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

Dr. Brian Casull’s Blog

WELCOME TO THE AMERICAN HEALTH CARE GAME OF BASEBALL

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.

  • political fence chart

Democrats Reveal Their Healthcare Proposal — Will It Work?

The Democrats have revealed their  “Medicare for All” Proposal.[1] WILL IT WORK? Health coverage for all Americans to include premiums, copays and deductibles Expansion of Medicare to younger Americans essentially replacing both Medicaid (low income/disabled) and employer-paid (workers) healthcare coverage The current for-profit healthcare insurance model would be reduced to supplying supplemental coverage only, which will not go unnoticed by the FOURTH PARTY decision makers whose job it is to maintain profit or the current THIRD PARTY PAYORS; Benefits [...]

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The Republican “End Run” on Our Health Plans

One Administration END RUN has been struck down.[1] A federal judge ruled against the Trump administration's highly touted small-business health insurance plan, calling it an "end run" around consumer protections provided by the Affordable Care Act. At issue in the latest ruling are so-called "association health plans," in which businesses and sole proprietors can band together to offer lower-cost coverage that doesn't provide all the benefits required under the Affordable Care Act.That said, STILL IN PLAY:[2]The Trump administration has reversed [...]

  • republicans healthcare plan

Where Do the Decision Makers Sit on the Political Fence?

Where do the decision makers sit on the political fence?[1] [2] [3] [4] [5] “Republicans have no intention of heeding President Trump’s urgent demands for a new health-care plan to replace the Affordable Care Act, fearing the potential political damage that such a proposal could cause in 2020 and hoping he will soon drop the idea, according to interviews with numerous GOP lawmakers, legislative staffers and administration aides.” The GOP in Congress want the following: -Greater transparency -More choice [...]

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Medicare for all Scenarios

All aspects of our current For Profit Healthcare Insurance Model would be impacted.  In the PROVIDER (FIRST PARTY) community, hospitals have a profit related concern.  Medicare’s lower rates may markedly reduce revenues and “ disrupt the delicate balance of cross-subsidization between higher commercial rates and lower government rates.[1]  What is also interesting in this NAVIGANT article are the enrollment scenarios which are included. These may serve as a prognostication for the impact of the various  potential Medicare for All [...]

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The Voice of the People

The current Law of the Land is the Affordable Care Act. The question? In 2017, Republicans wanted their leaders to continue the ACA repeal and replace (66 percent). It is of interest that 28 percent of Republicans were interested in improving the way the ACA was working. Democrats told their leaders that they wanted to improve the way the ACA was working (52 percent) while 43 percent wanted them to pass a national healthcare plan.[1] How are Americans currently [...]

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Which of the Four Health Care Models Would I Recommend?

In my past four posts, we have examined what our healthcare “system” choices are.  To review, they are: the Beveridge National Health Service Model, the Bismarck model, the National Health Insurance model, and the Out-of-Pocket Model.” (1)(2) What current American model would be the basis for the government sponsored healthcare portion? “’About half think they’ll be able to keep their current insurance,’” says Mollyann Brodie, PhD, Executive Director of Public Opinion and Survey Research at the Kaiser Family Foundation [...]

What is The Return on Investment Under The Four Models for Health Care Systems?

Today we will talk about RETURN ON INVESTMENT or ROI. The first questions would be how does each model, of the four major models for health care systems: the Beveridge National Health Service Model, the Bismarck model, the National Health Insurance model, and the Out-of-Pocket Model, (1) compare when we look at population coverage? (2) Every modern nation other than the United States ensures healthcare as a basic right of human life. The current system is plagued [...]

  • Three-Party System Graph

Health Care System Choices: The Out of Pocket Model

In my previous blogs we have looked in depth at three of the four major models for health care systems:  Beveridge National Health Service Model , the Bismarck Model, and the National Health Insurance Model.  Today's blog post will discuss the final Out-of-Pocket Model (1)(2). The Out-of-Pocket Model: Market-driven Health Care Examples: rural areas in India, China, Africa, South America. Relevance to the U.S.: similar to treatment for uninsured or underinsured. We have discussed in great detail the American For-Profit Health Care Insurance Model. And [...]

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Health Care System Choices: National Health Insurance Model

Among our healthcare “system” choices are four major models: the Beveridge National Health Service Model, the Bismarck Model, the National Health Insurance Model, and the Out-of-Pocket Model (1)(2). In previous blogs we looked in depth at the Beveridge National Health Service Model and the Bismarck Model. In this blog post, we are going to examine the third of the four models:  the National Health Insurance Model. The National Health Insurance Model: single-payer national health insurance Examples: Canada, Taiwan, South Korea Relevance to the U.S.: [...]

  • health plan capitation chart

Health Care System Choices: The Bismarck Model

Among our healthcare “system” choices are four major models.  In my last blog we looked in depth at the Beveridge National Health Service Model. Of the remaining three: the Bismarck Model, the National Health Insurance Model, and the Out-of-Pocket Model (1)(2), this week the discussion will focus on the second of the four models:  the Bismarck Model. The Bismarck Model: social health insurance model Examples: Germany, Belgium, Japan, Switzerland Relevance to the U.S.: similar to employer-based healthcare plans and some aspects [...]

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