“Medicare-for-all”: The Culprit, Not the Cure

WOW, Medicare-for-all will cost only another $32 trillion!  A drop in the bucket.  We deserve to pay nothing, right? Free healthcare—put it in my basket—I'll take 3 of them! When will proponents of "Medicare-for-all" understand the cost of healthcare is based not on greed, fraud, waste, and abuse (although they do contribute), but rather on our utilization?!  In other words,... Read More

Transparent Hospital Pricing Exposes Wild Fluctuation, Even Within Miles—DMV Area Edition

According to data from Payer Compass, which shows 2013-2015 data for overall ratios of charges to actual Medicare payment for all Medicare-certified hospitals, going to different hospitals close by in the region can result in very different bills., Because of Maryland’s partnership with the Centers for Medicare & Medicaid Services (CMS) between 2014-2016, “all-payer per capital total hospital revenue growth... Read More

US Healthcare Spending to Climb 5.3% in 2018

The Centers for Medicare and Medicaid Services projected mid-February that US healthcare spending would increase 5.3% in 2018.   Factors affecting this increase include: Rising prices of medical goods and services Higher Medicaid costs Ageing baby-boom population driving Medicare enrollent More disposable personal income Spending in 2016 rose 4.3 percent and spending in 2017 rose 4.6 percent (originally projected at... Read More

Aetna Update: January 1, 2018 Behavioral Health Services Reclassification

Photo by Nik Shuliahin on Unsplash Here are upcoming changes in the way Aetna pays certain Behavioral Health outpatient benefits. Upon plan renewal on or after January 1, 2018, the following Behavioral Health services will be classified as behavioral health outpatient “all other” for purposes of Federal Mental Health Parity law: Partial hospitalization programs (PHP) Intensive outpatient programs (IOP) Applied behavior analysis (ABA)... Read More

2018 Projections for Large Employer Health Costs

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Large Employer Health Costs May Rise 4.5% in 2018: Aon Aon analyzed health benefits data from 450 of their largest clients (10 million people) to determine:Large US employers experienced a 3.9% increase in health benefits costs this year (average $11,934)In 2016, this average increased 3.1%In 2018, this average increase is projected to be 4.5%Employer costs rose 3.9% (average $9,371 per employee)Employee’s... Read More

The High Price of Healthcare Illiteracy

The High Price of Healthcare Illiteracy According to a recent Aflac survey, more than half of employees say they don’t understand their health insurance policies, and two-thirds of respondents somewhat agreed they would be unable to adjust to the large financial costs of serious illness or injury.  While insurance can’t predict the future, having adequate insurance and knowing how to... Read More