Healthcare in Transition Blog 2019-07-09T10:01:57+00:00

Dr. Brian Casull’s Blog


Healthcare is not a “system” in the United States. Rather it is like a game of baseball where your perceived and actual coverage is determined in large part by where you sit in the ballpark of healthcare.

basball park - where is your healthcare seat

Read my posts below to discover … learn … realize … understand what you can do about
American Healthcare in Transition.

  • 2019 reality of healthcare CHART

Current Healthcare News Regarding Out-of-Pocket Costs

OUT OF POCKET HEALTH CARE COSTS “A majority of patients (59%) paid an average out-of-pocket expense between $500 and $1,000 during a healthcare visit in 2018, a marked increase from 39% the year prior.”[1]  What are out of pocket expenses? Healthcare 101 will be our jumping off spot. In the United States, health insurance is any program that helps pay for medical expenses, whether through privately purchased insurance, employer-sponsored healthcare coverage, or a health plan funded by the government. [...]

  • Health Headlines

Some Random Healthcare Topics Currently in the News

Our current healthcare system is frequently in the news.  But with the upcoming 2020 election, the healthcare headlines are becoming more frequent.  Here are some random healthcare topics from recent news sources: PHYSICIAN SHORTAGES The Association of American Medical Colleges predicted a shortfall of 122,000 physicians by 2032.[1]  Physician groups[2] are emphasizing addressing this fact as one of the first steps in reforming our “For-Profit Healthcare Insurance Model.”[3] Drive Drug Prices Down and Increase Supply. Strengthen the Safety Net [...]

  • next gen blog 12 - healthcare 101 chart

What About Chronic Disease and Healthcare Affordability?

What about chronic disease and the affordability of healthcare insurance?  Or, another way to think of it is:  HOW MANY PEOPLE DIDN’T GET HEALTHCARE BECAUSE OF COST? Does the "NO" category in the chart above relate to patients with chronic disease? The affordability crisis facing people with chronic diseases is yet another example of the UNDERINSURED.[1] On the Health Care Continuum, people with chronic illness form the slippery slope. These chronic conditions are what are also called pre-existing conditions.[2] [...]

  • next gen blog 11-public attitudes

Is Medicare For All The Best Solution?

What is the attitude on proposals to expand Medicare and Medicaid? Here is what the CBO is saying currently about MEDICARE FOR ALL: [1] “Some Members of Congress have proposed establishing a single-payer health care system in the United States to ensure that virtually everyone has health insurance. In a typical single-payer system, people enroll in a health plan operated by the government, and the receipts and expenditures associated with the plan appear in the government’s budget. This report [...]

  • follow-yellow-brick-road

Healthcare 2020 – How Do We Get There From Here?

In the ever-changing healthcare system, the question becomes:  "How do we get there from here?"  Follow along with me ... on the Yellow Brick Road ... IMPACT OF HIGH HEALTH CARE COST Even if you still have coverage, three percent (employer based coverage) to 8 % (Medicaid/other public insurance) went without needed care because of cost. While another 6-9% postponed seeking care. (employer based/Public based insurance). Both groups ended up with no usual source of care (12%).[1] REASONS [...]

  • Vlog6-cover image

Vlog #6 – Healthcare 2020 – What Should be Done?

In this vlog we explore the various models and options for the future of healthcare in America. 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 will become involved. Health Care will continue to be a hot topic in the 2020 Presidential Election. What should be done?  Watch my video to find out my point of view ... [...]

  • Next Gen blog 9 - healthcare debate graphic

How Are We Going To Debate Healthcare Reform?

No one system escapes criticism. It appears that there is good, bad, and ugly to be found in any system you choose. For sure there would be winners and losers.  THE PRIME DIRECTIVE: -ELIMINATE VARIABILITY One Operations Manual One Policy Manual One Reimbursement Manual USE THE HEIRARCHY OF EVIDENCE[1] GRADING 1A-Strong recommendation. High quality evidence. Strong recommendation can apply to most patients in most circumstances without reservation 1B - Strong recommendation. Moderate quality evidence. Strong recommendation, likely to apply [...]

  • Vlog5 - feature pic

Vlog #5 – Return on Investment, Part 3

Return on Investment (ROI) is, basically, what you are getting in return for what you are spending. Or ... "How much bang for the buck." In the current American Healthcare "System," unlike traditional return-on-investment models, benefits are frequently gained from cost avoidance, rather than from revenue enhancement activities.

  • healthcare system performance rankings

How Do The Current Universal Healthcare Models Rank?

When comparing data from all the major healthcare models in other countries, how do these models rank?  If you crunch the numbers obtained from the number crunchers, simply stated: All the other models of health care have a greater ROI than our current model. If we use the data from a very complete and thorough comparison of existing health plan models not being practiced in the United States, here is what that data shows us.[1] The numbers represent where [...]

  • Vlog 4 cover pic - Dr Brian Casull

Vlog #4 – Return on Investment, Part 2

The For-Profit Health Care System is broken because there is little to no RETURN ON INVESTMENT. We spend more than any other developed nation on Earth and rank in the lowest tiers when health outcomes are measured.

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