Tag Archives for Medicare

The Price of Obtaining Healthcare Today

You don’t have to be a healthcare policy pundit to surmise that all facets of delivery in this country are driven by profit and minimization of costs required to do it — from the insurers to Pharma, from acute hospitals … Continue reading

21. February 2013 by Michael Douglas, MD, MBA
Categories: CMS, Corporate, Healthcare Policy & The Media, Pharma & Devices, Politics & The Law, Science & Research | Tags: , , , , , , , , , , , , , , , , , | Comments Off

House Unveils HR 574

Yet another so-called doc-fix bill has been introduced in the House. Essentially the bill is the same — the usual blather about streamlining Medicare payments to physicians, and such. But, there supposedly is a silver lining that could presage passage: … Continue reading

07. February 2013 by Michael Douglas, MD, MBA
Categories: CMS, Politics & The Law | Tags: , , , , | Comments Off

Direct-Pay Care Slowly Expands to Heavy Managed Care Markets and Dares to Survive

The concept began in the late 20th century, as some primary care clinicians could see the pending writing on the proverbial Medicare wall — their practices were losing money, as their overhead and Medicare/Medicaid beneficiary pools were increasing. The concept … Continue reading

28. January 2013 by Michael Douglas, MD, MBA
Categories: Corporate, Politics & The Law | Tags: , , , , , , , , | 1 comment

As Society Ages, the Potential for Elder Abuse Increases

Call it a natural by-product of the increasingly staggering numbers of the post-Boomer elderly in this country. Call it a failure of certain community social safety nets to account for those seniors who fall through the fiscal cracks. Or simply … Continue reading

27. January 2013 by Michael Douglas, MD, MBA
Categories: CMS, Knowledge & Medicine, Politics & The Law | Tags: , , , , , , , | Comments Off

Former CMS Chief Mulls Higher Office

Don Berwick, MD, who left his post as CMS chief in 2011, may be considering a run for Mass. governor. In spite of his troubled tenure on Capitol Hill, Berwick remains a popular and favorably regarded health policy titan. What’s … Continue reading

09. January 2013 by Michael Douglas, MD, MBA
Categories: CMS, Politics & The Law | Tags: , , , | Comments Off

Florida Governor Outed as Defending Erroneous Medicaid Spending Data

Truth in advertising? Rick Scott — Republican governor of Florida and, along with Texas governor, Rick Perry — is often most closely aligned with the drive to counter the acceptance of government funds as part of the ACA to expand … Continue reading

08. January 2013 by Michael Douglas, MD, MBA
Categories: Healthcare Policy & The Media, Politics & The Law, Science & Research | Tags: , , , , , , | Comments Off

Court Settlement Paves Way for Medicare Payment Expansion

It is with cautious optimism that I regard the recent news that the Obama administration is supporting an increase in Medicare outlays for “skilled home care” for dually eligible or Medicaid-only beneficiaries in the community. The administration sided with the … Continue reading

25. October 2012 by Michael Douglas, MD, MBA
Categories: CMS, Politics & The Law | Tags: , , , , , , , , , , , , , , , , , , , , , , , , | Comments Off

Some Hospitals Affected by Federal Miscalculations on Medicare Readmissions

CMS is taking a fresh look at participating hospitals’ readmission rates. Back in ’10, the Hospital Readmission Reduction Program was created as part of the ACA to decrease the overwhelming number of readmissions within 30 days’ time for certain key … Continue reading

03. October 2012 by Michael Douglas, MD, MBA
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Report: Doctors Billing Medicare at Higher Rates over Past 10 Years

The former head of CMS calls the latest Medicare issue an “urgent problem that must be stopped”. Mark McClellan, CMS chief during the George W Bush administration, is referring to the gradual upcoding of services rendered by healthcare providers (principally … Continue reading

30. September 2012 by Michael Douglas, MD, MBA
Categories: CMS, Knowledge & Medicine, Politics & The Law, Science & Research | Tags: , , , , , , , | Comments Off

Inspector General Highlights Latest Episode in Medicare Waste

It’s not only the direct providers of patient care — the physicians, NPs, PAs, and other ancillaries — with whom one has to worry about issues of drug diversion and other modalities of inappropriate prescribing of narcotics; it’s also CMS. … Continue reading

28. September 2012 by Michael Douglas, MD, MBA
Categories: CMS, Knowledge & Medicine, Pharma & Devices, Science & Research | Tags: , , , , , , | 1 comment

HHS Expresses Early ACA Success with Medicare Advantage Enrollment; GOP More Reticent

Overall enrollment within Medicare Advantage plans has increased as a result of the ACA. (The WH says that the programs — which offer Medicare benefits to beneficiaries over and above the government standard package — are “thriving”.) The CBO projected … Continue reading

21. September 2012 by Michael Douglas, MD, MBA
Categories: CMS, Corporate, Healthcare Policy & The Media, Politics & The Law | Tags: , , , , , , , , | Comments Off

GOP Presidential Candidate Crafts Confusing Health Reform Motif

Evidence of just another Mitt Romney flip-flop, or something more strategic? On the Sunday Talkers, the GOP presidential candidate surprised some with his admission of approving of certain aspects of the ACA. Stating that he “likes” certain parts of Obamacare, … Continue reading

10. September 2012 by Michael Douglas, MD, MBA
Categories: CMS, Politics & The Law | Tags: , , , , , , , | Comments Off

NYT Recognizes Candidates’ Stealth Positions on Medicaid Ahead of Election

The NYT points out this morning something that this blog has always promulgated — the increasing importance of Medicaid spending and its effect on current and future healthcare costs. For all of the blather going on over Medicare and its … Continue reading

05. September 2012 by Michael Douglas, MD, MBA
Categories: CMS, Healthcare Policy & The Media, Politics & The Law | Tags: , , , , , , , , , | Comments Off

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