7 payers exiting Medicare Advantage markets in 2025

7 payers exiting Medicare Advantage markets in 2025 https://www.beckerspayer.com/payer/5-payers-exiting-medicare-advantage-markets-in-2025.html Seven insurers are exiting Medicare Advantage markets in 2025, a number that is likely to grow in the fall. There are 3,959 Medicare Advantage plans available nationwide in 2024. The average number of plans available to beneficiaries is 43, unchanged from 2023.  Seven insurers exiting Medicare […]

No one is above the law: except those in charge of enforcing our laws

Have President Roosevelt was re-elected for his FOURTH TERM, Congress imposed term limits on our Presidents.  How President Biden wants term limits of 18 yrs on the SCOTUS. Who has Congress never considered imposing term limits on? – CONGRESS THEMSELVES. Just look at how many members of Congress are in their 80’s!  Airline pilots MUST […]

I asked www.perplexity.ai: Impact of CDC Opioid Dosing Guidelines on Chronic Pain Management

All one has to look at to get the validity of the overall answer from this AI chat is the 5 citations at the bottom of the text. FOUR were from the CDC and ONE from the Medical Board of CALF. Many consider healthcare a HUMAN RIGHT, so the “so-called experts” that put the two […]

The Role of PBMs in Rx Drug Markets Part III: Transparency and Accountability

Back in the day when the PBMs showed up – late 1969-1970. The vast majority of the community pharmacies were independent – somewhere in the mid-40K – independent pharmacies. Back then the fed DOJ came out and made it quite clear that if more than one pharmacy tried to form groups that would negotiate when […]

SOON: No longer made in the USA

Historically, the pharma industry has not functioned on a 20% gross margin profit, as was stated in this article I know when the brand name pharmas dominated the pharma industry, the industry – on the whole – had the highest NET PROFIT of any industry. This is just another casualty of the Insurance/PBM industry’s goal […]

Biden/Harris Admin Bans Senior Citizens From Holding Bible Studies

“The moral test of a government is how it treats those who are at the dawn of life, the children; those who are in the twilight of life, the aged; and those who are in the shadow of life, the sick and the needy, and the handicapped.” – Hubert Humphrey, VP Pharmacist The residents of […]

Investigate TV on VA hiding paperwork on pt harm

Everyone should watch the first half of this TV show. Investigation of how military healthcare HIDES and refuses to disclose to families how the military healthcare system refuses to provide the medical records of their loved one who is harmed or dies under military healthcare.      

This is why having 15% of product confiscated is just the cost of doing business

We bought everything needed to make $3 million worth of fentanyl. All it took was $3,600 and a web browser https://www.reuters.com/investigates/special-report/drugs-fentanyl-supplychain/ At the tap of a buyer’s smartphone, Chinese chemical sellers will air-ship fentanyl ingredients door-to-door to North America. Reuters purchased enough to make 3 million pills. Such deals are astonishingly easy – and reveal […]

Breaking throughput barriers: A hospital’s AI-powered approach to improved efficiency

In the early 80’s we expanded our independent pharmacy into providing Home Medical Equipment as hospitals’ reimbursement was changed to a new prospective DRG program. Basically, the hospital was paid a flat $$ when the pt was admitted, based on the pt’s diagnosis.  If the hospital cost to treat the pt was more than the […]

Compounded Semaglutide (GLP-1) Overdoses Tied to Hospitalizations

Compounded Semaglutide Overdoses Tied to Hospitalizations https://www.medscape.com/viewarticle/compounded-semaglutide-overdoses-tied-hospitalizations-2024a1000dte Patients are overdosing on compounded semaglutide due to errors in measuring and self-administering the drug and due to clinicians miscalculating doses that may differ from US Food and Drug Administration (FDA)–approved products. The FDA published an alert on July 26 after receiving reports of dosing errors involving compounded […]