Category Archives: health care reform

What Was Medicare Thinking? Part 2: IRFs

At the same time Medicare came out with a prospective payment system (PPS) for LTACHs (see previous post) a similar new payment system was instituted for Inpatient Rehabilitation Facilities (IRFs). Under the old payment system, TEFRA reimbursed IRFs for the … Continue reading

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What Was Medicare Thinking? Part 1: LTACH

Medicare periodically changes payment methods for healthcare providers, and the examples I’d like to present address two different post-acute services: Long Term Acute Hospitals (LTACHs, or LTACs) and Inpatient Rehabilitation Facilities (IRFs). Upon close examination of these reimbursement changes it … Continue reading

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Doctors and Health Care Costs: A Second Opinion

This article was written in 2012. Let’s take a look at physicians. Less than 10% of our healthcare dollars go directly to payments to physicians. However, the total healthcare costs related to their decisions are far greater. A physician order … Continue reading

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A Pirate’s Life – Health Insurance Premiums Today

Long ago and far away, it seems, there was pretty much one primary health insurance provider, Blue Cross Blue Shield (BCBS).  It was originally founded in 1929, and subscribers paid $6 per year (around $80 today) for up to 21 … Continue reading

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Introduction to Noprofithealthcare – The Health Care Blog

First, the basis for this commentary: It stems from a personal belief that health care should be a basic and readily-obtainable protection for all the citizens of a prosperous country, like defense from foreign invaders, from crime, from fire, etc. … Continue reading

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