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Category: Medicare

Meet Your New Primary Care Physician: MegaCorp

Posted on May 16, 2023 by Devon Herrick

Large corporations are buying primary care physicians’ practices in droves. CVS bought Oak Street, while Amazon bought One Medical. Primary care is rather mundane as physicians’ practices go. So why are hospitals, insurers and pharmacy chains scooping up primary care practices?

The appeal is simple: Despite their lowly status, primary care doctors oversee vast numbers of patients, who bring business and profits to a hospital system, a health insurer or a pharmacy outfit eyeing expansion.

And there’s an added lure: The growing privatization of Medicare, the federal health insurance program for older Americans, means that more than half its 60 million beneficiaries have signed up for policies with private insurers under the Medicare Advantage program. The federal government is now paying those insurers $400 billion a year.

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Saturday Links

Posted on May 6, 2023May 5, 2023 by John C. Goodman
  • In just eight years, nearly 78 million Medicare beneficiaries will face an automatic 11% payment cut in their hospital insurance benefits.
  • GOP bill would prohibit the use of quality-adjusted-life-year (QALY) and similar measures for health insurance coverage and payment determinations.
  • Related concept: The “value of a statistical life” appears to vary by income. In essence, being wealthier equates to being more willing to buy what might make one “healthier.”
  • Reason magazine investigation: woman in federal prison dies of medical neglect.
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Thursday Links

Posted on May 4, 2023May 3, 2023 by John C. Goodman
  • Why don’t we have more human challenge trials for vaccines and other new drugs?
  • Study: Minimum wage increases do not reduce poverty.
  • Why does Medicare require a three-day hospital stay before it will pay for a skilled nursing facility transfer? Medicare Advantage plans don’t require this.
  • Has the US ever defaulted on its debt before? Yes, three times.
  • More than 20% of Medicaid enrollees no longer meet the criteria for program eligibility. States have not conducted redeterminations of Medicaid enrollees’ eligibility in more than three years.
  • US Surgeon General: loneliness is  as dangerous as smoking up to 15 cigarettes a day.
  • Medical researchers: Don’t skip breakfast. Even a cup of coffee can have a positive effect. (NYT)
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Wednesday Links

Posted on May 3, 2023May 2, 2023 by John C. Goodman
  • “Longer life with no greater proportion lived in good health equals more years in poor health—statistically, for the population at large.” Interesting throughout, with implications for research and public policy priorities.
  • Obesity drugs could save Medicare $100 billion a year.
  • 40% of privately insured patients  receive no preventive care, despite the ACA mandate for free coverage.
  • David Henderson grades the US on how far we have come toward achieving Karl Marx’s ten public policy goals.
  • Monopoly matters: “in states in which the market share of the dominant health insurer exceeded 71 percent…[that] payer, on average, paid 14.7 percent less to hospitals than market-leading insurers in more competitive insurance markets.”
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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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