HMOs & Managed Care

Will Employers Choose Your Doctors?

Will Employers Choose Your Doctors?
It was a startling announcement. Twenty large companies have joined to start the Health Transformation Alliance. With approximately four million workers between them, they “plan to share information about members’ employee health spending and outcomes, with an eye toward using findings to change how they contract for care.”

City of St. Paul to Vote Tomorrow on Getting Access
to ‘Entire Medical Record’ of Certain Patients at HealthPartners

City of St. Paul to Vote Tomorrow on Getting Access
to ‘Entire Medical Record’ of Certain Patients at HealthPartners

ST. PAUL, Minn.—One privacy-focused health policy organization says a proposed data agreement between the City of St. Paul and HealthPartners may violate patients’ rights to give or deny access to their medical records and will put patients’ private medical data at risk.

City of St. Paul to Vote Tomorrow on Getting Access
to ‘Entire Medical Record’ of Certain Patients at HealthPartners

City of St. Paul to Vote Tomorrow on Getting Access
to ‘Entire Medical Record’ of Certain Patients at HealthPartners

ST. PAUL, Minn.—One privacy-focused health policy organization says a proposed data agreement between the City of St. Paul and HealthPartners may violate patients’ rights to give or deny access to their medical records and will put patients’ private medical data at risk.

The Health Plan Scam

The Health Plan Scam

On October 20, Blue Cross Blue Shield of Michigan lost in the U.S. Supreme Court. The justices dismissed their case without review. The charges of fraud, as well as the court-ordered $6 million penalty, are now a matter of record.

South Dakota Ballot Initiative Could Give Patients Health Care Freedom

South Dakota Ballot Initiative Could  Give Patients Health Care Freedom

ST. PAUL, Minn.—Next month, South Dakota voters will see an initiative on their ballots that could put health care decisions back in their own hands.

Will They “Value” Your Life?

Will They “Value” Your Life?

Government wants doctors paid for “value.” On July 1, Politico held a briefing called “Value vs. Volume.” Data-crunchers, in cahoots with government, say access to our private medical data can be used to pay doctors for “value,” instead of for the services they provide to patients.

Obama's Rationing Plan Revealed in Lawsuit

Obama's Rationing Plan Revealed in Lawsuit

A lawsuit has unexpectedly revealed Obama's rationing plans. The Administration says states can cut Medicaid payments to doctors and other providers to hold down costs. This is a breathtaking statement. President Obama's signature law, Obamacare, adds 16 million people to Medicaid. It offers states the "opportunity" to expand Medicaid at no cost for the first two years, and then offers to pay 90% of the cost in perpetuity of all individuals eligible under the expansion. The law also increases payment to primary care doctors for two years to encourage them to accept more Medicaid patients. 

The "5C" Health Care Solution

The '5C' Health Care Solution

Do conservative organizations all sing the same health care tune? No, writes John Goodman at the National Center for Policy Analysis. In fact, I'd argue that sometime they are singing in complete dissonance.

 

The Latest Perils of Obamacare

The Latest Perils of Obamacare

Obamacare is coming. Soon everyone will feel the painful realities of what the Democrat-empowered Congress imposed on the nation. It's going to be more painful than many experts predicted. Besides the negative impact on quality of care, there will also be significant cost increases leading to reduced access to health insurance and patient care. 

MN's System Reform Was Once Considered "Communism"

MN's System Reform Was Once Considered 'Communism'

WALTER MCCLURE, who worked with Paul Ellwood to create the HMO, was interviewed in August 2012. Minnesota's health care system is close to where he wants health care to be with outside analysis of patients and doctors. From the Interview: "When [McClure's] team started on [cost and quality] assessment in the 1980's, the idea that someone would be looking over a physician's shoulder was considered communism. Physicians were convinced of their right to autonomy. However, by 2008 Minnesota's private and voluntary sector had accomplished a sea change in this culture with 85 percent of providers in the state participating in having their outcomes measured." [our emphasis]