Caveat Emptor: Medicare Posts $1.6 Billion Loss

Since the US government has had control over this massive pot of money, how can we expect Bernie’s proposal to be relevant or even a plausible possibility, when Medicare is currently losing money and going to be bankrupt!  According to a recent report, Medicare trustees project “the hospital fund is on track to empty out in 2026, already flunks the... Read More

Crossing the Border for Drug Savings? 1 in 4 Adults Say It Is Difficult to Afford Their Prescription Drugs

Just like my last post about Medicare-for-all and utilization costs…   Foreign travel is an approach one advisor used to control costs for a self-funded client, securing a 6-month supply of medication for a fraction of the cost in the US.  Why are Democrats pushing Medicare-for-All when citizens can source prescription drugs for 70% less in other countries?  We are... Read More

Senators say they’re serious about tackling surprise medical bills

If you have an emergency, you often don’t have a choice about which provider treats you.  HMOs offer in-network coverage only.  High deductible health plans (HDHPs) may or may not have out-of-network options. Hospitals need to set the tone.  When an emergency department hires non-contracted providers, they must accept the insurance carriers with which the hospital is contracted.  If the... Read More

“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

Service and Education: The Keystone of Our Mission

Potomac Companies incorporates strategy, software, and service as the core of our broker-consultant relationship.  We use powerful analytics software, along with our CEO’s analytics expertise, to model renewals, new coverage, and funding approaches.  Our signature KISS – Keep It Simple Solution™ program takes technological and administrative approaches to minimizing errors and maximizing efficiencies in HR.  Service is the keystone of... Read More

Healthcare Industry Hand Hygiene Compliance: Zero Tolerance

The American Journal of Infection Control recently published a study on hand hygiene compliance (HHC) among healthcare workers. Here are some key findings from the report: Hand hygiene compliance was 91% for health workers observed overtly. For workers who were observed covertly, hand hygiene compliance was 49.3%. HHC based on covert observation increased to 66.9% after an intervention.   To... Read More

Urgent Care Center Impact on Emergency Department Use

In a working paper issued in January 2019 by the National Bureau of Economic Research (NBER), researchers examined how urgent care centers (UCCs) impact emergency department (ED) demand.  After urgent care centers closed for the day, ED visits for minor illnesses by privately insured patients in locations with multiple UCCs increased by 1.4% (2.4 million ED visits) because UCCs are... Read More

Our Collective Pocket

The California Health Care Foundation released a report earlier this year on US healthcare spending. Here is the breakdown for the 3.3 trillion healthcare dollars spent in 2016:    28% of total health spending in 2016 was paid for by the federal government. Households accounted for 28% of total healthcare spending in 2016. Private businesses paid for 20% of total... Read More