Posts Tagged ‘Medicare’
Posted by Warm Southern Breeze on Tuesday, December 6, 2016
Fact is, “ObamaCare” – which is properly known as the Patient Protection and Affordable Care Act, or ACA for short – though it’s monikered with POTUS Obama’s name, was largely a Republican brainchild from the über-conservative Heritage Institution.
The cornerstone of the act is predicated upon two items which are the very heart of the act: 1.) Guaranteed Coverage, and; 2.) Community Rating.
In was, in essence Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who? | Tagged: ACA, Affordable Care Act, avarice, Big Pharma, business, competition, costs, enterprise, Free Market, greed, health, health insurance, healthcare, hospital, insurance, market, Medicare, Medicare for All, medicine, money, monopoly, Obama, Obamacare, oligopoly, power, PPACA, premiums, profit, rates, Return On Investment, ROI, shareholder, single payer, Wall Street, wealth | Leave a Comment »
Posted by Warm Southern Breeze on Monday, October 31, 2016
Some have accurately, and justifiably observed that the Affordable Care Act, also colloquially known as “ObamaCare,” is a big fat, sloppy wet kiss to the Big Insurance industry and their for-profit, Wall $treet corporate masters, because their profits have continued to soar since it’s inception. Note that UnitedHealth Group reported a profit of $11 billion (on revenues of more than $157 billion) in 2015, up from $10.3 billion (on revenues of $131 billion) in 2014. Consider also how Anthem’s business changed in just one recent year. At the end of 2014, the majority of Anthem’s revenues still came from its Commercial Health Insurance customers. During 2015, however, revenues from their commercial operations actually declined 4.2%, to $37.6 billion, while revenues from their government operations skyrocketed 21%, to $40.1 billion. A significant reason why, is because of the big investments Insurance Companies continue to make in House and Senate campaigns. As a result, the Insurance Industry’s tentacles will likely only get deeper into both the Medicare and Medicaid programs.
Medical equipment is pictured on the wall of an examination room inside a Kaiser Permanente health clinic located inside a Target retail department store in San Diego, California November 17, 2014. Four clinics are scheduled to open to provide pediatric and adolescent care, well-woman care, family planning, and management of chronic conditions like diabetes and high blood pressure for Kaiser members and non-members. REUTERS/Mike Blake (UNITED STATES – Tags: HEALTH BUSINESS SOCIETY) Fair Use
It’s that time of year again. Insurance companies that participate in the Affordable Care Act’s state health exchanges are signaling that prices will rise dramatically this fall.
And if insurance costs aren’t enough of a crisis, researchers are highlighting deficiencies in health care quality, such as unnecessary tests and procedures that cause patient harm, medical errors bred by disjointed or fragmented care and disparities in service distribution.
While critics emphasize the ACA’s shortcomings, cost and quality issues have long plagued the U.S. health care system. As my research demonstrates, we have these problems because insurance companies are at the center of the system, where they both finance and manage medical care.
If this system is so flawed, how did we get stuck with it in the first place?
Answer: Organized physicians.
As I explain in my book, “Ensuring America’s Health: The Public Creation of the Corporate Health Care System,” from the 1930s through the 1960s, the American Medical Association, the foremost professional organization for physicians, played a leading role in implementing the insurance company model.
What existed before health insurance companies?
Between the 1900s and the 1940s, patients flocked to what were called “prepaid physician groups,” or “prepaid doctor groups.”
Prepaid groups offered inexpensive health care because Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who?, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: ACA, Affordable Care Act, Agency for Healthcare Research and Quality, business, campaign, Campaign finance, Congress, cost, exchanges, Harry Truman, health, Health Business Society, healthcare, House, insurance, law, LBJ, Lyndon B. Johnson, Medicaid, medical care, Medicare, medicine, money, Obamacare, Patient Protection and Affordable Care Act, PPACA, senate, single payer, Truman, universal healthcare | Leave a Comment »
Posted by Warm Southern Breeze on Thursday, June 27, 2013
If you had an option, would you rather pay $10/month, or $80/month for a prescription medication that accomplished/did the exact same thing?
Research shows that the results of the 2 differently priced medicines have never been shown to be any better in any way.
Which would you choose?
