INSURANCE FRAUD:CHERRY PICKING AND LEMON DROPPING

Private insurers have been allowed to offer Medicare Advantage (MA), a competing version of Medicare, since 1985. These insurers receive a fixed amount for each Medicare beneficiary who chooses to enroll with them based on the most current formula. Over the years, MA plans have artfully adapted to each formula change in order to extract …

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THE CRUELTY OF THE WORK REQUIREMENT FOR HEALTHCARE BENEFITS

Arkansas was the first State to do it.  As soon as the Centers for Medicare & Medicaid Services’ (CMS) gave them the green light in 2018 they introduced a work requirement as a requirement for Medicaid benefits.  CMS felt that work requirements would “promote better… health” because they will increase employment and thereby improve health …

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FREE MARKETEERS HAVE NO PLACE INTHE HEALTHCARE MARKET

 In a free market, competition is open. Both providers and consumers are equally knowledgeable about the worthiness of the product or service.  Each is free to walk away if not satisfied. The price is set by the unfailing law of supply and demand. There’s no coercion or influence from the government.  let’s see if each …

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MEDICINE’S ROBBER BARONS

Industry had its “robber barons.”  John D. Rockefeller, Andrew Carnegie, Cornelius Vanderbilt, Leland Stanford, and J.P. Morgan more than 100 years ago. They grew rich through paying starvation wages, ruthless union busting and monopolistic control of the steel, petroleum, and transportation industries. It’s now the medicine industry’s turn to produce robber barons of equal avarice. Here are the top …

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