by Tom aka Rusty Rustbelt Health Care Thoughts: The Other Side of the Equation Obamacare is in the news every day, with much discussion of jobs and exchanges and insurance and many other topics. My beat is the other side, the provider side, and a great deal of confusion and chaos lives there. What are providers […]
by Tom aka Rusty Rustbelt Health Care Thoughts: Obamacare Meets Immigration Reform With the passage of the Senate version of immigration reform we have some details to ponder. Illegals who become “provisional” for up to 13 years will not qualify for some Obamacare credits and subsidies. Workers who receive “unaffordable” insurance coverage from employers will […]
by Tom aka Rusty Rustbelt Health Care Thoughts: More Complexity Grumbling I have made the point many times that if anything stops Obamacare it will be the inability to implement an extremely complicated program. Call it “Rusty’s Theory of Complexity.” The feds have now published (link below) the draft application for financial assistance in health care […]
by Tom aka Rusty Rustbelt Health Care Thoughts: The CPR Kerfluffle According to numerous media reports: On February 26th, Lorraine Bayless, an 87 year old resident of the Glendale Gardens independent living facility, collapsed in the dining hall. Someone called 911, and eventually a person identifying herself as a “nurse” was on the call (whether […]
by Tom aka Rusty RustbeltHealth Care Thoughts: Essential Benefit RegulationsThe final regulations were published on “essential benefits.” No major surprises. The best summary I can find is at:http://www.healthinsurance.org/blog/2013/02/22/hhs-gets-specific-on-acas-essential-benefits/
by Tom aka Rusty Rustbelt Health Care Thoughts: PPACA Health Exchange Oops On March 1, 2013 employers were supposed to notify employees in writing of information relating to the health insurance exchanges, including a 1) description of services, 2) employee eligibility for a premium tax credit IF the employee purchases an exchange insurance product, and […]
by Run75411 Healthcare Reform; Socialism or Fascism? Whole Foods CEO John Mackey in 2009 originally called President Obama’s healthcare plan a form of Socialism while writing an op-ed for the Wall Street Journal: “The problem with socialism is that eventually you run out of other people’s money.” Margaret Thatcher” and added to Thatcher’s statement: “While […]
by Tom aka Rusty Rustbelt Health Care Thoughts: Electronic Medical Record Meltdown In the past I have predicted the EMR focus of the Obama administration might not work as well as intended. Sadly, and many billions of dollars later, I may be correct.(The New York Times has run many pieces on this, the latest on […]
by Tom aka Rusty Rustbelt Health Care Thoughts: CPA Retirement Funding Act So I spent a part of the weekend reading summaries of the new IRS regs on the Obamacare 3.8% net investment income tax. Holy complications Batman! These rules are so complex and convoluted CPAs will spend their spare time reading yacht catalogs. Sure, […]
by Tom aka Rusty Rustbelt Health Care Thoughts: Re-admissions, Resident Rights and Pie A follow up to a post on evidence based medicine…. PPACA is putting extreme pressure on hospitals to reduce Medicare re-admissions. Hospitals are putting increasing pressure on nursing home to reduce re-admissions, particularly due to diabetes. Nursing homes are under constant pressure to […]