What Others Are Saying
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- Let the Fox Watch the Sheep
- Now Aetna Wants a Piece of the Blackout
- New Has Nothing to do With It
- Well, It has Begun
- Did We Learn Nothing From the Bank Failures?
- It's Not Just Smoking Any More Pilgrim
- Hey All You Employers
- Please stop asking why healthcare costs are going up
- What is Congress drinking?
- Shall we go forward or backward?
- Hooray for Jim Cooper-Let the sunshine in
- Tennessee Still Pondering Exchange
- States Want Control of Exchanges
- Too Big To Fail-Too Big To Sue-Just Too Big
- A Tale of Two Cities
- Peat and Repeat
- You Show Me Yours and ...
- So what is in the other 2900 pages?
- Remember the iceberg thing? What's going on under the surface.
- Ever wonder what the tip of an iceberg looks like?
- Unrealistic Rate Increases?
- We will address the delivery side one way or the other
- He Doesn't Get it
- He Gets It...
- I am just amazed - not really
- Health Outlays Still Seen Rising
- The Federal Heath-Care Tease
- Recreational Drugs FAR Less Likely to Kill You than Prescribed Drugs!
- Medical Loss Ratio - into the wind
- Health-Insurance Market Moves Ahead in California
- Proposed federal regulations bother rural hospitals
- Dear Patients: Vote to Repeal ObamaCare
- Audit: Mass. may be losing millions on MRI�s
- Thirty Million New Patients - Sorry, Nothing Available
- There will be more competition - where you ask
- You Have To Read This One
- Massachusetts law - the example?
- Where There is Smoke - there is likely an AK-47
- Insurance Exchanges - Rub the lamp Real Hard
- Health Care Continues to Wound Democrats
- Insurance commissioners weigh medical loss ratio definitions
- Missouri vote repudiates health care law
- Voters in Missouri Oppose Health Law
- Missouri vote puts health care back in crosshairs
- In Defense of "Unelected Bureaucrats
- Great Uncertainty on Medicare Cuts
- The Effect of Health Insurance Coverage on the Use of Medical Services
- Repeal the Bill
- The Hermanator - Could the answer be a pizza guy?
- Solo practices let doctors spend more time with patients
- They still don't get it
- McConnell: Mass. Senate race is "referendum on national health care bill'
- From Bay State to Red State
- Health Talks in Overdrive With Obama Pushing
- United Health Care's Soft Approach
- The Factors Fueling Rising Healthcare Costs 2008
- AHIP RELEASES NEW STUDY ABOUT ADVANTAGES OF MEDICARE ADVANTAGE
- Democratic Freshman Get It
- The Medicaid Nuclear Option
- U.S. Healthcare Companies have had a healthy decade
- Big �I� Disappointed with Senate Democratic Health Care Bill
- TennCare may curtail coverage to reduce costs
- House health care bill has nowhere to go in Senate
- The Worst Bill Ever
- Costs Keep Rising in Massachusetts
- Congressman Mike Rogers Opening Statement
- Could 'Medical Homes' Bring Order to Health Care?
- Trick Or Treat: Reid�s Halloween Health-Care Horror?
- Health Care Legislation Back Behind Closed Doors
- Ten Good Ideas
- Health In Numbers
- Eight Thoughts on CBO [Tevi Troy]
Eight Thoughts on CBO [Tevi Troy]
Eight Thoughts on CBO
- Feeding at the Trough
- Health Care�s Swiss Solution
- Health Care/Chronic Alert
- Grassley: The 'Untold Story' of the CBO Report
- The Real Cost of the Baucus Bill: $2 Trillion+
- Big Government and DMV Healthcare
- Cash for Clunkers' too costly for taxpayers
- Reform, Not Overreach
- Thomas P. Traylor VP of Federal And State Programs for Boston Medical Center
- The Feds' Attack on Freedom of Speech
- Obama's Elusive Auto Insurance Analogy
- Dear 535 members of the 111th Congress
Let the Fox Watch the Sheep
01/31/2012 -
Enjoy this article. This is a perfect platform to argue that both the insurance community (finance) and the provider community (delivery) neither have the ability or motivation to control healthcare costs. Wake up America. It's your money (finance) and your health (delivery.) In many cases it is the employer that is paying the majority of the bill and should be able to make decisions that positivly impoact their employees. Without a law (not suggesting one) many Americans will not pay for healthcare regardless of the format, left to their own devices.
Now Aetna Wants a Piece of the Blackout
01/31/2012 -
Does Aetna really want BCBS of Michigan to play fair? Or, do they want the same discounts but have the same blurred access by the public? Read on.New Has Nothing to do With It
09/14/2011 -
Utah has a problem. They cannot give away free health screenings. The buzz according to this article is that it is too new and no one knows about them. Actually, they do. The problem is more likely that there are no consequences for non participation. Since they have Medicare they will simply wait until they get sick and then have the government pay for their care. Will we ever get over calling healthcare a right? Probably not...until we start sending our healthcare premiums to China.
