Recent Posts

Hospital Uncompensated Care Pools: DISH by Another Name

CMS has returned to the thorny issue of non-Medicaid expansion state hospitals claiming (both contemporaneously and retroactively) DISH funds for uncompensated care provided. CMS maintains it has the authority to exclude uncompensated care pool days from the DSH calculation going forward, as noted by Modern Health Care. There is, after all, a CMS acknowledged access… Continue reading Hospital Uncompensated Care Pools: DISH by Another Name

COVID Vaccine Dis-Information by Physicians in California

Recently, it became quite heated at the California legislature’s hearing on AB 2098’s proposed changes to the definition of unprofessional conduct by a physician to include spreading of COVID vaccine disinformation. Professional licensure disputes can become quite heated, particularly when free speech rights are implicated. What I want to know is what the Nuremberg Code… Continue reading COVID Vaccine Dis-Information by Physicians in California

Missouri Medicaid Expansion

Missouri’s Medicaid Expansion is proceeding, albeit at a slow rate. It is little solace for many, but still important to know that eligibility may be retroactive. Apply now.

The Secret Prices

A.J. Loiacono, CEO of Capital Rx, speaks truth about U.S. drug pricing: “But you get to the last hop in the supply chain and something magical happens. All the prices in the United States disappear, not because the prices don’t exist, but because the entity that controls the last hop in the supply chain —… Continue reading The Secret Prices

Embryonic Genetic Risk Calculation

The San Jose Mercury News reports: “Then they peered into the genome to predict the embryo’s susceptibility for common diseases that may develop decades later: breast cancer, colorectal cancer, pancreatic cancer, prostate cancer, atrial fibrillation, coronary artery disease, Crohn’s disease, ulcerative colitis, lupus, vitiligo, and Type 1 and Type 2 diabetes.” IVF today, in utero… Continue reading Embryonic Genetic Risk Calculation

Our Saline Shortage

Our current saline shortage echoes earlier saline shortages, in that supply is often tight following natural disasters (2017 hurricane Maria in Puerto Rico taking out Baxter’s manufacturing plant, etc.). There is nothing like a pandemic being fought with multiple vaccination injections to highlight this, as well. The war in Ukraine’s reduction in availability of petroleum… Continue reading Our Saline Shortage


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