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

Category: Medicare

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.

+

Monday Links

Posted on May 27, 2024May 26, 2024 by John C. Goodman
  • “Dopamine is probably the most famous neurotransmitter in the brain…. It has a long history, and a lot of baggage.”
  • Could the government’s price negotiations actually make drug prices higher?
  • Social Security’s Financial Reality Is Worse Than Reported: “Despite nearly 20 years of declining and low actual fertility rates, currently sitting at 1.62 births per woman, the Trustees have just this year lowered somewhat the ultimate fertility rate from 2.0 to 1.9 children per woman…”
  • How we pay for health care: Total federal spending on Medicare, Medicaid, and individual market subsidies alone amount to $1.67 trillion per year…. In addition, income tax exemptions for employment-based insurance reduce federal revenues by over $300 billion per year.
  • Controlling the cost of insulin: the market works better than government.
+

Saturday Links

Posted on May 25, 2024May 25, 2024 by John C. Goodman
  • How much is Medicare spending on the new weight loss drugs?
  • Data suggests only about 30 percent of the reported COVID-19 deaths were “from COVID-19” as the underlying cause.
  • Drug induced deaths among Blacks is soaring. Is an open border the reason?
  • More evidence that Fauci lied and covered up Wuhan Lab funding. 
  • Why Biden is wrong about wanting to repeal TCJA (the Trump tax cuts).
  • Far more people drink alcohol than consume marijuana; but more people consume marijuana than consume alcohol on a daily basis. (WaPo)
  • Ambroxol is a miracle drug for coughs and colds. It has been in wide use since 1979, and is available nearly everywhere in the world as a generic. But not in the U.S.
  • Electrical impulses are helping paralyzed patients move.
+

Thursday Links

Posted on May 23, 2024May 22, 2024 by John C. Goodman
  • Officials believe hundreds of people … posed as customers in dozens of businesses across Chicago and elsewhere, all hoping to win favorable immigration status by becoming “victims” of pre-arranged “armed robberies.”
  • Thanks to Medicare, Americans 65 and older in 2022 received medical services worth more than twice as much as those received by Americans aged 25 to 64 ($14,310 vs. $7,096) but paid less in premiums and out-of-pocket costs ($2,216 vs. $2,586).
  • Study: Fewer child care regulations are associated with women having more children. (HT: Tyler)
  • Robin Hanson continues his debate with Scott Alexander.
  • Zero Tolerance laws (setting strict alcohol limits for drivers under age 21) have positive, lifelong effects on the health and income of adolescents.
+
  • Previous
  • 1
  • …
  • 64
  • 65
  • 66
  • 67
  • 68
  • 69
  • 70
  • …
  • 129
  • 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 49 other subscribers

Popular Topics

©2026 The Goodman Institute Health Blog | Website by Lexicom