Trisha Torrey: Every Patient’s Advocate

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As a certain phase of my academic life is drawing to a close, I find myself referring back to my initial post entry, and to a woman who has deeply influenced my contributions to this blog.

She is my measuring stick. My example. My secret inspiration. My dipping well for courage……….and of course, for content!

Dare I say it? She is one of my heroes!

She sets the standard, and she helps to define the trend……in my estimation.

Her name is Trisha Torrey, and I can’t be complementary enough about Read the rest of this entry

2.1 Billion Dollar Overall Profit Margin Not Enough for United Healthgroup to Offer Medicare Advantage in 2014

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Author Sy Mukherjee from ThinkProgress.org reports that CEO Stephen Hemsley of the United Healthgroup has announced that despite a 2.1 billion dollar overall profit margin, and despite a recent move on the federal government’s part to increase Medicare reimbursement by 3% – 5.3%, the United Healthgroup is currently threatening Read the rest of this entry

Blue Cross Blue Shield: On the National Radar for Antitrust

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Blue Cross Blue Shield is on the national radar for antitrust.

It appears that Blue Cross Blue Shield has definitely been on the Department of Justice’s radar for antitrust, for some time now.

At least, since 2010…………. Read the rest of this entry

Big Data= Big Government Incentives=21st Century?

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Big Data= Big Government Incentives=21st Century?

Recently, I discovered Dave Chase, CEO of Avado, who wrote a review for Forbes regarding “Escape Fire: Solutions to Healthcare’s Conflagration.”

Mr. Chase gave some very innovative insights on the future of healthcare technology in his review.

(If you’re interested in the original article, here is the link: http://duanepool.wordpress.com/2013/02/14/escape-fire-documentary-solutions-to-healthcares-conflagration/)

In the original excerpt, I threatened to follow-up on Mr. Chase to see what else he is currently contributing in the way of solutions to the world of healthcare technology.

Clearly, I am not the only one watching to see how Read the rest of this entry

Health Insurance Exchanges

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What are Health Insurance Exchanges?

Recently, I had an online conversation with some fellow students regarding Health Insurance Exchanges. I felt the conversation was pertinent enough, that it warranted attempting to try and translate it here.

First, however, I want to give credit where credit is due.

A very special thanks to Susan S. for posing the following question: “What are health insurance exchanges?”

And then, a very special thanks to Julie S. for referring all of us Read the rest of this entry

Health Care Enforcement in 2012: A Year in Review

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6.9 Billion Dollars Were Recovered in Medicaid/ Medicare Fraud in 2012

In the article entitled “HealthCare Enforcement in 2012: A Year In Review” authors Hope Foster, Jessica Sergi, Samantha Kingsbury and Stephanie Willis from JDSupraLawNews online report that “the Office of Inspector General for the Department of Health and Human Services (HHS-OIG) reported total expected recoveries of $6.9 billion from all of its enforcement initiatives.”

The authors give a detailed explanation of various areas of focus that were included in the investigation, which extended from Read the rest of this entry

Physician Payments and The Sunshine Act Update

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Physician Payments Sunshine Act

What is the Sunshine Act?

Contributor Nicole Fisher with Forbes online reports in the article “The Sunshine Act is Finally Final” explaining that this regulation “…require applicable manufacturers of covered drugs, devices, biological products, and medical supplies to annually report to CMS ( Center for Medicaid and Medicare Services/ Department of Health and Human Services) information regarding Read the rest of this entry

Medical Trump Card Challenge

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Who Holds the Trump Card in Your Medical Care?

“Who Holds the Trump Card in Your Medical Care?”

In the era of managed care and cut backs, a lot of things have changed. A lot of things regarding healthcare have radically and dramatically changed.

In the article “Who Holds the Trump Card in Your Medical Care?” author Trish Torrey discusses the trend of managed care companies to withhold medical care for the sake of profit, and the subsequent role Read the rest of this entry

The Spoon Theory

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“The Spoon Theory”

How Many Spoons Does It Take To Get Through Your 24 Hour Day?

Often, when you are living with a chronic diagnosis it is very difficult to explain to family, friends, employers and sometimes, even to healthcare providers exactly what your limitations are.

The following article gives an insightful view into just such a conversation offering advice and useful language that can help everyone understand.

In the article, “The Spoon Theory” at butyoudontlooksick.com written by author Christine Miserandino,  an intimate conversation with a friend is shared. The author explains that as a patient living with Lupus “…..you have to plan your day, you need to know exactly how many “spoons” you are starting with. It doesn’t guarantee that you might not lose some along the way, but at least it helps to know where you are starting. She counted out 12 spoons…….” Read the rest of this entry