What if your doctor prescribed the more expensive medication for you based on the fact that Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: $62 billion, abuse, ACA, Affordable Care Act, Archives of Internal Medicine, avarice, Big Pharma, biotech, blood pressure, cardiology, cheat, crime, DO, doctor, drug, elderly, ethics, Forest Laboratories, fraud, GPO, greed, group purchasing organizations, health, healthcare, honesty, kickback, law, lie, manufacturers, MD, Medicaid, Medical device, Medicare, medication, medicine, money, Obamacare, patient, pharmaceutical, physician, PPACA, ProPublica, steal, taxes, taxpayer, teaching hospital, Thomas Aquinas, waste | Leave a Comment »
Posted by Warm Southern Breeze on Friday, February 22, 2013
Realistically, what does that mean for you, your loved ones or friends if – God forbid – they’re hospitalized at Huntsville Hospital?
It means that when you, your loved ones’ or friends’ are a patient in the hospital, you or they could get an infection, or some other serious bug or problem while being treated for something else entirely different. And by so doing, it could make your stay more unpleasant, and in fact, could increase the risk of complications of your treatment – up to, and including your death – was well as increase the length of your stay, among other factors.
What does that mean for the Hospital?
Because insurance companies and Medicare/Medicaid have STOPPED paying for the treatment of preventable problems that are a direct result of hospitalization, it means that Huntsville Hospital will be stuck with the bill (the costs of treating their own mistakes upon you while you’re there)… and will try to pass the cost along to you to recoup the cost of the loss, which is a DIRECT result of their own sloppiness.
Huntsville Hospital has essentially become a monopolistic monstrosity of an enterprise, gobbling up numerous hospitals in the North Alabama region, including BOTH hospitals in Decatur, the only hospital in Athens, the only hospital in Red Bay, Helen Keller Hospital in Tuscumbia area of the Shoals, and the only hospital in Lawrence county.
Meanwhile, Huntsville hospital has fought tooth-and-nail to keep other hospitals OUT of competition in the Huntsville market, and spent untold millions of dollars in a protracted legal battle against Crestwood Hospital – and continues to spend millions to prevent Crestwood Hospital from offering services that would benefit the entire city and county.
Such anti-competitive practice has all been accomplished by and through the state of Alabama‘s Certificate Of Need Board.
The commentary of Mr. Burr Ingram – Huntsville Hospital’s official mouthpiece – which is contained in this article is entirely and wholly unwarranted, and weasel-like.
Not only that, but Huntsville Hospital is NOT a Nursing Magnet Hospital.
There are many things Huntsville Hospital is not.
And sadly, quality is one of them.
Watchdog Report: Consumer Reports gives both hospitals in Huntsville low safety ratings
Published: Thursday, July 12, 2012, 9:06 AM Updated: Thursday, July 12, 2012, 9:30 AM
HUNTSVILLE, Alabama — Consumer Reports magazine ranked the two hospitals in Huntsville as the least safe in Alabama. But the magazine’s list of hospitals is far from complete.
“We were kind of perplexed at some of what it reported,” said Burr Ingram, spokesman at Huntsville Hospital. “When you think about it, it’s fashionable for everyone to rate hospitals. And Consumer Reports is the latest to use public data that is available.
“But at times, it’s difficult to know how these ratings come about.”
Huntsville Hospital, The Huntsville Times
The magazine’s August edition lists scores in four safety categories. Both Huntsville Hospital and Crestwood Medical Center received low marks for poor communication with patients and for high rates of infection. Both received mediocre marks for high rates of re-admission and unnecessary scans.
Yet the report ranked Read the rest of this entry »
Posted in - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: AL, Alabama, battle, Burr Ingram, CEO, Certificate of Need, CMS, CON, Consumer Reports, court, Crestwood, Crestwood Medical Center, David Spillers, disease, doctor, fight, greed, health, Health Reimbursement Account, healthcare, hospital, Huntsville, Huntsville Hospital, Huntsville Hospital System, Huntsville Times, infection, insurance, law, legal, liars, MD, Medicaid, Medicare, money, monopoly, news, Nurse, patient, physician, publicity, reimbursement, RN, sick, sickness, sicko, spokesman, state, United States, wellness | Leave a Comment »
Posted by Warm Southern Breeze on Sunday, October 28, 2012
Brer Fox leapt out of the bushes and strolled over to Brer Rabbit. “Well, well, what have we here?” he asked, grinning an evil grin.
