Waste and fraud in Medicare

Filed Under: Costs, Providers, Regulators

Waste and fraud in Medicare

It’s an article of faith that one of the biggest sources of  health-care cost abuses is Medicare. The government pays bills for the elderly under this system, and it’s widely regarded as fraud-ridden and inefficient. So it was no particular surprise to read the other day that Medicare recovery audit contractors have returned $237.8 million […]

Morning Meds: Google Pharmacy Ads, Generics and More

Filed Under: Costs, Patients, Regulators

Morning Meds: Google Pharmacy Ads, Generics and More

News we’ve been reading from the world of prescription drugs and pharmacy: *The Department of Justice has opened an investigation into whether Google illegally displayed ads for pharmacies operating outside legal bounds, according to The New York Times. The Times dug the story out of a financial statement filed with the SEC last week that reads: Department […]

Patients and doctors, all dissatisfied

Patients and doctors, all dissatisfied

Doctors and patients have wildly differing perspectives on the health-care marketplace,  and yet they share a feeling of dissatisfaction. Both constituencies were interviewed in a pair of newly released studies by the Robert Wood Johnson Foundation, Talking About Health Care Payment Reform with U.S.Consumers and Talking with Physicians about Improving Payment and Reimbursement. The big […]

Morning Meds

Filed Under: Costs, Patients, Providers

Morning Meds

I’m new here to ClearHealthCosts, and jumping right into the pharmacy beat. I’m looking forward to it–even for those of us who rarely darken the door of a local hospital may have longtime prescriptions that need to be filled. And like nearly everything in the health care world, figuring out how to get the most […]

Remember the uninsured?

Filed Under: Costs, Patients, Providers

Remember the uninsured?

The continued stream of dispiriting news about rising health costs sometimes threatens to overwhelm us. Uninsured people are able to pay for about 12 percent of their hospitalization bills, according to a report released yesterday by the Department of Health and Human Services. The bills that go unpaid are then passed on to people who […]

Why do hospital costs vary so much?

Why do hospital costs vary so much?

Hospital costs vary widely. The reasons are often in dispute. The value of analysis, though, is clear. “[N]early 30 percent of Medicare‟s costs could be saved without negatively affecting health outcomes if spending in high- and medium-cost areas could be reduced to the level in low-cost areas—and those estimates could probably be extrapolated to the […]

Roundup: Insurance, Medicaid, technology, house calls

Filed Under: Costs, Health plans, Patients

Illinois Insurance Chief (Soon to Head U.S. Insurance Office) Sees Market Becoming More Concentrated  —   Kaiser Health News “Are you hearing anecdotal stories from consumers? “We sure are. People in the pre-Medicare age have a lot of trouble receiving individual and family coverage. Historically someone in that group would receive an offer of coverage […]