HMOs & Managed Care

Is Obamacare “Collapse” Just a Ploy?

Is Obamacare “Collapse” Just a Ploy?

Is Obamacare failing? Some parts, like the 16 failed co-ops, are. But when it comes to health plans dropping out of Obamacare exchanges, it’s a legitimate question. HMOs have a disturbing history of dropping enrollees – until Congress meets their payment demands.

Sounds of Silence at the RNC

Sounds of Silence at the RNC

Where was health care at the RNC? Mostly missing in action. But by day two of the Democratic National Convention (DNC), Sen. Bernie Sanders, former President Bill Clinton, and former DNC chairman Howard Dean, M.D. had all championed the issue.

 

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.