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February 14th, 2015

2/14/2015

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'healthcare coverage does not equate with access to healthcare'.

Clinton Wall Street global corporate neo-liberals love to say two things that are Republican ----ACA is all about making sure everyone has the benefit of health insurance coverage -----and, it's all about value-based pricing to reduce costs.  Well, reducing health industry costs which are highest in the world because of systemic health industry fraud and profiteering of tens of trillions of dollars over a few decades by finding ways to deny coverage to just about everyone is what value-based means and indeed----you and I pay huge insurance premiums to be treated like this.

GET RID OF THESE GLOBAL CORPORATE POLS AND WE CAN REVERSE THIS EASY PEASY----ALL OF MARYLAND POLS ARE BUSH NEO-CONS AND CLINTON NEO-LIBERALS!



As Clinton Wall Street global corporate neo-liberals pretend to fight for expanded Medicaid as a progressive issue, in every state that is neo-liberal----like Maryland-----the most health industry fraud and exclusion of Medicaid patients exists.  So, more Medicaid funding in Maryland that goes into a global fund while Medicaid patients have absolutely no ability to find a doctor and certainly not attain any more care than preventative care? 

LOOKS LIKE THE EXPANDED MEDICAID WAS ALL ABOUT MOVING MORE FEDERAL MONEY BY FRAUD AND CORRUPTION TO HEALTH INDUSTRY WHILE CITIZENS GUARANTEED COVERAGE BY THESE PLANS GET NOTHING.

See why the most Republican of states like Florida-----with a governor actually prosecuted in court as CEO of a health corporation guilty of billions of dollars in Medicare and Medicaid fraud-----jumped to extend Medicaid. 

BYE BYE MEDICAID FUNDS----IT'S ALL ABOUT THE FRAUD TO MAXIMIZE PROFITS!



The Maryland Assembly is moving a funding bill through House Appropriations-----yes, that is Maggie McIntosh and Johns Hopkins-----that states only the preventative care targeted Medicaid funds will be extended to the budget excluding the funds designated for hospitals.  Keep in mind that the Federal Medicaid includes funding for both and Maryland thinks it can keep the Medicaid funding for hospital care in the state Treasury and only release that for preventative care which in Maryland means COMMUNICABLE DISEASE AND DRUG AND ALCOHOL TREATMENT.

People are pushed to clinics that often have no doctor and the nursing staff has training equal to a two year certification.  The quality of care dropping to what one would find in a third world refugee zone.

Mind you-------70% of Americans are at or near poverty and that will climb to over 80% after this coming economic crash aimed squarely at our government coffers.


WE DEEM THAT CITIZENS IN MARYLAND WILL BE DENIED THE ACCESS TO MEDICARE AND MEDICAID FOR WHICH THEY SPENT DECADES PAYING PAYROLL TAXES AND FOR WHICH THE US CONSTITUTION GUARANTEES COVERAGE AND ACCESS ALL BECAUSE MASSIVE SYSTEMIC HEALTH INDUSTRY FRAUD STOLE TRILLIONS OF DOLLARS FROM THESE MEDICARE AND MEDICAID TRUSTS.
OH REALLY?????



8/20/2013 @ 10:34AM 

Attention Medicaid Patients: The Doctor Won't Be Seeing You 




With its expansion of Medicaid eligibility, the Affordable Care Act (a.k.a. Obamacare) was supposed to go a long way towards providing healthcare coverage to millions of uninsured Americans. That accomplishment was dealt a large blow by the Supreme Court, when it forbade the federal government from requiring states to expand Medicaid coverage. Nevertheless, many states plan to offer Medicaid to anyone with incomes at or below 138% of the Federal Poverty Limit (FPL). And more states might follow suit over time, under pressure from the healthcare industry, which likes its customers to be paying customers. However, even if Medicaid coverage expands under Obamacare, a big potential problem remains—many physicians will be unwilling to care for Medicaid patients. But how many physicians and which ones?

A July study in Health Affairs estimated the percent of physicians from a wide range of specialties who were unwilling to take on new Medicaid patients in 2011 and 2012. What specialty would you guess was least likely to accept new Medicaid patients?

