I'm a research associate at Duke University Margolis Center. I used to be Richard Mayhew, a mid-level bureaucrat at UPMC Health Plan. I started writing here and have not found a reason to stop.
The Arkansas Center for Health Improvement is tasked to evaluate the Arkansas Private Option Medicaid expansion. One of the things that leapt out at me is on page 12 as they detail some of the provider pricing spreads in a manner that I can use without worrying about disclosing propietary data. @xpostfactoid1 Right now […]
Both TX's admitting privileges & surgical center requirements violate the Constitution, Justice Breyer writes for the #SCOTUS majority. — Chris Geidner (@chrisgeidner) June 27, 2016 A 5-3 decision ruled that HB-2 in Texas is an unconstitutional burden on the ability of women to access legal pre-viability abortions in Texas. Ginsburg’s (surprisingly short) concurrence: ‘It is […]
The big health wonk news late last week was the decision by Blue Cross and Blue Shield of Minnesota to drop their broad network PPO individual market plans and offer only narrow network HMO plans on and off Exchange. Minnesota’s largest health insurer, Blue Cross and Blue Shield of Minnesota, has decided to stop selling health […]
Just a few scenarios to think about on a grey morning: Scenario A: a1) The Home team for a U-23 league was supposed to wear their maroon shirts. The Visiting team was supposed to wear their white shirts. Both teams have black shorts and dark socks. The idiot captain for Home sent an e-mail to […]
I just saw two interesting (to me at least) things about back end administrative costs for health insurance. The first is from Dan Gorenstein at Marketplace. He writes about a ride-along for a major Medicare/Medicaid fraud bust. The federal government estimates it loses 12 percent of Medicare spending and about 10 percent of Medicaid to fraud […]