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The Goodman Institute Health Blog

Category: Health Insurance

Prior Authorization in Medicare Advantage

Posted on May 28, 2024May 28, 2024 by Devon Herrick

I often write about the time my wife almost got a CT scan at a hospital outpatient clinic not realizing she had arbitrarily picked the second most expensive service location. Inside the hospital is the most expensive location. The hospital business office told her they would have to get prior authorization from her health plan before they could schedule the scan. That also gave the hospital a reason to calculate her cost-sharing and inform my wife that she was expected to pay $2,700 prior to the service. That was not even the price, just her share of the bill after her deductible was met.

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Tuesday Links

Posted on May 28, 2024May 27, 2024 by John C. Goodman
  • Product hopping: “Drug companies use either temporary discounts and sales pitches or dramatic changes like pulling a drug off the market to get doctors to start prescribing a new, modified version of a familiar, about-to-lose-its-patent drug. These tactics delay the entry of generics into the market and preserve monopoly prices for the company.”
  • Almost everything you want to know about the relationship between money and happiness.
  • What scientists got wrong about the Covid vaccine.
  • Did McKinsey commit treason?
  • Gaza campus protests: mostly a phenomenon at elite, private schools. HT: Tyler
  • Are doctors still sterilizing sickle cell patients?
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Update on VA Care

Posted on May 27, 2024May 27, 2024 by John C. Goodman

“Initially, people were always required to get their care inside of the VA.  The VA started having really long wait times, or wasn’t providing adequate service, or a number of reasons why people decided they wanted to get outside of the VA.

Source: Jason Shafrin, Healthcare Economist

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Why is there a Federal Student Loan Crisis?

Posted on May 27, 2024May 26, 2024 by John C. Goodman

The increase in aggregate student debt and the struggles of today’s student loan borrowers can be traced to changes in federal policies intended to broaden access to federal aid and educational opportunities, and which increased enrollment and borrowing in higher-risk circumstances.

Source: NBER study via Tyler Cowen.

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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

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