If you are like me, you guessed some high-paying procedural subspecialty, like orthopedic surgery or ophthalmology, where the physicians are accustomed to high fees and well-paying patients. In the case of orthopedic surgery, you would not have been too far off—40% of these physicians were unwilling to make new patient visits available to Medicaid recipients. On the other hand, only 18% of ophthalmologists were unwilling to see Medicaid patients.

The “winner” was a surprise to me however: it was psychiatrists. A full 56% of them were not open to seeing new Medicaid patients. I don’t know why this is such a high number. Perhaps Medicaid enrollees have a higher than average rate of mental illness, and thus account for a disproportionate number of psychiatric patients, maxing out their ability to care for those patients. Or perhaps Medicaid fees are particularly low for psychiatric care, relative to other forms of care. I’d be curious to see if any of you readers have any other ideas.

Which doctors do you think were most likely to accept new Medicaid enrollees? Once again, I was surprised by the answer: it was cardiologists. Only 9% were unwilling to take on new Medicaid patients.

I am not knowledgeable enough about Medicaid to understand what is going on here. I would love to hear ideas from all of you.

But meanwhile, I leave you with a simple take home point: healthcare coverage does not equate with access to healthcare. Physicians have to be willing to see patients. And if Medicaid does not pay well enough to incentivize physicians to see Medicaid patients, or if it is too slow to pay off claims, or if some other barrier stands in the way of helping these patients receive needed medical care—then we need to address those barriers. It is no use to obtain healthcare coverage that doesn’t get you healthcare!

____________________________________________

For those unsuspecting California citizens having Nancy Pelosi as a Congressional pol you may not understand her original family politics and it is why California has been ground zero for all of the massive corporate frauds along with Maryland over a few decades.  She comes from Baltimore and is tied closely to Johns Hopkins of Wall Street/Bloomberg LYING, CHEATING, STEALING fame.  Below you see this link in Kaiser Permanente Insurance headquartered in California and expanding across the nation linking to health systems in Maryland big time.  Remember, the goal of Affordable Care Act is to consolidate and deregulate health care just as Clinton and Reagan did the financial industry to give us global Wall Street.  The goal is that they will be just as predatory and profit-driven as banks.  So, the managed care ACO is all about linking the insurance corporations that give insurance to the hospitals that give the care and giving those insurance corporations all control of what health care we receive making sure they maximize their profits in any way they can.  Too scared to go to the hospital with your coverage-----

GOOD----WE WANT YOU TO STAY HOME.

Below you see the major health insurer in the Baltimore area----Kaiser----and hospitals tied to Kaiser have a Kaiser wing---GBMC and Hopkins has dedicated space in hospitals just for Kaiser patients and the care and coverage keeps people from going to these hospitals.  As I said one way they exclude is to tell doctors tied to them to drop patients that become too costly or re-admit.  When Maryland says it has its re-admit data down and acts like that means good health care-----what they really mean is that they are removing access to those with the most health problems.  Maryland does its education stats just the same.  Test scores go up in Baltimore because they work hard to remove students that bring test scores down. 


IT'S CALLED THE SOCIOPATH PUBLIC POLICY FOR DUMMIES AND JOHNS HOPKINS IS GRAND POOBAH OF SOCIOPATHY.

The goal here is to have so much consolidation in these health systems----and to offer immediate national coverage by merger and acquisition----that hospitals like Hopkins gets exposure to California health markets and Kaiser comes to the East Coast and in no time at all they have monopolies in the US and are global health corporations.  American citizens are actually being made to travel across country because of these health connections.  It is so crazy that if the American people do not throw these people out of office we will officially be third world.

Where does all of Maryland's and especially Baltimore's health news and data come?  Hopkins and Kaiser.  Who controls public health in Baltimore?  Hopkins.  Where is billions of health industry fraud of Medicare and Medicaid funds?  Baltimore.

Remember, Baltimore residents living for decades around Hopkins have a 30 year life expectency lower than affluent residents.  Is this really 'forward-thinking'?


