to your health

How much does private insurance pay vs Medicare?

In the 90s there was near parity. Now, some states (looking at you, Indiana) average 3x the spend for the same services. That is passed down to employees via premiums, deductibles and coinsurance. Enjoy! “Findings released Thursday by the Rand […]

to your health

Authorities questions uBiome’s billing practices

This company is a leader in the movement to help consumers (patients?) understand something (probably very little, but something) about the makeup of their microbiome. Insurers maybe don’t like paying for it, though. “Special agents from the Federal Bureau of […]

to your health

Where electronic health records went wrong

This is a long read. It helped me understand the ‘how we got here’ story behind todays’ EHR challenges. And it was a helpful reminder of what can happen (both good and bad) when the government leans to an industry. […]

to your health

Government raid exposes $1B telemarketing Medicare scam

“The federal government on Tuesday raided dozens of locations belonging to doctors and medical equipment companies suspected of taking part in a massive telemarketing scam that targeted Medicare recipients and cost taxpayers nearly $1 billion.” | learn more

to your health

EHR ‘gag clauses’ may soon come off

As I peel back more layers of the health care system onion, I really appreciate some of the nuances that this industry has developed. In this case, it seems that a lot of the big Electronic Health Record software vendors […]

to your health

Prescribing food as a specialty drug.

This is so exciting! It seems “obvious” that food is tied to health, but this is the first time I’ve seen the healthcare system treat it that way. “Geisinger Health System’s program of providing free food as a treatment for […]