Well, It has Begun
09/14/2011 -
Back in May Governor Peter Shumlin of Vermont signed into state law a bill that set up the first state single payer organization. This week that same governor appointed a five member board to oversee the process which will likely include taxes and rationing. Single payer was originally a favorite of President Obama but it was shelved in order to get health reform passed. Watchful eyes will be glued to this small states experiment. Unfortunately, like Massachusetts, nothing will be learned.
Did We Learn Nothing From the Bank Failures?
09/06/2011 -
After you read this article you might want to re-read an earlier article I posted a few weeks ago regarding too big to fail and it's impact on health care. Putting all of the health care of our nation into the hands of a few carriers will be much more devastating than the bank job would have ever become. Remember that at the end of the bank crisis it was an insurance company's (AIG) woes that almost pushed us over the top, not the banks. We need to be creating competition, not getting bigger so we can charge less.
It's Not Just Smoking Any More Pilgrim
08/31/2011 -
This article hits at the core of the employers right to require certain procedures for offering benefits to employees.
Hey All You Employers
08/29/2011 -
Okay, what's next Jenny Craig? Read this article and ask why you want the government running healthcare. Or, why you want one private carrier running healthcare managed by the government. Somebody is spraying water on the slippery slope!
Please stop asking why healthcare costs are going up
08/29/2011 -
The current healthcare reform (insurance reform) has missed the target so bad it appears they are shooting at something behind them. Read this article on your way to a fast food place.
What is Congress drinking?
08/03/2011 -
You need to read this article from the Washington Post. In fact, read between the lines as well. It seems that it is alright for the government to pay for seniors between 65 and 67 but not for the private sector through exchanges. The message is clear, exchanges only work if you keep sick people out of them. That way we all pay it...twice. I thought the recent vote to stop the government from spending more than they had was real. Apparently not.
Shall we go forward or backward?
03/08/2011 -
Here are two excellent examples of forward and backward thinking. On the one hand Florida thinks it can save it's Medicaid program and cut budget shortfalls by actually moving to a busted, irrelevant managed care (managed pricing model.) They might save some money but the rabbit will surely show up somewhere back stage. This is not the answer.
On the other hand insurance companies, while trying to boast about their role in healthcare, will be caught sleeping when they finally realize healthcare doesn't need them. Prices are most often manipulated when the person producing the product is separated from the one receiving the product. Providers are finally starting to figure that out and without reinventing insurance.
Hooray for Jim Cooper-Let the sunshine in
02/10/2011 -
COOPER, SHULER WORK TO STOP GERRYMANDERING-finally looking inside the bubble.
Tennessee Still Pondering Exchange
02/09/2011 -
Tennessee's health insurance exchange still in works. Official says Tenn. program likely a 'prudent purchaser', Toby Sells, Commercial Appeal, Feb 9, 2011
States Want Control of Exchanges
02/09/2011 -
GOP Governors Threaten To Scrap Exchanges; CA Pushes For Medicaid Options, Inside Health Reform, Sam Baker and John Wilerson, Feb 9, 2011
A Tale of Two Cities
01/13/2011 -
Here is a series of articles that sites two aspects of the fight within Massachusetts to make healthcare affordable and available. First read this article (page down once you arrive at the site) about the success of a mandate to purchase insurance. Then read this article about what that success has produced. This is truly a Tale of Two States. Don't forget, this is the brilliant example upon which healthcare legislation was initiated.
Peat and Repeat
12/29/2010 -
I am just going to keep saying this until someone hears me. This ain't about insurance and financing more and more ways to pay for stuff. It is about the cost of healthcare, it is about delivery. Here is a cornucopia of articles that shout, "Hey, listen to Bob!" GOP will Repeal. Democrats claim repeal will increase deficit. Truth is the four or five things the left keeps pointing at as a reason for PPACA capture about 100 pages of 3,000. The GOP only need to bring the other 2,900 pages to the public and tell them what else is in the bill. High Risk Pools are not magic bullets. Healthcare cost continue to rise. Whose going to see all these patients with new and renewed access?
You Show Me Yours and ...
12/27/2010 -
Perhaps after reading this article one might ask, "Why not show the public all of the data from both sides instead of all the finger pointing?" El Camino Hospital in Mountain View strikes deal to continue accepting Anthem Blue Cross patients.
So what is in the other 2900 pages?
12/22/2010 -
It seems the administration and liberal progressives are developing a game plan to thwart the next congress' attempt to repeal or even modify PPACA. Those who passed this monster continue to wave the positive consumer tidbits as a description of all of the other great and wonderful things contained in this bill. So far those are elimination of lifetime maximums, coverage of children up to age 26, no preX on children under 19, no rescission, and token wellness changes. So...what is in the other 2,900 pages. The few positive good things that have been passed could have been done as an after thought and with very little paper. Read this article for a look inside the locker room. Then read this one to see what's coming. Then there is this. Or this. Okay, I could go on but you can google as well as I can. The point is, we have yet to see the sharks lurking in the muddy water of PPACA. We learned nothing from HIPAA.
