Health insurance and drug companies have joined together to form the Partnership for America’s Health Care Future to wage a campaign against the growing idea of single-payer healthcare; surgery centers operate under an uneven mix of rules so that deaths and serious injuries can result in no warning to government officials, much less to potential patients; depending on which side you’re on, a ballot initiative called Proposition 8 in California to limit the profit of dialysis clinics is either an effort to improve patient care or it could jeopardize it by threatening the financial viability of clinics.
Health insurance and drug companies, which are often on opposing sides of policy issues, have joined together to form the Partnership for America’s Health Care Future to wage a campaign against the growing idea of single-payer healthcare, The Hill reported. It is a sign of the industry’s alarm over growing support for the idea within the Democratic Party. The group is said to be more focused on 2020 than the midterms and may run advertisements against single-payer plans and promote studies to undermine the idea.
Surgery centers operate under an uneven mix of rules so that deaths and serious injuries can result in no warning to government officials, much less to potential patients, a Kaiser Health News and USA Today Network investigation found. The gaps in oversight allow centers hit with federal regulators’ toughest sanctions to keep operating, according to the investigation, and nothing stops physicians barred by hospitals from opening a surgery center nearby.
Depending on which side you’re on, a ballot initiative called Proposition 8 in California to limit the profit of dialysis clinics is either an effort to improve patient care or it could jeopardize it by threatening the financial viability of clinics. Stateline reported that Proposition 8 would require dialysis clinics to issue refunds to patients or insurance companies if they have revenue above 115% of the costs of “direct patient care,” which includes wages and benefits of staff who administer treatment to patients, as well as drugs and supplies. The ballot initiative is spearheaded by the Service Employees International and the United Healthcare Workers Unions.
Urticaria Diagnosis Challenged by Overlapping Pruritic Skin Conditions
April 23rd 2025Urticaria is complicated to diagnose by its symptomatic overlap with other skin conditions and the frequent misclassification in literature of distinct pathologies like vasculitic urticaria and bullous pemphigus.
Read More
New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
Listen
Personalized Care Key as Tirzepatide Use Expands Rapidly
April 15th 2025Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, Harvard Medical School, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes.
Listen
ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
Read More