Today, I would like to introduce the current model of healthcare. It is the FOR-PROFIT HEALTHCARE INSURANCE MODEL. That model has three prominent components and one behind the scenes. Let me introduce those players under a little different name. THE FIRST PARTY The FIRST PARTY is the PROVIDER OF HEALTHCARE. Under federal regulations, a "health care provider" is defined as: a doctor of medicine or osteopathy, podiatrist, dentist, chiropractor, [...]
Poppy tweets about healthcare 2020 ... where are we headed? The results of the 2018 mid-term elections solidified Health Care as an important topic. The recent federal judge ruling that the ACA is unconstitutional set the stage for its continued importance. The ACA is still in place until 2019 when the mandate to have insurance goes away thanks to the 2017 Tax Bill. Appeals have begun. The Supreme Court [...]
The DECISION MAKERS ... Are you listening? Previously in my POSTSCRIPTS for the Consumers and Providers, I mentioned that we have come full cycle to the place where I as a Physician Executive will ask some questions. But this time my comments will be directed to the DECISION MAKERS of our FOR-PROFIT HEALTH CARE INSURANCE MODEL. Do not consider American health care in transition in the current vacuum in which [...]
There's the ‘first’ party — the PROVIDER who provides the service. Are You Listening? As I said in the first POSTSCRIPT for the Consumer of Healthcare, now we have come full cycle to the place where I as a Physician Executive will ask some questions. This set of information is only for you the “first party” of our FOR-PROFIT HEALTH CARE INSURANCE MODEL. THE PROVIDERS OF HEALTHCARE. Physicians could [...]
There's a second party, the CONSUMER OF HEATHCARE, who receives the service. Are You Listening? Now we have come full cycle to the place where I as a Physician Executive will ask some questions. This set of questions is only for you the “second party” of our FOR-PROFIT HEALTH CARE INSURANCE MODEL. The generally disenfranchised participant of our Healthcare Insurance Model. Do you know where you sit in [...]
This week Poppy Tweets: “At the end of the day, think out of the box!”In last week’s blog, I reviewed the Healthcare issues you may not be aware of. This week I offer my suggested resolutions.First of all, no decision maker in the room should knowingly interfere with the natural progression of American Healthcare in Transition:Don’t be the victim of hear-say and evidence of that ilk.It is like the placebo [...]
Poppy Tweets: "Watch out for those other tectonic plates ... the out-of-your-control occurrences in today's American Healthcare System." In the American Healthcare “system”, these are the tectonic plates with caprice ebbing and flowing (the ground moving under our feet) which lead to earthquakes. Here is my list of these "tectonic plates" issues that you may -- or more importantly -- may NOT know about ... making your health care at risk: ADMISSION or OBSERVATION: Decided [...]
Poppy the Cockatoo tweets about the ACA : “I’m hiding here because the feathers are going to hit the fan.” When the Affordable Care Act was enacted, its purpose was to: Improve affordability and accessibility Oversee, coordinate, and govern the many pieces in play It did, and it didn’t. What it did do was: Stretch across both the private and public payor structure Add more Americans to the roles of [...]
Poppy tweets “I’m worried about losing my treats!” 1. LOSING MEDICARE AND MEDICAID-DEFICIT REDUCTION MASQUERADING AS HEALTH CARE REFORM HUMANS are worried about $554 billion in cuts to Medicare as this impacts you the 55 million Americans who are over age 65 or living with disabilities. This impact may be felt through decreased access to healthcare providers. The greatest impact would appear to be on the cost of prescription [...]
POPPY THE COCKATOO TWEETS HEALTHCARE: “Hi. I am Poppy and I am a Cockatoo. My human has asked me to introduce the subject.” The Big Picture Today, the for-profit health insurance model drives american healthcare in transition (non-profits make money, they just don’t share it with stockholders). This model is broken! What does the model look like? It is a three- party system. There's one party — the provider [...]