About Greater Baltimore Medical Center


GBMC combines the best of community and university-level medicine. With 255 beds and nearly 1,300 physicians on staff, GBMC is one of the largest community hospitals in the region. Kaiser Permanente is proud to partner with GBMC, with their wealth of clinical knowledge and collaborative commitment to deliver the best care to each patient.



Kaiser Permanente, Johns Hopkins Medicine Announce Enhanced Strategic Collaboration


Designed to bring care closer to home, improve quality of care and better serve communities Release Date: July 29, 2014 

ROCKVILLE, Md. — Kaiser Permanente and Johns Hopkins Medicine today announced plans to strengthen the successful collaboration between the two health care organizations. With the new agreement, Kaiser Permanente and Johns Hopkins Medicine will expand ways to deliver quality care by sharing evidence-based best practices, advancing population health programs, collaborating on education and research endeavors, and exploring how the organizations can work together to create better health care models for consumers and their communities.

“Kaiser Permanente is committed to providing high-quality health care and service, while also leading the nation in making health care more affordable for Americans,” says Kaiser Permanente Chairman and CEO Bernard J. Tyson. “This enhanced collaboration with Johns Hopkins will help us deliver on that commitment and continue to meet the evolving health needs and expectations of our members, patients and customers.”

“Health care today requires partnership among forward-thinking health care organizations,”
says Paul B. Rothman, M.D., dean of the medical faculty and CEO of Johns Hopkins Medicine. “Through a strategic collaboration with Kaiser Permanente, we will be able to cultivate the human and intellectual capital found in both organizations to significantly improve the safety and quality of care while enhancing the patient experience.”

“Combining the expertise of the nation's leading integrated care delivery organization with the expertise of the country's leading academic medical center will allow us both to provide even better quality and service to their patients,” says Robert Pearl, M.D., executive director and CEO of the Mid-Atlantic Permanente Medical Group. “As the United States works to improve its health care system, this partnership will provide powerful and important insights into how care can be provided to patients in new and innovative ways.”

The agreement between the two health care organizations will initially focus on:

• Sharing best practices and leveraging electronic medical records to accommodate the growing need among providers and patients to access clinical information quickly and efficiently.

• Strengthening the relationship between Kaiser Permanente and Suburban Hospital, a member of Johns Hopkins Medicine, by combining their collective expertise to create an advanced model of care.

• Bringing care into the home to meet the evolving needs of patients by exploring and leveraging technology to deliver personalized medicine.

• Building on the existing collaboration between Kaiser Permanente and Johns Hopkins’ Armstrong Institute for Patient Safety and Quality to advance the patient experience and improve treatment outcomes while reducing costs.

• Pursuing opportunities to develop educational programs and research-based best practices that benefit the overall health of the people in the communities we serve.

“This new agreement builds on the relationship Kaiser Permanente of the Mid-Atlantic States and Johns Hopkins Medicine have had for more than 15 years,” says Ronald R. Peterson, president of The Johns Hopkins Hospital and Health System and executive vice president of Johns Hopkins Medicine.  “Care providers from both organizations successfully have been working together to deliver high-quality care. This is demonstrated through the Kaiser collaboration with Suburban Hospital in Maryland, where physicians from both care teams work side by side to ensure the best patient outcomes.”

“Working more closely with Johns Hopkins Medicine will help us deliver an innovative care experience for our members that will translate into quality care that’s also affordable,” says Kim Horn, president of Kaiser Permanente of the Mid-Atlantic States. “This strategic collaboration will facilitate additional population health research and innovative practices benefiting both individual patients and the larger community.”

“The collaboration between Johns Hopkins Medicine and Kaiser Permanente will escalate medical solutions from the bench to the bedside,” says Brian Gragnolati, senior vice president of the Johns Hopkins Health System. “Together we can find solutions that provide patients with value-based care.”



______________________________________________

The article above shouts of Hopkins and power to educate for the best of health policy the world has ever seen all while JUKING THE STATS.

