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Sunday, November 22nd, 2009

Social Security, Medicare on Shaky Ground

May 24, 2009 by Mark Ellis  
Filed under Business

Social Security, Medicare on Shaky Ground

The economic situation has left much business in shambles, but the consequences of the recession may strike at those who rely on government programs like Social Security and Medicare. With more and more people leaving the workforce, these programs will eventually become so encumbered that they will collapse.
Congress has recently been mulling over proposals to fix the forthcoming crisis situation for Social Security and Medicare. One of these plans of action is to create a bipartisan commission that will preemptively tackle the problems facing government benefit programs. This commission would then assemble a package of adjustments for Congress to approve, …read more

How Do We Increase the Patient’s Ability to Shop?

March 4, 2008 by Bob Turek  
Filed under Business

How Do We Increase the Patient’s Ability to Shop?

Forbes magazine’s medicare piece on how medical costs increase due to corporate lobbying for CT scanning coverage that drives equipment sales, reveals the market’s reaction:
Congress: “…tried to rope in runaway Medicare costs by dramatically cutting imaging payments in outpatient settings…”
Private Insurers: “…Companies like CareCore Radiology, American Imaging Management and National Imaging Associates cropped up to do the dirty work of reviewing and rejecting imaging orders on behalf of insurance companies…CareCore’s research shows a doctor who owns his own machine is four times as likely to order a scan as a doctor who doesn’t.”
GE:”…a lot of the arguments against imaging are …read more

Does the Government Stifle Competition?

March 3, 2008 by Bob Turek  
Filed under Business

Does the Government Stifle Competition?

Forbes magazine’s medical industry piece “Cranking Up the Volume” comments on GE’s lobbying efforts for medicare coverage for CT scans enabling sales of CT scanning equipment:
“The party has gone on too long”.
Apparently, excessive coverage for CT scans has led to over doing and “over” covering the scans, thus increasing medical costs:
“Radiologist David Gruen used to spend millions of dollars to replace his General Electric (nyse: GE – news – people ) MRI and CT scanners every three years. It was money well spent because the machines were always busy.”
The economics of this is very interesting: more money for allowable scans …read more

Does Process and Information Visibility Help Increase Competition?

March 2, 2008 by Bob Turek  
Filed under Business

Does Process and Information Visibility Help Increase Competition?

Forbes magazine recently wrote about the medical industry in “Cranking Up the Volume“. Presumably, higher “volume” means more visibility into the processes behind medicare, medical equipment, and diagnosis. My contention is that our medical costs will go down if we can increase competition. Competition usually comes into play when information becomes available- information about services, prices, and costs of providing services. A useful comparison dealing with understanding costs of providing services is in the auto sales area; a few years ago information about dealer costs and margins made available on the internet enabled competition by allowing buyers to shop around …read more


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