A good article on hospital increasing healthcare costs, due to consolidations, supplies, and the associated hospital operational management. The article also engages in a book review of Big Med by David Dranove and Lawton Robert Burns (“Megaproviders and the High Cost of Health Care in America“). I will have to check the book out and […]
Introduction: FFS Medicare Overhead costs are ~2%. Medicare Advantage overhead costs are far higher. The same can be said for commercial healthcare costs paid by insurance companies. Neither MA administered healthcare or commercial insurance plans can compete with FFS Medicare for costs and care. I will touch on a few reasons why on Medicare at […]
Medicare Advantage (Part C) plans were to be the private plans able to deliver more and better healthcare than FFS Medicare. MA plans does offer more services than FFS Medicare. It offers similar services at a higher cost than ordinary Medicare costs. This is accomplished by over coding healthcare issues of participants which in turn […]
“CVS beats out Amazon for Signify Health” (axios.com), Sarah Pringle Why does was CVS battling Amazon for a rinky-dink company like this matter? Hmmm, think back to “Value-Based Payment. It is the New For-Profit Health Care Industry” and all of the healthcare providers being acquired by insurers. There is also an involuntary push going on […]
Before I get started on the main text of Kip’s expert article, I wish to point out something which is happening nationally. There is a plan afoot of forcing people into Value-Based Payment plans from traditional Medicare. The players include Iora Health (subsidiary of One Medical), Privia, General Catalyst, agilon health, Caravan Health, Signify (CVS […]
Kip Sullivan sent this article to me today. Usually, I find them before he sends them to me. A quick introduction to the topic of this article. Billions of dollars are being spent on value-based ACO programs. They have done little to improve Americans’ health or lower health care costs. As the authors point out, […]
This is an interesting result I ran across in MSN as taken from Reuters. Both Kip Sullivan and I have written about Medicare Advantage plans over coding patients, resulting in overcharges to CMS Medicare. “Why is CMS Overpaying United Healthcare Medicare Advantage Plans?” – Angry Bear, “Medicare Advantage and Medicare Issues” – Angry Bear, “Kip […]
Some History 2014: A frenzy of hospital mergers into ACOs as detailed by Philip Longman and Paul Hewitt could leave many families having lesser amounts of healthcare paid for by healthcare insurance due to healthcare industry consolidation leading to higher prices. We have seen this happen with higher prices for insurance plans, increased deductibles, and […]
Introduction I am fortunate to have made the acquaintance of Kip Sullivan from reading his articles and exchanging notes over the last couple of years. He is one of the more knowledgeable authorities on Single Payer as well as healthcare costs and price, commercial healthcare insurance, Traditional versus Advantage Medicare, and why today’s healthcare is […]
This podcast came to me by way of Kip Sullivan, the expert on Traditional Medicare and Medicare Advantage. We have had a running dialogue for about a year now. Most recently, Angry Bear featured Kip’s PNHP Single Payer Healthcare Financing Series detailing why healthcare is expensive in the US. I have put up numerous posts […]