I sat in the Maryland Assembly meeting where first of the year legislative briefings were given on policy and budget and the most common mantra-----


NONE OF WHAT WE ARE DOING IS SUCCESSFUL.


Below you see one area where the report stated that Maryland citizens were being moved through these cheapened 2 year RN nursing certifications pretending they are real RN nursing degrees but they are not.  As the report stated none of these grads were able to get jobs in hospitals and were being left to go other career paths or not work.  There is a real goal for Hopkins and that is to pretend these two year certificate RNs are really RNs and assign them jobs in this lower tier of Medicare and Medicaid health care.  Indeed, when Hopkins says it's Home Health Corporations have RNs on staff to oversee home health workers who often have no training for all of the malady to which they are exposed----these are the RNs that hospitals would not take.  Cheap to train----they are simply fillers for cheapened care.  It's not their fault---they are simply being tracked vocationally in Baltimore's privatized vocational charter schools and will be paid wages near poverty instead of as a health industry professional.  So, Federal health guidelines requiring nursing or doctor staffing now have people with education training that is nothing like the strong training as a first world nation with the best in the world health care------see where third world is coming with these global corporate pols?

Baltimore's entire K-12 is geared to this cheapened job training structure courtesy of Hopkins and its corporate non-profits in health and education.

The amount of time these Hopkins' executives commit to being sinister for profit is amazing as is the commitment of their Baltimore City Hall and Maryland Assembly pols to push these policies. 

WE JUST NEED A JOB SAY BALTIMORE CITIZENS FORCED TO TAKE JOBS IN THIS HEALTH/EDUCATION POLICY FROM BANANA REPUBLIC! 

HELP US THEY SAY!



“Medicare Coverage of Skilled Nursing Facility Care” is prepared by the Centers for Medicare & Medicaid Services (CMS).

CMS and States oversee the quality of Skilled Nursing Facilities (SNFs). State and Federal government agencies certify SNFs. “Medicare Coverage of Skilled Nursing Facility Care” isn’t a legal document. Official Medicare Program legal guidance is contained in the relevant statutes, regulations, and rulings.


RN Nursing Programs in Maryland


A Registered Nurse is a person who has successfully graduated from a 2-year or 4-year university or completed a hospital-based diploma nursing program and passed a national licensing exam. These special individuals help people, families and different groups achieve and maintain maximum health, and prevent disease. On a daily basis, Registered Nurses (RNs) care for the sick and injured in hospitals, doctors offices, patient’s homes, schools and even public health facilities. Becoming a registered nurse takes great skill and patience.


In the state of Maryland, becoming a RN or a Registered Nurse is usually completed in one of two ways: an ADN (Associates Degree in Nursing) or a BSN (Bachelor of Science in Nursing). The ADN is the fastest way to become a nurse, as it only takes two years after quite a few prerequisite courses. The longer route to obtaining a nursing degree and to become an RN is a 4-5 year Bachelor of Science in Nursing (BSN) degree, which is chosen by about half of nursing students in the state.

Differences Between ADN and BSN Degree Nursing Programs

In Maryland, the course work during the first two years of an ADN program or BSN program is very similar. The primary difference between the two program types comes into play when the Bachelor-track extends beyond the initial two years of study to go further in-depth in scientific theory and research methods. The initial course work consists of lower level psychology, sociology, physiology, statistics and biology courses which a solid educational foundation. Most ADN programs prepare students to be general nurses, whereas BSN programs offer extended training to prepare the individual for management roles, research positions, becoming faculty members or specializing in a specific field within nursing. Benefits After Completion of Education

Once students complete either an approved BSN or ADN program they must take the National Council Licensure Examination-RN (NCLEX-RN). The test is given by the Pearson Vue and costs $200. The Maryland Board of Nursing must approve the nurse’s application which includes a criminal background check (fingerprints) and proof of completion of nursing training before taking the test. Once the student takes and passes the test and becomes a licensed RN in the state of Maryland, a full time RN can make an average of $69,000 per year. The original “nine to five” work schedule is very rare and nurses are usually required to work 12-hour shifts during 3-4 consecutive days.