Brer Rabbit gulped. He was stuck fast. He did some fast thinking while Brer Fox rolled about on the road, laughing himself sick over Brer Rabbit’s dilemma.
“I’ve got you this time, Brer Rabbit,” said Brer Fox, jumping up and shaking off the dust. “You’ve sassed me for the very last time. Now I wonder what I should do with you?”
Brer Rabbit’s eyes got very large. “Oh please Brer Fox, whatever you do, please don’t throw me into the briar patch.”
“Maybe I should roast you over a fire and eat you,” mused Brer Fox. “No, that’s too much trouble. Maybe I’ll hang you instead.”
“Roast me! Hang me! Do whatever you please,” said Brer Rabbit. “Only please, Brer Fox, please don’t throw me into the briar patch.”
“If I’m going to hang you, I’ll need some string,” said Brer Fox. “And I don’t have any string handy. But the stream’s not far away, so maybe I’ll drown you instead.”
“Drown me! Roast me! Hang me! Do whatever you please,” said Brer Rabbit. “Only please, Brer Fox, please don’t throw me into the briar patch.”
“The briar patch, eh?” said Brer Fox. “What a wonderful idea! You’ll be torn into little pieces!”
Grabbing up the tar-covered rabbit, Brer Fox swung him around and around and then flung him head over heels into the briar patch. Brer Rabbit let out such a scream as he fell that all of Brer Fox’s fur stood straight up. Brer Rabbit fell into the briar bushes with a crash and a mighty thump. Then there was silence.
Brer Fox cocked one ear toward the briar patch, listening for whimpers of pain. But he heard nothing. Brer Fox cocked the other ear toward the briar patch, listening for Brer Rabbit’s death rattle. He heard nothing.
Then Brer Fox heard someone calling his name. He turned around and looked up the hill. Brer Rabbit was sitting on a log combing the tar out of his fur with a wood chip and looking smug.
“I was bred and born in the briar patch, Brer Fox,” he called. “Born and bred in the briar patch.”
And Brer Rabbit skipped away as merry as a cricket while Brer Fox ground his teeth in rage and went home.
Insurers Profit From Health Law They Fought Against
By Sarah Frier – Jan 5, 2012
Insurance companies spent millions of dollars trying to defeat the U.S. health-care overhaul, saying it would raise costs and disrupt coverage. Instead, profit margins at the companies widened to levels not seen since before the recession, a Bloomberg Government study shows.
Insurers led by WellPoint Inc. (WLP), the biggest by membership, recorded their highest combined quarterly net income of the past decade after the law was signed in 2010, said Peter Gosselin, the study author and senior health-care analyst for Bloomberg Government. The Standard & Poor’s 500 Managed Health-Care Index rose 36 percent in the period, four times more than the S&P 500.
“The industry that was the loudest, most persistent critic of this law, the industry whose analysts and executives predicted it would suffer immensely because of the law, has thrived,” Gosselin said. “There is a shift to government work under way that is going to represent a fundamental change in their business model.”
Health insurers contributed $86.2 million to the U.S. Chamber of Commerce to oppose the law after Obama administration officials criticized the plans for enriching themselves by raising customer premiums.
“We remain very concerned that Read the rest of this entry »
Posted in - Business... None of yours, - Did they REALLY say that?, - Do you feel like we do, Dr. Who?, - Lost In Space: TOTALLY Discombobulated | Tagged: Aetna, Brer Fox, Brer Rabbit, business, Cigna, Coventry Health Care, economy, enterprise, health, healthcare, Humana, insurance, Medicaid, Medicare, news, Obamacare, profitability, research, UnitedHealth Group, Wellpoint | Leave a Comment »
Posted by Warm Southern Breeze on Friday, October 5, 2012
It’s almost like trying to patch a roof while it’s leaking.
This Week in Alabama Politics
By Steve Flowers
It is basic public policy that you either have to raise taxes or reduce government services. It has become a cardinal sin in Republican politics to even say the word tax much less enact any increase in revenue. Our legislature is now overwhelmingly Republican and they are real Republicans. They take their no new tax pledge seriously as does our Republican governor. Therefore, when the dicing and crafting of the 2013 budget was being processed, new revenue enhancement measures were not on the table. It is doubtful that you will see any tax increase proposals anytime soon in the Heart of Dixie.
