Who Really Pays for Health Care? It Might Surprise You

A USA Today article noted: “Eight million people have signed up for subsidized private health insurance under the Affordable Care Act, President Obama said this month. Millions more obtained new coverage through the Medicaid program for the poor. Full implementation of the health law and its wider coverage, new taxes and shifting subsidies have renewed discussions of winners and losers, makers and moochers”

“Here’s a corrective to common misconceptions about who pays for health care. (more…)

Medicare’s $5 Billion Ambulance Tab Signals Area of Abuse

A Bloomberg article noted: “The U.S. Department of Health and Human Services has identified ambulance service as one of the biggest areas of overuse and abuse in Medicare — companies billing millions for trips by patients who can walk, sit, stand or even drive their own cars.”

“‘It’s a cash cow,’ said Assistant U.S. Attorney Beth Leahy … ‘It’s basically like a taxi service except an extremely expensive one that the taxpayers are financing.'” (more…)

Mount Sinai and Healthfirst® Introduce New Medicare Advantage Insurance Plan

The Mount Sinai Health System and Healthfirst, a leading managed care organization serving more than one million members in downstate New York, have launched a unique, co-branded Medicare Advantage (MA) insurance plan for Manhattan residents. Eligible Medicare beneficiaries can enroll in Healthfirst Mount Sinai Select (HMO) between October 15 and December 7, 2014, for coverage effective January 1, 2015.

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“One in Four Medicare Patients Got Medical Care That Provided No Benefit at a Total Cost of at Least $1.9 Billion…”

The Modern Healthcare article noted “overuse for more than two dozen cancer screening, imaging, diagnostic, preventive or preoperative testing services and found it totaled 0.6% of Medicare spending.”

“The results underscore the potential for savings from efforts to eliminate medical care that has been identified by previous research as unnecessary, and wasteful, such as colorectal screening among those age 85 and older with no history of colon cancer.”

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