- China had 1.87 million excess deaths that occurred among individuals 30 years and older during the first 2 months after the end of China’s zero COVID policy.
- Can people think their way to an orgasm?
- Kaiser: Health misinformation is endemic.
- Five thousand pilots lied on medical records to hide conditions that would prevent them sitting in the cockpit.
- How dangerous is pollen?
Category: News and Events
Dialysis Should be Patient Centered and More Convenient
End State Renal Disease (ESRD) is the only disease condition that is covered by Medicare regardless of patients’ age. This benefit was passed in 1972. One result of Section 299I of Public Law 92-603 is that Medicare pays for two-third of dialysis patients, down from 87% in 2004. When your kidney function falls by 85% to 90% your kidneys can no longer keep you alive. According to the National Kidney Foundation, the average life expectancy on dialysis is 5 to 10 years, but many people live much longer when their dialysis is tailored to their needs. This often does not happen due to the United States’ mostly one-size-fits-all approach to dialysis, which is not ideal.
Saturday Links
- Paper straws have more forever chemical than plastic straws.
- CMS: ACOs saved Medicare $1.8 billion. That is 2/10ths of 1% of total Medicare spending. Think how much more would have been saved if ACOs were allowed to convert to become Medicare Advantage plans.
- CRFB: the federal government can save $370 billion over ten years by allowing health insurance subsidies for rich people in the (Obamacare) exchanges to expire by 2026.
- As a senator, Joe Biden voted to raise the retirement age and impose a tax on Social Security benefits.
- Should it be health care or healthcare? And why is it CMS rather than CMMS?
How Much Charity Care Should Nonprofit Hospitals Provide?
I began my career in health care working as an accountant for a nonprofit hospital. One of our senior finance executives did a case study of how much the heath care system saved compared to a for-profit system that had to pay taxes. I don’t recall all the details, but it was in the neighborhood of $100 million dollars in 1990. About that same time the accounting managers were told we could no longer write off bad debts to charity care. Charity care had to be granted to deserving patients; we weren’t allowed to decide after not getting paid that care must have been charity.