It has taken years for the Feds, CMS, MedPac, Congress to catch up with the thieving practice of these healthcare plans. They have mislead the people they sell these plans too with come-ons such as health club ss, etc. Then when it comes time for care, it is delayed or denied. This comes after the […]
Social Security Trustees’ Report Is Out So Is CRFB’s Analysis by Dale Coberly Look, I don’t like CRFB. They claim to be the Committee for a Responsible Federal Budget (CRFB), but in the years I have been watching them they have looked more like the Committee to Cut Social Security. Today my inbox presented me […]
Medicare is almost $200 billion in gross drug spend: Who gets the blame? — 46brooklyn Research This is a complex issue as there are many moving parts to drug pricing and their costs. Perplexing in describing the drug spend issues would seem appropriate. I am not even sure if this long post will adequately define […]
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 […]
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 […]
This was sent to me by Dale Coberly. I was wondering why Dale was sending me trash advertisements. Skimmed it and then it dawned on me. Much of this advertising is made to sway people’s minds to do something. It is the type of advertising I sometimes wish to throw a shoe at the 65-inch […]
JAMA Network “How Do Commercial Insurance Plans Fare Under Proposed Prescription Drug Price Regulation?” Rena M. Conti, Richard G. Frank, Len M. Nichols December 2021, this article came out detailing Medicare negotiating directly with pharmaceutical companies and the impact of the negotiation on people insured by commercial plans. That is if commercial insurance plans were […]
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 […]
As is typical, Charles Gaba at ACA Signups.net has the answers to the question. Charles does a lot more of this type of analysis such as the Healthcare’s Three – Legged Stool, ACA Enrollment, Risk Pools, etc. All three of these are at Angry Bear. I am not sure why Michigan state and federal legislators […]