The state’s new budget year begins this week. It will be horrendous. There are draconian cuts to basic state services. Alabama has a constitutional amendment that mandates a balanced budget. We are in dire straits but at least we are not deficit spending like other states. California is teetering on bankruptcy.
This past year’s budget was bad. Teachers and state employees pay was cut this time last year. However, if you think that last year was bad, you ain’t seen nothing yet. This is the year that the chickens have finally come home to roost. The federal stimulus manna from Heaven has provided a lifeline salvation for several years but those dollars are gone. This fiscal year may well be the worst dilemma since the Great Depression.
My contention is that it is worse than the Depression years. During that era the state Read the rest of this entry »
Posted in - Politics... that "dirty" little "game" that first begins in the home. | Tagged: AARP, AL, Alabama, Alabama Medicaid, budget, disabled, elderly, GOP, governance, government, Great Depression, health, healthcare, Home Care, Home Health Care, Medicaid, Medicare, Nursing home, OpEd, policy, politics, Public policy, Republican, Republicans, Steve Flowers, tax, Taxation, taxes, United States, Welfare | Leave a Comment »
Posted by Warm Southern Breeze on Wednesday, September 26, 2012
Recollecting, one of my patients was similarly diagnosed, suffering terminal lung cancer of the small cell carcinoma type, and had one lung removed. He had presented to the ED (Emergency Department) with extreme hypoxia (lack of oxygen), to such an extent that his lips had a distinctive blue cast to them. His oxygenation was so exceedingly poor, that he would turn in bed, and his sats (oxygen saturation level) would drop to 70% – neither a good, nor one that would sustain life.
In conversation with him, I asked him what he wanted to have happen to him, how he wanted things to turn out for him. He wasn’t under any misguided notion about his state of well-being or health and wanted to depart the ICU.
He said, “I want to go home to die.”
I responded by saying, “We want you to go home too. Let’s see what we can do to get you back there.” At that point, I began some very simple teaching about his breathing. He was a habitual mouth breather, and he knew it. I’d glance up at him, and his mouth would be gaping open as he watched teevee. Problem was, that every time his mouth opened, his sats dropped, even though he was receiving high flow O2 therapy via specialized nasal cannula.
So I instructed him that by keeping his mouth closed and breathing through his nose, his sats would increase. And barring any other unforeseen circumstance, were his sats to consistently maintain above 90%, that would be the greatest step toward his objective to go home.
At the end of my shift, he was consistently satting 98%.
Doctors are practicing irrational medicine at the end of life
by Monica Williams-Murphy, MD on September 22nd, 2012, in Physician
I just took care of a precious little lady, Ms. King (not her real name), who reminded me that, too often, we doctors are practicing irrational medicine at the end of life. We are like cows walking mindlessly in the same paths; only because we have always done things the same way, never questioning ourselves. What I mean is that we are often too focused on using our routine pills and procedures used to address abnormal lab values or abnormal organ function, to rightly perceive what might be best for the whole person, or even what may no longer be needed. Our typical practice habits may in fact become inappropriate medical practiceat life’s end.Ms. King was a case in point: She was a 92-year-old nursing homepatient on hospice for metastatic breast cancer. Ms King had been transferred to the ER for a sudden drop in blood sugar, presumably due to her oral diabetes medication. Her appetite had apparently been trailing off, as is common at the end of life, and her medication appeared to have become “too strong.” Her glucose level had been corrected by EMS during her trip from the nursing home to the Hospital, so when I came into see Ms King she was at her ‘baseline.’I opened the door to bed 24 and a grinning little white-haired lady peered at me from over her sheet. “Hi,” she said greeting me first.“Hi, Ms King,” I smiled back at her and picked up her hand.
She reached over with her free hand to pat me on my forearm, “You sure are a cute little doctor,” she said smiling.
I couldn’t hold back a little laughter. “Well, you sure are a cute patient too,” I smiled and winked at her.
She winked back at me.
“Wow, this is the most pleasant 90-year-old I have cared for in a while,” I thought to myself.