Rewarding Results

Becoming an RN in the state of Maryland can be very challenging, yet can have very rewarding results. After all the rigorous education and studying, helping patients becomes the main priority of being a nurse. Most people choose to become nurses not only because of the great salary and benefits available, but because of the great experience of working with different kinds of people and helping them. Being a nurse can also lead to many other opportunities within the health care field and gives the individual great career options.




______________________________________________

Kaiser has a long history in California for what is described here and the article below so it would be the last health insurer a good government would allow to dominate the health industry in a state like Maryland.  We have pols committed to doing just what Johns Hopkins wants whether Bush neo-con like Erhlich or Hogan or Clinton neo-liberals like O'Malley/Brown/ and Mizeur.

Hogan just appointed a executive to head Maryland Health and Mental Hygiene after such a failed Wall Street director under O'Malley with the same goals.



Hogan has started to appoint members of his cabinet.

One of the first to be named is Secretary of the Maryland Department of Health and Mental Hygiene, Van Mitchell, who also served as deputy secretary of the state health department during the Ehrlich administration.

Management Systems International-------MSI
led by Van Mitchell and Hogan and Erhlich have him as leads in Maryland Department of Health.  Now, Sharfstein was Harvard and Wall Street so as you see know real difference.......Hogan loves the most private state health system in the nation under O'Malley!
 

You can see why Hogan was given the Republican primary lead as he entered late after Brown was known to be tanking in the Democratic primary.  Whether Brown, Gasler, or Mizeur in the Democratic primary -----all would have done what Hogan has----it is the next step---tying Maryland's health industry to global markets and Van Mitchell is that man!


Do Maryland Republican voters like Medicare as much as Democratic voters?  YES.  Do they know Hogan will end these programs as fast as Maryland's Clinton neo-liberals like O'Malley/Brown?  No.  Republican voters in Maryland do not understand the concept of Bush neo-con and global markets on Maryland's economy.


See the link to global health corporations?????




Management Systems International is the link to moving Maryland's health systems globally all while global fund model guarantees these health systems never lose profits all with Medicare and Medicaid being used as subsidy!


ABOUT US More effective public administration in Iraq. Enhanced roles for women in conflict-affected areas in Colombia. Decreased child labor and more children in schools in Morocco. Fairer oral trials in Mexico. Stronger organizations to address HIV/AIDS prevention in Zambia.

We are always driving toward results. For the last 30 years, MSI has helped to deliver development results across the developing world. We care deeply about the global issues we tackle. Our projects drive governments and organizations toward better results, helping the people they serve to live better lives.

We work in partnership. We are proud to have worked with USAID, the private sector, local organization partners, universities and foundations to create solutions to global needs. We collaborate with our partners in some of the most challenging political and economic climates in the world.

We are defined by our staff. They are global citizens. We hail from 20 countries, speak more than two dozen languages and have a grounded feel for the places in which we work.

We believe in sustainability. Today, we work hand in hand with local partners, including local, regional and national governments, media and civil society organizations, in South Sudan, Pakistan and Afghanistan and more to provide the tools and know-how to sustain the reforms long after we depart.

Our staff are development experts. We possess a core group of development experts in the fields of monitoring and evaluation, public sector reform, governance and anti-corruption who forge close relationships with our clients and partners to achieve the most effective development outcomes. More than 80 percent of MSI’s core technical work is performed by a group of 100 in-house professionals.

We’ve expanded our global reach. In 2008, we became part of Coffey International Limited — joining forces to bring effective international development solutions to clients including DFID and AusAID. This has given us global reach to offices in Australia, the Middle East, Europe, Africa and the Asia Pacific and, most importantly, enables us to act nimbly and swiftly when clients call upon us.

We focus on the outcomes. Our innovative tools and methodologies build capacity and ensure sustainability – all with a focus on development effectiveness.

We see the future. Ultimately, we aspire to create a poverty-free world in which governance and rule of law are the basis for a better life.





Look at both Baltimore pols heading Health committees in Maryland Assembly.
 

Hammen and Conway!!!





