Doug Farrago

What’s a Deductible?

What happens when you have a society that was trained to believe that when you have health insurance that everything is covered?  Chaos.  Duke University Health System is fielding 1,500 patient calls a day, most of them asking why they got a bill since they’re insured. Really? Duke has “also seen patient interest-free payment plans rise from…

Getting Paid for a Unicorn

The Centers for Medicare & Medicaid Services (CMS) is giving out millions of dollars to help small practices succeed in the QPP.  What is the  QPP?  Well, it’s the Quality Payment Program, silly, and it is more elusive than the unicorn or Bigfoot.  Here is the plan: These groups will provide hands-on training to help…

Racist by Pat Conrad MD

This is going to get me in trouble, but it needs to be said. Certain minorities in this country are sucking the health industry dry and they need to be cut off. It’s well known that those descended from the Scots had terrible cardiovascular problems that they don’t even try to address, and yet we…

Can Amazon Actually Kill People by Steven Mussey MD?

The internet has become life or death to millions. This is not an exaggeration.  Our representatives in the United States Government, paid by Electronic Medical Records (EMR) software companies, mandated doctors participate in this scheme of records management. Doctors must use software, integrally linked into the internet, to provide daily care. (We still can’t share…

Gambling For Better Bonuses

More and more Medicare Accountable Organizations are “taking on upside and downside risk under CMS’ Medicare Shared Savings Program and Next Generation ACO Model.”  That’s interesting.   You have to love a healthcare model  that pressures large organizations of doctors to take bigger risks with unproven metrics.  Here’s more: The two-sided risk allows participants to receive bonuses if…

The ABFM is Taking My Certification

This is a follow up to last week’s post.  I was under the impression that I could skip the bogus yearly mandates by the American Board of Family Medicine and just take the ridiculous test in seven years as opposed to ten.  Turns out I am wrong and it is more crooked than I thought.…

Meanwhile, Back at the Trough …by Pat Conrad MD

Right now the U.S. House of Representatives is debating HR 708, the State Age Rating Flexibility Act of 2017. Under the Affordable Care Act, insurance companies were only allowed to charge older customers a maximum of three times the premiums charged to younger customers. The State Age Rating Flexibility Act would allow insurers to charge…