As we chatted it became clear to me that she had some mild dementia but had no pain or complaints at the time. She just said, “I think I had a ‘spell’” ( a “Southernism” for some type of unusual and undefined episode of feeling ill or fainting); and “I’m not hungry” when I offered her food.
Leaving her room still smiling after our pleasant exchange, I went back to look at her medical record from the nursing home and two things immediately struck me: Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Faith, Religion, Goodness - What is the Soul of a man? | Tagged: blog, Cardiopulmonary resuscitation, care, Centers for Medicare and Medicaid Services, Data Formats, doctor, Emergency Department, End-of-life care, ER (TV series), family, health, healthcare, home, Home Care, home health, Hospice, HTML, ICU, Intensive care unit, KevinMD, king, Life support, loved ones, Markup Languages, Medicaid, Medical School, Medicare, medicin, medicine, news, Nurse, Nursing home, palliative, palliative care, physician, practitioner, twitter, Web Design and Development | Leave a Comment »
Posted by Warm Southern Breeze on Monday, September 17, 2012
Face it. Sooner or later, you’re going to die. Death is a part of life. Making a decision about whether or not you want to be connected to belts, tubes, hoses & pumps to circulate your blood, food & oxygen when your body would have naturally expired is essentially what the discussion is about.
The Bill Frist ℞
By: Brett Norman
September 16, 2012 11:06 PM EDT
Meet former Sen. Bill Frist, a renegade “Obamacare”-loving Republican who is in the mood for some real bipartisanship.
Yes, the same Frist who as Senate majority leader led an army into the culture wars over Terri Schiavo and whose efforts in 2004 to unseat his then-rival, Minority Leader Tom Daschle, led to a nasty — and personal — Washington battle royal.
Now, Frist is pushing for a national conversation on end-of-life care and dismissing “caricatured”talk of death panels. He’s committing Republican heresy in endorsing elements of the loathed Affordable Care Act. He’s standing shoulder to shoulder with Daschle in search of a bipartisan way to tackle one of the thorniest problems around: how to get control of health care costs before they sink the economy.
Frist is pushing for a national conversation on end-of-life care. | AP Photo
The Frist-Daschle reconciliation, in particular, is a source of amazement to some longtime Washington observers.
“I didn’t think they would ever talk again,” said Bill Hoagland, a budget expert and former aide to Frist who has joined the duo on a health cost control initiative at the Bipartisan Policy Center. “I was surprised, pleasantly, that they would work together.”
Daschle told POLITICO, “He’s been a very important partner and I would say has become a friend in spite of the fact that we’ve had a difficult history.”
“That is past and we now find much more in common than not,” he added. “We both know that we need to find a consensus way forward.”
Frist, a heart and lung transplant surgeon who is now focused on research and policy, is working on Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: Bill Frist, bipartisan, Bipartisan Policy Center, Capitol Hill, care, centrism, collaboration, cooperation, D.C., dialogue, discussion, federal, Frist, government, health, healthcare, help, leader, Medicare, medicine, Mitt Romney, news, Obamacare, Party leaders of the United States Senate, policy, politician, pragmatism, prescription, reform, Republican, senate, Senator, Tennessee, TN, Tom Daschle, Washington, Washington D.C. | Leave a Comment »
Posted by Warm Southern Breeze on Wednesday, August 29, 2012
The truth speaks for itself.—
Is Obamacare a Government Takeover of Medicine?
Carolyn McClanahan, Contributor
Physician/Financial Planner. I discuss all things money and medicine.
8/28/2012 @ 10:32PM
The purpose of this blog is to educate non-policy wonks on the content of the Affordable Care Act, discuss the practical logistics of how the law will be implemented, and share my perspective on potential “good” and “bad” of the law. The law is far from perfect, but it is the most significant attempt our country has ever made at reforming our costly and inefficient health care system. In case you are a reader who thinks the entire law is “bad,” I implore you to learn about the ten sections of the law in this previous post.
In addition to speaking gigs, I also do “talk radio” about once a month. The questions I’m asked give some indication of where education on the ACA is lacking. One refrain I’ve heard over and over is that Obamacare is a “government takeover” of medicine. This post explores that concept.
“Government takeover” fears seem to take on several different variations.
