximately 22 percent more […]

A high court decision in favor of Idaho puts at risk the federal government’s ability to set national environmental, labor and consumer protection standards. by Merrill Goozner Angry Bear can not add to Merrill’s remarks on Idaho’s stance banning abortion in almost all circumstances and their claims to preempt the federal Emergency Medical Treatment and […]