Day: December 10, 2012

“In place of consumers ruling their healthcare in the US, well-positioned, giant stakeholders have persuaded lawmakers to offer physicians bonus money (that will later be taken away), not for curing patients, but for using digital records “in a meaningful manner.”  It’s called Clicking for Cash.”

“….While it’s impossible to know precisely why doctors and hospitals moved to better-paying codes in recent years, it’s likely that the trend in part reflects ‘upcoding,’ — the practice of charging for more extensive and costly services than delivered…”

Continue reading Clicking For Cash

The government backtracked from an initial proposal made in December that would have let health plans cover as few as one drug per class of medicine, a move opposed by drugmakers and patient-advocacy groups that argued it would limit choices.

The federal government instead proposed that insurers can cover the same number of drugs per class as state benchmark plans, which are typically greater than the single-drug option the Obama administration had considered. The change is a win for pharmaceutical companies, which had lobbied for coverage of more medicines, said Dan Mendelson, chief executive officer of Avalere Health LLC, a Washington-based consulting company.