Menu
The Goodman Institute Health Blog
  • Home
  • Authors
    • Devon Herrick, Ph.D.
    • John C. Goodman
  • Popular Topics
    • Artificial Intelligence and Healthcare
    • Consumer-Driven Health Care
      • Affordable Care Act
      • Cost of Healthcare
      • COVID-19 and Public Health
      • Doctors & Hospitals
      • Public Insurance
      • Policy & Legislation
    • Direct Primary Care
    • Health Economics & Costs
      • Drug Prices & Regulations
      • Health Insurance
      • Health Reform
    • Medical Tourism
    • Telemedicine
    • Medicare
      • Single-Payer/Medicare-for-All
  • Goodman Institute
  • Contact
The Goodman Institute Health Blog

Category: John C. Goodman

MA Plan Claim Denials

Posted on June 2, 2025 by John C. Goodman

We found that 17.7 percent of claims were denied … that 60 percent of all denied claims were resubmitted, with two-thirds of resubmitted denials being overturned….   Overturned denials constituted 56.6 percent of original denials, as a dollar share of billings. Providers therefore ended up losing 7.2 percent of the total dollars they initially billed for….

Even after we factored in denials that were overturned, net denial rates … were 8.0 percent for non-inpatient institutional compared with 7.0 percent for inpatient and physician services.

Source: Health Affairs

+

Monday Links

Posted on June 2, 2025June 2, 2025 by John C. Goodman
  • 2017 Trump tax cuts: workers in the bottom half of incomes saw a 9.3 percent reduction in their tax burden, compared to 3 percent for the top 10 percent of earners.
  • Was AI used to write the MAHA report?
  • Bill Buckley never had a positive vision of what a conservative government would look like.
  • House reconciliation bill would give 20 million more Americans access to Health Savings Accounts. (WSJ)
+

Saturday Links

Posted on May 31, 2025May 30, 2025 by John C. Goodman
  • When patients have access to their own electronic medical records, they have questions.
  • In 2024, Americans didn’t spend a greater percent of their income on health care than they did in 2009.
  • RFK Jr cancels the avian flu vaccine.
  • RFK Jr. slams medical journals as “vessels for pharmaceutical propaganda.”
  • Federal investments in children as a share of the economy are set to decline by 20 percent compared with spending before the pandemic.
+

Friday Links

Posted on May 30, 2025May 29, 2025 by John C. Goodman

Argument: even super AI won’t take all our jobs. Ozempic for everyone? ​ In addition to weight loss and treating diabetes, it appears to help with heart, kidney and liver diseases, sleep apnea, arthritis, Alzheimer’s disease, alcohol addiction and even aging. (WSJ) Hospital lobbyists blocked site neutrality from the reconciliation bill – a measure that would…

+
  • Previous
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • …
  • 277
  • Next

For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

Visit www.goodmaninstitute.org

Subscribe via Email

Enter your email address to subscribe to this blog and receive notifications of new posts by email.

Join 36 other subscribers

Popular Topics

©2025 The Goodman Institute Health Blog | Website by Lexicom