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  • Economists Say Third-Party Payment Key to Increases in Medical Cost October 1, 2014
    The rapid increase in medical costs starting in the 1970s is commonly ascribed be market imperfections. However, federal and state governments have long suppressed the functioning of the market system in the medical industry, write Maureen Buff and Timothy Terrell, …
  • Health Insurance Exchanges Waste Taxpayer Money September 29, 2014
    Obamacare may surpass Cash for Clunkers to become the prime example of federal taxpayer resource mismanagement. For every dollar in premiums for exchange coverage, taxpayers paid 94 cents in subsidies to either enroll people or encourage them to do so. …
  • Mesothelioma: An avoidable cancer? September 26, 2014
    by Sue Redmond Did you know? Mesothelioma is an aggressive cancer that attacks the lining of the body cavity called the mesothelium (80% of which occur within the lining of the lungs). The only known cause to mesothelioma is exposure …
  • Government Healthcare is Breech of Contract September 24, 2014
    by G. Keith Smith, MD One of the smartest people I have ever met is a property and contracts lawyer, someone from whom I have gleaned countless and valuable insights over the years.  He has advised me, among other things, …
  • Dr. Alieta Eck Campaign Update September 24, 2014
    Dr. Eck http://EckForCongress.com speaks to colleagues at AAPS 71st annual meeting on September 5, 2014.
  • Is There A Provider In The House? September 22, 2014
    by Marilyn Singleton, MD, JD Physicians have a proud heritage. We can boast Dr. Benjamin Rush, a founding father, signer of the Declaration of Independence, Surgeon General of the Continental Army, and opponent of slavery. And Dr. James Derham, born …
  • From EBM to Guidelines September 20, 2014
    Richard Amerling, MD presents at the 71st Annual Meeting of the Association of American Physicians and Surgeons, September 5, 2014.
  • Flaw In Federal Software Lets Employers Offer Plans Without Hospital Benefits September 19, 2014
    A flaw in the federal calculator for certifying that insurance meets the health law’s toughest standard is leading dozens of large employers to offer plans that lack basic benefits such as hospitalization coverage, according to brokers and consultants. The calculator …
  • Ralph Weber Talks About Cost Shifting – Video September 17, 2014
    How do hospitals come up with their prices? Medicare patients cause them to lose money. They have to make up the difference by charging the self-insured more. Non-profit hospitals keep beds vacant or build other facilities so as not to …
  • Here’s The Thing #4 Cost Shifting HD September 17, 2014
  • The Commoditization of Medicine September 17, 2014
    Parvez Dara, MD, FACP, MBA, author of http://jedismedicine.blogspot.com/, speaks at the AAPS 71st Annual Meeting in Charleston, SC.
  • The Progressive Train Wreck: From Medicare to HillaryCare to ObamaCare September 15, 2014
    Jane M Orient, MD presents at the AAPS 71st annual meeting, September 5, 2014, Charleston, SC.
  • Varying Prices for Lab Tests are Absurd September 15, 2014
    by Adrienne Snavely The health needs of a community vary by market. If you cannot find what you need or afford it, you should have the opportunity and information to go elsewhere without being penalized. A patient in Chicago went …
  • The Future Of Medicare September 14, 2014
    Lawrence R. Huntoon, MD, PhD presents at the 71st Annual Meeting of the Association of American Physicians and Surgeons, September 6, 2014, Charleston, South Carolina.
  • Unethical ABMS behaviors and the MOC Scam: How It Will Be Used to Control Medical Practice September 13, 2014
    Paul Kempen, MD, PhD presenting at 71st annual meeting of AAPS, September 6, 2014, Charleston, SC.
  • How is that low fat diet working out for you? September 12, 2014
    by Sue Redmond First, let’s ask where did the idea for the low diet come from? In the late 50’s and early 60’s the AMA worked on a theory and published a report that a low fat diet could help …
  • EHR: Remote Control – Craig M. Wax, D.O. September 12, 2014
    Dr. Wax of http://ip4pi.wordpress.com examines how government-controlled electronic health records undermine quality medical care and patient privacy. Presentation at 71st Annual AAPS Meeting Sept. 4-6, 2014.
  • Evidence-Based Medicine as Junk Science — Twila Brase RN September 11, 2014
    Twila Brase, President of http://CCHFreedom.org outlines how so-called evidence-based medicine (EBM) encourages one-size-fits-all healthcare, is a tool for increased control by insurance companies and the government, and is detrimental to individualized patient care.
  • What ObamaCare Means for Patients September 11, 2014
    Kris Held, MD addresses the 71st Annual Meeting of the Association of American Physicians and Surgeons, September 4, 2014 in Charleston, SC.
  • Private Health Care is Individualized Care, Not Public Health — Richard Amerling, MD September 10, 2014
    AAPS President-Elect Richard Amerling, MD opens the 71st Annual Meeting, Sept. 4, 2014, Charleston, SC.