• Medicine will be a government run entity – doctors will be employed by the government and care will be paid for by the government.
• All of the doctors will be employed by the government, but insurance companies will still exist.
• The government will dictate what doctors can and cannot do.
• The government will make it so onerous to practice medicine that everyone will quit.
• If the government has one iota of involvement in any form, it is a government takeover.
So what really happens with the Affordable Care Act? Read the rest of this entry »
Posted in - Did they REALLY say that?, - Do you feel like we do, Dr. Who?, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: ACA, Affordable Care Act, health, health care, health insurance, healthcare, insurance, Medicaid, Medicare, Obamacare, Patient Protection and Affordable Care Act, PPACA, United States, Wikipedia | Leave a Comment »
Posted by Warm Southern Breeze on Tuesday, August 14, 2012
“And you know what he did with it? He’s used it to pay for Obamacare, a risky, unproven, federal takeover of health care.” –Mitt Romney
Government estimates say that more than 6,000 jobs statewide and 20 percent of Iowa‘s electricity needs come from wind power, and the state’s senior GOP leaders all support renewing an extension of a wind tax credit that Romney opposes.
Romney’s campaign did not respond to repeated quests for his position on the other portions of the bill, which includes items such as a tax break for developers of NASCAR facilities and purchasers of electric motorcycles.
FACT: The Congressional Budget Office (CBO) has determined that the Patient Protection and Affordable Care Act is fully paid for, Read the rest of this entry »
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Posted by Warm Southern Breeze on Wednesday, May 2, 2012
It was once a long-standing joke that hospitals charged outrageous prices on medicines.
It’s not a joke anymore.
Once, a healthcare joke went like this:
Q: What’s the difference between a HMO, a PPO and the PLO?
A: You can negotiate with the PLO.
It’s not a joke anymore.
It should also be noted that a study conducted 26 years go by Jack D. McCue, Charles Hansen, and Peter Gal entitled “Hospital Charges for Antibiotics” found that:
“Hospital charges for intravenous antibiotics were obtained in a survey of 71 hospitals in 25 U.S. cities. Only 56.3% of the hospitals used their actual drug acquisition cost to calculate patient charges; the remainder used a base price derived from one of the wholesale price guides, which often seriously overstate the cost of antibiotics. Sixty-eight percent added a markup, averaging 134.5%, and 63.4% added a dispensing fee, averaging $5.47. A relatively high-dose, single-antibiotic regimen costs patients $50-$150 per day, independent of dose-preparation charges (average, $9.09 per dose) for a piggyback-type system or intravenous line-related charges. Antibiotics were least expensive in large hospitals and in those located in the northeastern United States. Charges for antibiotics are often inconsistently calculated, vary enormously among hospitals, and may be unfair to patients and confusing to physicians. Cost-conscious prescribing of antibiotics by physicians would be facilitated by a more consistent relationship between charges and true costs.”
That 1985 study may be found here.
The reader should also understand that in a hospital, ALL medications are administered by prescription only… even aspirin.
Kaiser Health News/USA Today shines a spotlight on increasing hospital costs specifically the price markup of over-the-counter and prescription drugs hospitals administer to patients. The story examines Read the rest of this entry »
Posted in - Business... None of yours, - Did they REALLY say that?, - Read 'em and weep: The Daily News | Tagged: Antibacterial, Aspirin, Charles Hansen, Chicago State University, cost, Diane Zachor, Duluth Minnesota, health, Health maintenance organization, healthcare, HMO, hospital, margin, Medicare, Medicare Advantage, Out-of-pocket expenses, PLO, PPO, Preferred provider organization, Prescription medication, profit, profitability, return, terrorist, United States, Zachor | 1 Comment »
Posted by Warm Southern Breeze on Monday, April 16, 2012
What would it be like if you were paid for your success?
What would it be like if you were rewarded for high efficiency?
Is it possible that successful patient outcomes could be correlated to compensation?
How would one measure non-compliant patients, or those with poor prognoses?
Medicare moves to tie doctors’ pay to quality and cost of care
By Jordan Rau, firstname.lastname@example.org Published: April 14
CMS plans to base the 2015 bonuses or penalties on what happens to a doctor's patients during 2013.
