Summary: The UK national health service has been a highly regarded and popular model of public financing and ownership of health services. That is, until the
The McCanne Health Justice Monitor is produced by a team of health policy experts and single-payer champions. For more information, and a complete archive of entries, visit the HJM website. For an archive of Quote of the Day entries from Dr. Don McCanne, click here.
How Medicare Advantage Distorts Clinical Outcome Data
Summary: Two studies reveal how Medicare Advantage plans distort comparisons with Traditional Medicare on inpatient and emergency visit rates, which represent clinical deterioration. A study done
Bernie Sanders Takes on Capitalism
Summary: Bernie Sanders is a beacon of clarity for the pursuit of human welfare. In his new book, Bernie highlights how very American it is to
Large Insurer Exiting Workplace Health Insurance Market
Summary: Humana announced a pivotal business strategy change that suggests the looming culmination of a massive shift in US health insurance. Job-based insurance started in WWII,
California Survey on Health Care Access, Debt & Equity
Summary: The newest survey of California health issues finds access limited by cost, causing clinical harm; pervasive medical debt; and racial differences around provider interactions. These
Support CMS 2024 Medicare Advantage Payment Rules
Summary: Today’s post is a request to comment favorably (by March 3rd) on proposed payment adjustments for Medicare Advantage for 2024.
CMS issued a draft of a plan
Needed: Political Will to End the Violence in Ukraine & in our Health System
Summary: A Russian opponent of the war in Ukraine calls for the cease-fire that will stop the killing and permit finding a solution. We need
Prior Authorization Scrutinized
Summary: Managed care advocates argue that prior authorization saves money and improves quality of care. But the evidence is unclear. Mainly, it’s an irritant for doctors
Public Education Needed on the Advantages of Public Insurance
Summary: US adults are fed up with health insurance costs and coverage, eager for real reform. Most favor a government guarantee of coverage, and a plurality
Projected Savings from Hospital Global Budgets under Single Payer
Summary: A new study quantifies huge anticipated gains over 10 years – $2.5 trillion in financial savings alongside added resources for clinical care – by shifting
Profit Obsessed US Health System Drives Physician Burnout
Summary: A physician-anthropologist highlights the conflict plaguing today’s medical profession: the contradiction of medical values and a profit-focused health care system. He advocates collective action for
Shameless Business Tactics to Bilk Medicare and Medicaid
Summary: Two KHN stories illustrate how nursing homes and Medicare Advantage health plans share a business rapacity, using no-holds-barred tactics to funnel public health insurance funds