On this blog, I focus on what most of my clients have in common – the need for serious medical care and the attendant expenses. I often blog about Quality Fraud and share news items about how the cost of healthcare is driven by misrepresentations made in the course of providing care. Unlike other markets, […]
NEJM: Controlling the Cost of Medicaid
The real, actual Death Panels operating currently. When Insurers Require Patients to Stop Treatment – CNN
Today in Quality Fraud: eClinicalWorks $155 Million Fraud Settlement with Feds
Medical Loss Ratios (MLR’s) are designed to lower healthcare costs. Here is how they work. In a recent Federal Court ruling, a Court found that physician settlement payments may be included in the MLR for the carrier. CMS Page on Medical Loss Rule (MLR)
CBO Estimate on House Healthcare Bill Report on Numbers in CBO Report on AHCA
$33M J&J Settlement with State Attorneys Over Drug Fraud
Quality Fraud drives medical costs. DOJ Stressing Healthcare Fraud
Dartmouth study on reigning in healthcare costs This chart on the left (in the article linked above) was originally created by the Kaiser Foundation and is now outdated (as shown in the chart on the right) – largely because the cost of drugs, medical devices and hospitalizations has skyrocketed. As a percentage, the amount we spend on primary […]
It’s Not Just Profit Wrecking America’s Healthcare System Dartmouth University Researchers recommend following the money to capture efficiencies.