Last Week Was Busy in Regard to Health Care Reform…Here are the Updates

legal, illegal, insurance, medical, healthcare Last week was busy in regard to Health Care Reform. Here are some of the updates:

On Monday, the Supreme Court agreed to hear a joint filing by 26 states, led by Florida, that challenges Obamacare. Five and a half hours of oral arguments are scheduled, and they will broach the subject of the constitutionality of the law’s key provision, the “individual mandate”, and whether the entire law with its 450 sections must be scrapped if it is proved to be unconstitutional. The justices also announced that they will also consider a challenge to what many consider an even more central provision of the statute, the extension of Medicaid to cover a greater number of the poor. Individual states provide part of  Medicaid’s funding, and they say the expansion amounts to an unconstitutional coercion of state governments. Joining Florida in the challenge are Alabama, Alaska, Arizona, Colorado, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Maine, Michigan, Mississippi, Nebraska, Nevada, North Dakota, Ohio, Pennsylvania, South Carolina, South Dakota, Texas, Utah, Washington, Wisconsin and Wyoming. Virginia and Oklahoma have filed separate challenges, along with other groups and individuals opposed to the law. Friday, the Supreme Court announced two veteran Washington, D.C., attorneys, H. Bartow Farr III and Robert Long will be arguing the health care case. Long, a partner at Covington & Burling, will argue that lawsuits challenging the insurance purchase requirement, a provision known as the individual mandate, are barred because the penalty has yet to be imposed. … Farr, a partner at Farr & Taranto, will argue that if government cannot require people to buy health insurance, all other provisions of the law can go into effect (Vicini, 11/18).

Last Wednesday, health care reform took a step in the right direction when the House unanimously voted 422-0 to undo the health care reform provision allowing some individuals of middle class status to qualify for Medicaid. This is the most substantial change to Obamacare since the repeal of 1099 reporting requirements, and it is fully supported by the Obama Administration.

The subject of Medicare’s physician payment system was also approach Wednesday when Rep. Allyson Schwartz (D-Pa.) sent the deficit-cutting supercommittee a detailed proposal to overhaul the current system. The proposal outlined a 2.5 percent annual bump in pay for generalists in hopes to attract more medical students to primary care, and for specialists, a flat payments in 2012 with an annual increase of 0.5 percent from 2013 through 2016. This bill was proposed to replace the currently scheduled 27.4% cut in Medicare reimbursements to be implemented on Jan 1st. This cut has been postponed by temporary patched for years, and Schwartz’s plan would save money in comparison to implementing another patch. Her plan also calls for reimbursement based on coordination and quality of care rather than the standard fee for service, and a gradual decrease in payments start with  2% in 2018, 3% in 2019, 4% in 2020 5% in 2021.

 An exemption for medical plans sold to Americans overseas was requested Wednesday by four health insurers led by Cigna Corp. (CI). If the request is denied, the insurers threaten to move the management of the plans to offshore locations, which would lead to the loss of about 1,100 U.S. jobs. Fifteen members of Congress signed a letter detailing this threat to Health and Human Services Secretary Kathleen Sebelius, and they ask for quick action to save the jobs, almost half of which would be at Cigna’s international unit in Claymont, Delaware.

 

 

 



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