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

AHA Urges CMS to Correct Medicare Advantage Plan 2024 Rule Violations

With this particular American Hospital Association letter, I pulled out the particular points in which the AHA is pointing out and filing complaints. The balance of the letter can be found at the link above, in the title (below), or in the attached PDF file at the end of this post. Unfortunately, it is too […]

AI Algorithm allegedly leads to Medicare Advantage Denial of Claims

Industry has been talking about AI (Artificial Intelligence) for a while now. And of course, industry has been looking to reduce the amount of labor input with AI. Having used computerized systems such as MRPII, ERP, etc., I have always followed the wisdom of people such as Oliver Wight and George Plossl. The system is […]

Fee For Service Medicare Part D Price Increases

I am late on the draw for this information on Medicare. Been busy with other issues. Had dinner last night at VA’ Bene, a restaurant in Chandler which is not too far from us. An older couple joined us afterwards as we were sipping some Chianti. The heat finally got to this couple and they […]

Semaglutides and the next public health revolution

It is hard to overstate the transformational public health benefits of anti-hypertensives and statins for blood pressure and serum cholesterol control. For a modest cost, these drugs not only mitigate human suffering but save billions, if not trillions, of dollars by avoiding costly surgical interventions. The repurposing of anti-diabetic drugs like semaglutide and tirzepatide for […]

Slowing Growth in seniors opting for insurer-run Medicare Advantage plans

When I start to get comments and questions from some of the more expert authorities on healthcare such as Merrill Gooz, Andrew Sprung, Steve Early (Suzanne Gordon), and Kip Sullivan; I start to feel pretty good about some of my commentaries or comments. This last go around on Gooz News in the comments section, we […]

Creating Workplace Flexibility in the Health Care Industry

I know Dean Moore from a German Company in upstate New York where we both worked. Great area to be. the Germans operated like they had a board up their backs. Working in Germany was fun and I got to explore on weekends on their dime. As it was, I left after three years. Dean […]

2022 Overpayment to Medicare Advantage? Somewhere between 22% and 35%

Maybe $88 billion and $140 billion will get your attention? Congress does not blink an eye at this expenditure. Received an email from PNHP’s Kip Sullivan who is knowledgeable on Single Payer and Medicare Advantage healthcare plans. Whenever he writes an article, he sends me an email so Angry Bear can be first in line […]

Legislation to Alleviate Administrative Burdens for Family Caregivers

To detail why this is so important, I turn to Doctor Barry J. Jacobs: “Caregivers, like marathon runners, must learn the lay of the land, find a sustainable pace and accept replenishment along their journey if they have any hope of gamely persevering from start to finish line. With this metaphor in mind, we can […]

Illegal immigration and Social Security/Medicare

In a previous post, I mentioned an effective way to curtail illegal immigration—require all employees to be screened through E-Verify—and some reasons why it won’t be adopted. Another disincentive to deterring illegal immigration is that it subsidizes Social Security and Medicare: “ . . . illegal immigrants as a group are net contributors who partially […]