Monthly Archives: April 2016

Rising Drug Prices: Politicians Fight Back

Remember the “Pharma Bro?” In August of last year, Martin Shkreli was the CEO of Turing Pharmacauticals. Under his command, Turing Pharmacauticals bought the rights to manufacture the drug Daraprim. In one day, Shkreli raised the drug price from $13.50 to $750 per pill–a whopping 5,000 percent. Concurrently, Valeant Pharmaceuticals International purchased two cardiac-care drugs […]

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Understanding TennCare

TennCare is a complicated system. One can spend hours on TennCare’s website. It is a wild goose chase of flipping through several pages trying to gather the proper information. It is easy to get confused in the process. Writing about Tennessee’s Medicaid entity is difficult as well. I haven’t been successful in posting an article […]

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Medicare: An Overview

This gallery contains 4 photos.

Your 65th birthday is on the horizon. Congratulations! It’s time to sign up for Medicare. Since 1965, Medicare is the United State’s answer to providing low-cost health insurance to Americans age 65 and older as well as Americans with disabilities. A small portion of every American’s paycheck goes to funding this system of universal health […]

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Single Payer Health Systems

I reaped the benefits of universal health care in my lifetime. I spent time in France working as an English Teaching Assistant. During my eight month tenure, I was a government employee, and I had access to universal health care. Granted, I did not receive my health insurance card until month 6, but once I […]

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How Will Hillary Clinton Improve the ACA?

It is the sixth year of the ACA, and there are many glitches to the landmark law. For example, 20 million have bought health insurance through the Health Insurance Marketplace. The uninsured rate has dropped to a historic low under the law. Still this means that 29 million people remain uninsured. Despite all the accolades […]

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United Healthcare Exits Tennessee Exchange

United Healthcare announced its plans to exit the Tennessee health insurance exchange yesterday. This was really not surprising because the nation’s largest health insurer has been hinting at this business decision for a while. Also, United decided to pull out of Arkansas, Georgia, Connecticut, Louisiana and Michigan earlier this week. While the move is not […]

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PeachCare for Kids

Looking for low-cost health coverage for children in Georgia? Look no further than PeachCare. This program gives children in Georgia access to great, comprehensive health care benefits such as hospitilization, prescriptions and doctor visits. Some services are completely free; others cost very little. But first, a family must qualify for coverage from PeachCare. Who Qualifies […]

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Larger Coverage Gaps, Lower DSH Payments Raise Red Flags in Hospital Financing

Hospitals across the country, face reductions in disproportionate share payments–commonly called DSH payments–over the course of the Affordable Care Act implementation. Beginning in 1985, COBRA legislation created payments that have compensated hospitals for treating a larger share of low income and uninsured patients. The Patient Protection and Affordable Care Act imposed reductions to these payments, […]

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Short Term Health Insurance

Short term health insurance may be your only coverage option post Open Enrollment. Every year, Americans have a four month window to buy health insurance through the Health Insurance Marketplace. After January 31st, those looking to buy health insurance must have a qualifying life event to purchase coverage. Last week, I wrote an article titled, […]

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Mandatory Financial Assistance Programs: How Hospitals Care for the Uninsured

Before the implementation of the Affordable Care Act, nonprofit hospitals had to meet certain criteria to maintain their tax-exempt status with the IRS. Since the IRS views health promotion as a charitable cause, hospitals can be exempt from paying Federal Income tax. The PPACA, or “Obamacare”, expands the criteria that hospitals need to meet to […]

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