House of Delegates committee on Health:
Appointed by House Speaker:
Peter A. Hammen, Chair (410) 841-3772, (301) 858-3772
Shane E. Pendergrass, Vice-Chair (410) 841-3139, (301) 858-3139


    Angela M. Angel
    Erek L. Barron
    Eric M. Bromwell
    Bonnie L. Cullison
    Antonio L. Hayes
    Terri L. Hill
    Ariana B. Kelly
    Nicholaus R. Kipke
    Susan W. Krebs
    Patrick L. McDonough
    Herbert H. McMillan
    Christian J. Miele
    Matt Morgan
    Dan K. Morhaim
    Nathaniel T. Oaks
    Joseline A. Pena-Melnyk
    Kirill Reznik
    Sid A. Saab
    Sheree L. Sample-Hughes
    Christopher R. West
    Karen Lewis Young
    one vacancy


Senate Health committee
Appointed by Senate President:
Joan Carter Conway, Chair (410) 841-3145, (301) 858-3145
Paul G. Pinsky, Vice-Chair (410) 841-3155, (301) 858-3155


Gail H. Bates
Cheryl C. Kagan
Karen S. Montgomery
Shirley Nathan-Pulliam
James C. Rosapepe
Johnny Ray Salling
Bryan W. Simonaire
Stephen M. Waugh
Ronald N. Young




Criticism Mounts Over Kaiser's Premium Rate Hikes in California

Monday, July 29, 2013 RELATED TOPICS:
  • Health Insurance
California officials and employers are criticizing recent premium rate hikes by Kaiser Permanente, the AP/Sacramento Bee reports (AP/Sacramento Bee, 7/26).

Background on Rate Hikes In January, Kaiser increased rates by 9% for about 300,000 policyholders (California Healthline, 2/23).

Meanwhile, Kaiser's premiums for a family plan in Los Angeles have increased 34% in the past five years, the AP/Bee reports (AP/Sacramento Bee, 7/26).

In May, San Francisco Health Service System Deputy Director Lisa Ghotbi found that Kaiser earned $87 million more from city workers' premiums between 2010 and 2012 than it paid for their care.

This month, the San Francisco Board of Supervisors unanimously approved Kaiser Permanente's 5.25% rate hike for city workers' health insurance but also secured a commitment from Kaiser executives to:

  • Take several steps to increase transparency of rate hikes; and
  • Implement a multi-year "wellness plan" to reduce costs for beneficiaries (California Healthline, 7/25).
Details of Complaints CalPERS officials say that Kaiser's premiums have increased by 65% since 2007, while Blue Shield of California's rates have increased by 50% during that time and Anthem Blue Cross's rates have increased by 43%.

Meanwhile, Miguel Santana -- a budget official in Los Angeles -- said Kaiser is "not willing to have a discussion about their increases" (AP/Sacramento Bee, 7/26).

Amid the criticisms of Kaiser, numerous state officials have begun supporting a bill (SB 746) that would require insurers to provide more detailed information on rate hikes for employer-sponsored plans serving 50 or more workers (California Healthline, 7/25).

Kaiser Responds

Kaiser officials said that their premiums often are 10% lower than other insurers' rates. In addition, they said that Kaiser already provides employers with detailed data on medical costs.

Kaiser officials also said that the insurer operates differently than other health plans because it collects an up-front premium for care rather than using a fee-for-service model, making it difficult to directly compare its rates with other insurers' prices.

Teresa Stark -- director of government affairs at Kaiser -- said that California officials are "trying to force us to report information in the same fashion as every other health plan," which could jeopardize "everything about Kaiser Permanente that ... make[s] us special" (AP/Sacramento Bee, 7/26).



__________________________________________

California has a webpage called THIEVES dedicated to Kaiser-----here are some articles:

States still having labor and justice organizations and media have lots of these kinds of voices against the machine.  Kaiser is so bad and ignores Rule of Law so often that complaints and lawsuits come from all directions.  In Maryland you will not hear a peep because we have no public health oversight and accountability-----the data is completely captured-----and our labor and justice leaders would not provide the avenue for this voice.

