This year, the federal government ordered hospitals to begin publishing a prized secret: a complete list of the prices they negotiate with private insurers.
The insurers’ trade association had called the rule unconstitutional and said it would “undermine competitive negotiations.” Four hospital associations jointly sued the government to block it, and appealed when they lost.
They lost again, and seven months later, many hospitals are simply ignoring the requirement and posting nothing.
But data from the hospitals that have complied hints at why the powerful industries wanted this information to remain hidden.
It shows hospitals are charging patients wildly different amounts for the same basic services: procedures as simple as an X-ray or a pregnancy test.
And it provides numerous examples of major health insurers — some of the world’s largest companies, with billions in annual profits — negotiating surprisingly unfavorable rates for their customers. In many cases, insured patients are getting prices that are higher than they would if they pretended to have no coverage at all.
Being shunned by a lover, a school or an employer hurts – but we’re only just beginning to understand how real this pain is and how we can administer a bit of emotional first aid to stop the hurt. Dr. Laurie Santos of The Happiness Lab podcast talks to leading experts in the science of rejection… and to actor Tim Colceri about one of the most extreme real life stories of humiliation and dashed hopes you’re ever likely to hear. You can hear more Happiness Lab episodes at http://podcasts.pushkin.fm/cautionaryhappinesslab,
One of my blog friends sent this video along a few weeks ago. Interesting lecture, something to think about when it comes to thoughts one finds repetitive or even disturbing. This year, I'm trying to learn more about my thought procesd, deal with my anxiety and generally try to be a more successful person at all parts of my life. Going to be forty in two years and now is the time to find changes and really figure out what is important in my life.
I am not really into spiritualism, I'm more a mud blood and manure type guy but there is a lot of value in hearing different things and graining new perspectives on why one might think the way they do. Information, especially when it's free should be observed carefully but not necessarily embraced.
Fifty years ago this summer, President Richard Nixon declared a war on drugs. Today, with the U.S. mired in a deadly opioid epidemic that did not abate during the coronavirus pandemic’s worst days, it is questionable whether anyone won the war.
Yet the loser is clear: Black and Latino Americans, their families and their communities. A key weapon was the imposition of mandatory minimums in prison sentencing. Decades later those harsh federal and state penalties led to an increase in the prison industrial complex that saw millions of people, primarily of color, locked up and shut out of the American dream
Last month, Michigan's two largest hospital systems, Spectrum Health and Beaumont Health, announced they wanted to become one. The $12.9 billion "megamerger" would create a health industrial complex spanning 22 hospitals, 305 outpatient facilities, and an insurance company. It would employ 64,000 people, making it the largest employer in Michigan. Local newspapers had expected the merger to "sail through" government approval. But now they're not so sure.
That's because President Biden recently signed an executive order saying his administration was serious about promoting competition, and he specifically singled out hospitals as an area where growing monopolization is a concern. The order, the White House says, "underscores that hospital mergers can be harmful to patients and encourages the Justice Department and Federal Trade Commission (FTC) to review and revise their merger guidelines to ensure patients are not harmed by such mergers."
Hospitals are a really important part of the American economy. Not just in terms of health and wellbeing, but in terms of dollars and cents. The largest chunk of America's healthcare spending goes to hospitals. And the hospital sector is one of the largest sectors in the overall American economy, accounting for about 6 percent of America's GDP. Hospitals do a lot of good things. They save lives. They create good jobs. But because of growing monopolization of them, Zack Cooper, an economist at Yale School of Public Health, worries that they're becoming like a "Dracula" that "sucks some of the vibrancy out of a lot of towns across the country."