Twenty-thousand physicians in four Midwest states received a glimpse into their financial future last month. Landing in their e-mail inboxes were links to reports from Medicare showing the amount their patients cost on average as well as the quality of the care they provided. The reports also showed how Medicare spending on each doctor’s patients compared with their peers in Kansas, Iowa, Missouri and Nebraska.
The “resource use” reports, which Medicare plans to eventually provide to doctors nationwide, are one of the most visible phases of the government’s effort to figure out how to enact a complex, delicate and little-noticed provision of the 2010 health-care law: paying more to doctors who provide quality care at lower cost to Medicare, and reducing payments to physicians who run up Medicare’s costs without better results.
Making providers routinely pay attention to cost and quality is widely viewed as crucial if the country is going to rein in its health-care spending, which amounts to more than $2.5 trillion a year. It’s also key to keeping Medicare solvent. Efforts have begun to change the way Medicare pays hospitals, doctors and other providers who agree to work together in new alliances known as “accountable care organizations.” This fall, the federal health program for 47 million seniors and disabled people also is adjusting hospital payments based on quality of care, and it plans to take cost into account as early as next year.
But applying these same precepts to doctors is Read the rest of this entry »
Posted in - Did they REALLY say that?, - Read 'em and weep: The Daily News | Tagged: Accountable care organization, Centers for Medicare and Medicaid Services, CMS, Donald Berwick, health, health care, healthcare, Jonathan Blum, Kaiser Permanente, Medicaid Services, Medical Group Management Association, Medicare, medicine, National Committee for Quality Assurance, Nurse, patient, physician, Washington | Leave a Comment »
Posted by Warm Southern Breeze on Monday, April 2, 2012
Today, I had remarked to long-time friend that, “I sure hope we get socialized medicine in the United States soon.”
I had reflected upon the thousands – literally thousands – of people I’ve seen needlessly stuffed away in Nursing Homes with no family member to love them, and the injuries and emotional insults they suffer as a result.
I continued and said, “The reason most folks send a parent or loved one to a Nursing Home is because Read the rest of this entry »
Posted in - Faith, Religion, Goodness - What is the Soul of a man? | Tagged: Arizona, Bedsore, Elder, Elderly care, family, Florida, Grandparent, health, Home Care, law, Medicaid, Medicare, Nursing, Nursing home, Parent, patient, United States, Violence and Abuse, Wrongful death claim | Leave a Comment »
Posted by Warm Southern Breeze on Sunday, January 22, 2012
Among conservatives, there’s little argument that Obamacare should be abolished. ‘It’s time to get government out of our lives,’ they say.
They make many very valid points. Those same folks have expressed concerns that instead, Read the rest of this entry »
Posted in - Did they REALLY say that?, - Faith, Religion, Goodness - What is the Soul of a man? | Tagged: business, Financial Services, health, health insurance, insurance, Medicare, Mitt Romney, Obamacare, Patient Protection and Affordable Care Act, PPACA, United States | 4 Comments »
Posted by Warm Southern Breeze on Saturday, May 7, 2011
Certainly, there’s little or no disagreement that much change is needed in the way that national politics works. At its heart however, politics is the art of compromise. And politics, first begins in the home – because neither daddy, mama, nor children always get their way; but on occasion, daddy gets his way, mama gets hers, and by mutual consent with mama & daddy, on occasion the children get theirs. Changing the tenor of political operation in this nation begins with a few points, the first of which is that that we all love this nation, and seek the best for the people. One thing I’d like to see – which others have similarly expressed – is Term Limitations in the House and Senate; perhaps five in the House (10 years) and two in the Senate (12 years), for a grand total of 22 years service.
House conservatives prepare strong demands to raise the debt-ceiling
By Erik Wasson – 05/07/11 09:55 AM ET
House conservatives appear comfortable with being unable to get Medicare reform in exchange for the debt ceiling being raised and are coalescing around other strong demands including enactment of a balanced budget amendment.
Tea Party-backed freshmen and the Republican Study Committee are Read the rest of this entry »
Posted in - Uncategorized | Tagged: agenda, Alabama, Balanced Budget Amendment, Huntsville, James Lankford, Joe Biden, Madison county, Medicare, Mo Brooks, radicals, Republican, Republican Study Committee, tea party, Tim Huelskamp, White House | Leave a Comment »