Monthly Archives: December 2010

Medicare “Accountable Care Organizations” (ACOs): “Invisible Enrollment & Invisible Cost Reduction” ($5 billion Savings on $6 Trillion Cost Isn’t a Viable Plan)…

Thoughts About ACO’s (As Summarized/Defined In “Health Affairs” 8/2010) • The assertion (and regulatory definition) that ACO’s can be “successful” under any organizational structure (i.e. the five formats described in the article) means that they are everything and nothing. Being … Continue reading

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It is a moral and religious imperative for Medicare to encourage physicians to propose a voluntary discussion about their patients’ wishes for end-of-life care

Politicians or other government leader who are against Medicare providing an incentive for physicians to propose a voluntary discussion about their patients’ wishes for end-of-life care don’t care about patients. Our leaders are afraid to admit that commitments made to … Continue reading

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Pfc Manning & Wikileaker Assange Aren’t The National Security Risk: Poor Information System Design Of Data Access Policies Is To Blame

Who is losing their job in information systems security design at the firm that decided on a “one-level” data access policy? While there was clearly too little sharing of data before 9/11, it’s difficult to fathom that a decision was … Continue reading

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Medicare Costs Are The Most Important Issue In Long-Term Deficit Reduction

The least solvable part of our long-term deficit crisis is the infinite demand for medical services committed to the baby boom generation through the Medicare Program. Social Security long term financial stability can be achieved through mathematical and actuarial adjustments. … Continue reading

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The Virginia Supreme Court Decision & ObamaCare

Well I’m not sure where this is headed, but I’m going to start using the zero-cost of publishing feature of the Internet and do some blogging… Although I’ve spent 25 years on the “payor/administrator” side of the health insurance system, … Continue reading

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Dear Republican Party Proponents of “Repeal & Replace”: Here’s Some Practical Low Cost Ideas For What To “Replace” ObamaCare With…

Dear incoming Republican Majority House Members- What follows are some ideas if you’re seeking to put forward policy about the the “replace” part of “repeal and replace…” It just isn’t possible to “make the case” that employers have been steadily … Continue reading

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