Remember the iceberg thing? What's going on under the surface.
12/20/2010 -
From the Dallas Morning News - In recent interviews, the two have disagreed on who bears more blame for expensive health care. However, both have said it's time to base health-care payments on the value of care, not the volume of care.
Ever wonder what the tip of an iceberg looks like?
12/20/2010 -
The referenced article is only one of several reporting on the BCBS of Michigan "Most Favored Nations Clause." Shupe Center has long held that the lack of competition through unfair discount arrangements is primary to the failure of our healthcare cost issues. Now that this problem has been brought to the attention of the consumer, what are you going to do about it? Read this one a couple of times. Blue Cross Blue Shield of Michigan on Friday asked a federal court in Michigan to dismiss a government lawsuit that alleges the health insurer violated antitrust laws by requiring that hospitals offer Blue Cross members the best rates. Also see this article.
Unrealistic Rate Increases?
12/17/2010 -
This article is the tip of the iceberg folks. The truth is that if there were more competition in the market place this issue would simply go away. As long as the market place consists of two or three carriers and as long as two or three carriers are allowed to dominate the PPO discount field, nothing will change. Regulation feeds on itself. Read with interest...
We will address the delivery side one way or the other
12/03/2010 -
ShupeCenter has stressed the need to address the delivery side of the healthcare cost issue for years. Congress just doesn't get it and never will. Read this article and follow the money. This is just the tip of the iceburg. AMA Requests "Safe Harbor" For ACOs
He Doesn't Get it
10/22/2010 -
Then there is Robin Hood. Take from the rich and give to the poor, I mean the almost poor, no, no the middle class, no, I'm sorry I said that wrong, take from the rich and give the folks making $90,000 a year. They don't pay tax so why should they pay healthcare premiums. Check out the video. That's not someone doing an impression. Breitbart TV, Obama in '03.
He Gets It...
10/22/2010 -
The retiring governor of Tennessee gets it. IN fact he always has. O, and he is a Democrat. Check out his recent article in the WSJ. ObamaCare's Incentive to Drop Insurance, October 21, 2010, WSJ, Phillip Bredesen, "One of the principles of game theory is that you should view the game through your opponent's eyes, not just your own."
I am just amazed - not really
09/13/2010 -
Please read this article for unhinged finger pointing. High healthcare costs are the fault of Washington, no, their because of the insurance industry... Actually neither one creates a healthcare cost or makes up the cost of the encounter. It is the provider side that does this and they are no where to be found in these discussions. Why? America, without thought trusts their doctor. Remember what the doctor said when he wrote that prescription, "I'm going to try this medication on you and see if it works." You are an experiment. Have fun reading... "President Barack Obama's top health official on Thursday warned the insurance industry that the administration won't tolerate blaming premium hikes on the new health overhaul law. There will be zero tolerance for this type of misinformation and unjustified rate increases," Health and Human Services Secretary Kathleen Sebelius said in a letter to the insurance lobby."
Health Outlays Still Seen Rising
09/09/2010 -
As you read this article, including the following statement, "The White House said the law will lower costs for insured consumers by removing the hidden price they pay to subsidize the uninsured." ask yourself this question. If there are two men, each living in a house, and only one is paying the house payment for both houses, who pays for the other house when the first person stops making both payments? HEALTHCARE IS NOT FREE!
The Federal Heath-Care Tease
09/09/2010 -
Among the many ways ObamaCare seeks to expand federal dominance over health care is with the billions of dollars it is offering to lure states into new programs, from which they'll never escape. Among the Governors who are wise to this racket is Minnesota's Tim Pawlenty. Mr. Pawlenty last week issued an executive order forbidding any Minnesota department or agency from applying for grant funding or demonstration projects offered under ObamaCare, unless clearing it with his office (or unless required by law). The Governor tells us the health legislation offers "dozens" of such "teaser" grants designed to hook a state into a "new initiative or a new commitment or new spending that is federally directed."
Recreational Drugs FAR Less Likely to Kill You than Prescribed Drugs!
09/03/2010 -
While approximately 10,000 per year die from the effects of illegal drugs, an article in the Journal of the American Medical Association (JAMA) reported that an estimated 106,000 hospitalized patients die each year from drugs which, by medical standards, are properly prescribed and properly administered. More than two million suffer serious side effects.
Medical Loss Ratio - into the wind
09/02/2010 -
Recent Article Published in the Self Insured Institute of America by Bob Shupe
Health-Insurance Market Moves Ahead in California
09/02/2010 -
California passed legislation creating a health-insurance marketplace, a move set to be echoed across the country as states take steps to implement federal law. Millions of Americans around the U.S. are expected to eventually purchase their coverage through such exchanges, which will offer health plans to individuals and some small businesses.