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

Pharma and Chamber of Commerce Suing to Stop Drug Negotiations

Big business organization in the form of the Chamber of Commerce and a Phamaceutical company are joining together and taking on the government to keep it from negotiating pharmaceutical pricing. Chances are well in favor of this ending up in SCOTUS based upon a moneyed corporation willing to spend its way into court. A resource […]

CMS and CBO consistently overestimated the growth in health care spending

National Health Expenditure Projections, 2022–31: Growth To Stabilize Once The COVID-19 Public Health Emergency Ends, Health Affairs, National health expenditures are projected to have grown 4.3 percent in 2022, slower than nominal gross domestic product (GDP) growth of 9.2 percent, leading to a decrease in the projected health spending share of GDP from 18.3 percent in 2021 to […]

“This is the golden age of drug discovery”

This commentary came by way of ltr a reader at Angry Bear. A pretty solid review of how drug prices and the resulting costs after insurance are still impossible to pay. That is, if the insurance, Medicare, Medicaid even pay for them in entirety or a portion. If the former is not the case, a […]

A Better Way (Potentially) to Fund Rural Hospitals

The issues being addressed in the second part of the Center for Healthcare Quality and Payment Reform or CHQPR ORG, report reviews what is causing small rural hospitals to close. Provided is also glimpse at a solution to fix and maintain small rural hospitals which can not maintain the necessary facility and service to local […]

Primary Care Takeover by Commercial Interests

It appears Primary Care is becoming a hot market practice for nonhealthcare US retail and healthcare corporations to invest in today. Big corporations are chasing the Primary Care market worth about $260 billion in 2022, which is big enough to attract attention. The other factor is a shift from FFS healthcare model to a Fee […]

Small Town and Rural Hospitals Are at Risk of Closing due to Funding

This is an interesting take on small hospitals and also covering smaller hospitals in small towns or rural areas. It is an issue as the larger hospitals buy them up. Rather than invest in them, they close them down. One reveal is those hospitals closings coming as a result of what private insurance pays for […]

The Great Medicaid Disenrollment, An Update

Angry Bear had written about the forthcoming state Medicaid-Purge the later part of May. The reason for the purge of many Medicaid enrollees was the ending of Joe Biden’s pandemic Medicaid enrollment program. It was a much needed program during the pandemic if one could not afford healthcare insurance and did not have Medicaid. Not […]

Value-Based Payment Is the New For-Profit Health Care Industry

Value-Based Payment Is the New For-Profit Health Care Industry first appeared at Angry Bear as written by Kip Sullivan, Kay Tillow, & Ana Malinow. This came after it appeared at Truthout. I reposted this one commentary and an early one by Kip because I am starting to see more activity on Value Based medicine. It is […]

Fee For Service versus Fee For Value Healthcare

The following definitions I found in the article “What Kaiser’s Acquisition of Geisinger Means For Us All,” Forbes, Robert Pearl M.D. May 31, 2023 There are a couple of terms within the article which I would like to point out. Fee For Service and Fee For Value. For clarity, Traditional Medicare uses Fee For Service methodology […]