Government HealthCare

Medicare Advantage creates an environment for fraud

Posted on April 27, 2019 2:13 am By admin in Government HealthCare

Cloud of secrecy’ in Medicare Advantage plans can create an environment for fraud. By Jeanne A. Markey and Raymond M. Sarola STAT, February 8, 2019 Over the last two decades, federal and state governments have dramatically increased their payments to private health care companies that manage Medicare Advantage and Medicaid managed care plans, now paying […]

Government Ethics is a Paradox

Posted on February 20, 2019 8:17 pm By admin in Government HealthCare

Following the Judeo-Christian code of ethics could be a prosecutable crime. Governments could make the entire Mosaic Code Legal. This would put all believers in Jeopardy for saying or teaching the Mosaic Code. This would in effect eliminate all parochial schools and religious education. Not only primary schools, but also secondary schools as well as […]

Obamacare: What We Know Now

Posted on October 10, 2018 1:13 pm By admin in Government HealthCare

By Michael D. Tanner The CATO Institute January 27, 2014 For all intents and purposes, the Patient Protection and Affordable Care Act (ACA), also known as Obamacare, has been fully implemented. And while much of the media coverage has been dominated by the technical failures of the program’s initial rollout, we are also learning much […]

The Fifth Circuit tees up a major separation of powers case

Posted on July 20, 2018 12:46 am By admin in Government HealthCare

Calling Judge Kavanaugh By The WSJ Editorial Board July 29, 2018 One exciting prospect for a Supreme Court that may soon include Brett Kavanaugh and Neil Gorsuch is reining in the excesses of the administrative state. The Fifth Circuit Court of Appeals this month teed up a potential early blockbuster by ruling that the Federal […]

Sham Peer Review

Posted on April 3, 2018 5:15 am By admin in Government HealthCare

Editorial: Sham Peer Review: The Fifth Circuit Poliner Decision Lawrence R. Huntoon, M.D., Ph.D. In a sham peer review hearing, the truth and the facts do not matter because the outcome is predetermined and the process is rigged. In a court of law, where hospitals and peer reviewers are granted absolute immunity, the truth and […]

Involving doctors can help improve US healthcare

Posted on January 4, 2018 5:05 am By admin in Government HealthCare

Front Line of Healthcare Report 2017: Why involving doctors can help improve US healthcare Bain report | May 11, 2017 By Tim van Biesen, Josh Weisbrod, Michael Brookshire, Julie Coffman and Andy Pasternak Executive summary The US healthcare industry is still in search of a cure—a breakthrough model that can deliver high-quality care at lower cost. Over the past five years, […]

Seven New CMS-855 Forms to Enroll

Posted on April 26, 2017 7:44 am By admin in Government HealthCare

Medicare is spawning its own entrepreneurship Private Firms Explaining Medicare Forms In order to enroll in the Medicare program, different providers of healthcare services or products, must now use seven different CMS-855 forms. These forms are long, detailed and sometimes confusing. Not only must they be filed initially for a given provider, they must be […]

The Federal Gov’t Penalizes Doctors and Hospital for long stays

Posted on January 26, 2017 7:30 am By admin in Government HealthCare

But then the push to discharging early, creates more readmissions which the gov’t also penalizes. CMS penalized 2,597 hospitals in FY2017 on account of unnecessary readmissions. This year the CMS under HRRP will withhold $528 million in payments in 2017– an all-time high and an increase of about $108 million from FY 2016. New evidence-based […]

Hospice Care

Posted on January 10, 2016 11:48 am By admin in Government HealthCare

Hospice care, the Medicare program designed for the terminally ill in the 1980s has mushroom beyond any bureaucratic expectations. Initially projected to cover the final 180days of life, by 2013 paid for an average of 1000 days spread out over four or more calendar years. They cost Medicare 14% of its hospice spending, even though […]

The Essential: Ludwig von Mises

Posted on October 10, 2015 11:37 am By admin in Government HealthCare

FEE is happy to present the Essential series, five free ebooks collecting the key works of five great freedom philosophers: Leonard Read, Ludwig von Mises, Henry Hazlitt, F.A. Hayek, and Frédéric Bastiat. In each of these compact anthologies, you will find a powerful case for liberty. But the ideas within are not mere fodder for debate. Like […]