When I commented some weeks ago about Baltimore Development Corporation and Johns Hopkins bringing only the worst of global corporations to downtown Baltimore this is a prime example AND IT IS CAPTURING MOST OF OUR HEALTH INSTITUTIONS IN THE PROCESS.

Kaiser offers many kinds of medical insurance but it is committed to Medicare Advantage giving special policies and access in order to win people away from Federal Medicare.  Remember, they are ending Federal Medicare and Medicaid in these health reforms and they give you the carrot before giving you the stick!



Kaiser Permanente Thrive Exposed

KP: Failure to Thrive – A Managed Care Watch Web Site



Kaiser cited for multiple violations of mental health care laws

Kaiser Permanente has been cited by the California Department of Managed Healthcare for multiple mental health care violations, including keeping two sets of records to hide lengthy appointment wait times from investigators. Definitely worth reading the entire article because it shows the deliberation with which Kaiser skimps on your care and then lies to cover [...]

March 19th, 2013 | Category: Kaiser Behavioral Health, Kaiser Fraud, Corruption & Cover Ups

Catch Up Post — Part 6

We’ll call this one the “George Halvorson, first reform your own organization” Edition.

An Elite Notary explains why it is so difficult to obtain legal representation in California in medical malpractice cases. Hint: it’s all about MICRA and mandatory binding arbitration, and claims against Kaiser have decreased 20% as a result. Just the legal filings, [...]



May 10th, 2012 | Category: Kaiser Behavioral Health, Kaiser Fraud, Corruption & Cover Ups, Kaiser HealthConnect EMR, Kaiser Kills, Kaiser Permanente Lawsuits, Kaiser Permanente: Failure to Thrive, Murder by PRBS™ | 3 comments

Kaiser ordered to stop denying therapies for non-physical conditions

At the end of February, the California Department of Managed Health Care (DMHC) issued a cease and desist order against Kaiser Foundation Health Plan, for denying physical, occupational and speech therapy to members with “non-physical conditions.” This action was in response to more than 100 complaints that were received by the department since 2009.

[...]

May 2nd, 2012 | Category: Kaiser Fraud, Corruption & Cover Ups, Kaiser Permanente: Failure to Thrive


Catch Up Post — Part 5


And the fraud just keeps on coming, albeit somewhat delayed on our part.

Dr. Hamid Safari, the Kaiser Fresno perinatologist who was accused of unsafe practices and causing the deaths of two babies, was cleared by the Medical Board of California and tried to get his job back. Of course the MBC practically requires a [...]

April 24th, 2012 | Category: Kaiser Fraud, Corruption & Cover Ups, Kaiser Permanente: Failure to Thrive, Kaiser Retaliation, Murder by PRBS™ | Leave a comment

Catch Up Post — Part 2


Part 2 of the Kaiser Permanente stories we missed during our hiatus from posting:

After an initial refusal by Kaiser, California Department of Managed Health Care officials finally obtained the documents needed to complete investigation of a complaint that call center scripts sometimes lead to misdiagnoses and delayed care. Two Bay Area residents filed a [...]

April 10th, 2012 | Category: Dr. Death Jayant Patel, Kaiser Fraud, Corruption & Cover Ups, Kaiser Kills, Kaiser Permanente Lawsuits, Kaiser Permanente: Failure to Thrive | 5 comments

Catch Up Post — Part 1


So many Kaiser stories have crossed our desk during the time we were not posting regularly that it would be impossible to put them all in one entry. The following is Part 1 of our attempt to catch up (we’ll add these to the Horror Stories pages later). Some of them were widely reported at [...]

April 4th, 2012 | Category: Kaiser Fraud, Corruption & Cover Ups, Kaiser Kills, Kaiser Permanente: Failure to Thrive, Privacy Breaches


KP Southern California colorectal surgery nightmare


The following Kaiser Permanente horror story arrived in our inbox a few days ago. This unfortunate patient has been put through hell for over a year without so much as an apology, and — you guessed it — as usual the medical records do not reflect the truth of what occurred. Meanwhile, in our area [...]

