Is Medicare moving towards rationing your medical equipment?

Currently, Medicare fee-for-service (FFS) beneficiaries receive significantly more choice than standard commercial plans.  They can choose any provider they wish (who accepts Medicare).  There are no cost-sharing differences between in-network and out-of-network doctors (because there is no ‘in-network’ for Medicare).  Although certain Part D prescription drug plans require prior authorization for specific drugs, few services…

Saving Lions by Killing Them

Lions are among the most awe-inspiring animals around.  Their regal manes have inspired many and have been the source of numerous Disney cartoon characters. The question is, how does one protect the animals?  In Namibia, the answer has been allowing hunters to kill them.  Hunting these animals has the obvious drawback that it decreases the…

ICD-10 is coming…ICD-10 is coming

Many health insurers (public and private) reimburse doctors based on the patient’s diagnosis. If you treat a patient for a more severe illness during a inpatient stay, Medicare pays you more money. Physicians use procedures to bill insurers for the care they provided. How do insurers know the patient’s diagnosis and the procedures providers perform?…

The Development of Universal Health Care in Sweden

Sweden adopted universal health coverage in 1955.  How did the universal health coverage develop?  A 2004 World Health Organization report provides the answer. Health insurance in the 19th century mostly occurred through mutual aid organizations, which paid out sickness benefits if their members became ill.  By 1885, about 10% of workers had joined “Friendly Societies.” …