March 29th, 2012 | Category: Kaiser Fraud, Corruption & Cover Ups, Kaiser Permanente: Failure to Thrive | 4 comments

Another case of missing records and unnecessary death at Kaiser Permanente


Received from a loving husband who lost his wife at the hands of Kaiser, only to be put through the full “Kaiser Treatment,” consisting of stonewalling, mutilated medical records and attempts to discredit him. Unfortunately he isn’t the first.

By Richard May

The Mays in happier times

This is going to be a very [...]

February 29th, 2012 | Category: Kaiser Fraud, Corruption & Cover Ups, Kaiser Kills, Kaiser Permanente Lawsuits, Kaiser Permanente: Failure to Thrive


NLRB judge finds Kaiser guilty of threatening union voters with loss of raises and benefits

This isn’t the first time Kaiser Permanente has interfered with a union vote, which is why its Labor-Management Partnership is such a huge farce. We have been receiving complaints from Kaiser employees for years about the leaders of the SEIU working against labor for the benefit of management and their own wallets. Of course it [...]

December 15th, 2010 | Category: Kaiser Fraud, Corruption & Cover Ups, Kaiser Retaliation | 14 comments


Kaiser sued for denying legally mandated health care to 57,000


Dr. Richard Della Penna M.D., a former Kaiser physician and one of America’s leading medical experts in Elder Care and the treatment of Special Needs Patients· (“SNP’s) will file a lawsuit against Kaiser Permanente including The Permanente Federation, LLC, Kaiser Foundation Health Plan, Inc., and Kaiser Foundation hospitals as a result of Kaiser’s calculated plan to deny legally mandated proper treatment to approximately 57,000 seriously disabled and chronically ill patients in California, Colorado and Georgia because it just didn’t want to spend the money. [...] [...]





___________________________________________
Raise your hand if you understand that all of this consolidation and deregulation of the health industry will cause health industry prices to go higher in a nation having the highest costs in the world!!!!!!

EVERYONE KNOWS CREATING A MONOPOLY RAISES COSTS.

So, when they say they are bringing costs down they are saying corporations are expanding profits by lowering costs by excluding people in the health care process.  It has nothing to do with building quality care more cost-effectively.


The chart in this article shows multiple paths for health costs and one follows a 'RECESSIONARY PATH'.  Guess what, the bond market in ready to collapse and a great recession/depression is on the horizon.



2/04/2015 @ 9:13AM 


Is Healthcare Spending About To Accelerate? 


Bend a resilient object and it will spring back with a vengeance once released from your grip. Is that what is about to happen to healthcare spending?

For years now, experts have been debating ways to “bend the cost curve ” – take the sharp rise in healthcare costs, picture a rapidly ascending line on a XY axis, and slow it down, bend it so it moves horizontally to the X axis.

In the last few years, we seem to have bent the curve as we’ve hoped to. Healthcare spending is growing more slowly than it has in decades. The federal government recently reported that: “The Congressional Budget Office now estimates that Federal spending on Medicare and Medicaid in 2020 will be $188 billion below what it projected as recently as August 2010.”



But this good economic news may soon come to an end, and the pent-up energy of the healthcare economy could snap back and break our budgets if we are not vigilant.

Experts are still debating why healthcare costs have slowed down of late. Some people think the Affordable Care Act, aka Obamacare, has helped to bend the cost curve. Some posit that the rise of high deductible health insurance plans accounts for a good deal of the savings.  But almost everyone agrees that the great recession of 2008 has played a leading role in reducing the growth of healthcare expenditures. When people don’t have money to spend on healthcare, they (surprise, surprise) spend less money on healthcare.

In a New England Journal of Medicine article, Charles Roehrig from the Altarum Institute mapped out what healthcare spending would have looked like if the great recession hadn’t happened, and what it would have looked like if healthcare spending had dropped in accordance with the size and depth of the recession. The picture shows that actual spending lies right between these two extremes:





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    Cindy Walsh is a lifelong political activist and academic living in Baltimore, Maryland.

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