Private Health Insurers Paid Hospitals 247% of What Medicare Would

 Private Health Insurers Paid Hospitals 247% of What Medicare Would

RAND researchers suggest that private insurers may want to move away from discounted-charge contracting for hospital services and shift to contracting based on a percent of Medicare or another similar fixed-price arrangement, often called reference-based pricing.

Employers can use the information in this report to help inform these comparisons and to make judgments about appropriate pricing.”

The study notes a steady increase in hospital prices, rising to the 2018 average level from an average of 224% of Medicare costs in 2016 and 230% of Medicare costs in 2017.

The analysis, which includes information from more than half of the nation’s community hospitals, is a broad-based study of prices paid by private health plans to hospitals. A study from RAND last year looked at similar metrics from hospitals in 25 states.

“This analysis provides the most-detailed picture ever of what privately insured individuals pay for hospital-based care relative to what the government pays for people insured through Medicare,” said Christopher Whaley, the study’s lead author and a policy researcher at RAND, a nonprofit research organization. “Especially during the COVID-19 pandemic, employers need transparent information on the prices that they and their employees are paying for health care services.”

If employers and health plans participating in the study had paid hospitals using Medicare’s payment formulas, total payments over the 2016-2018 period would have been reduced by $19.7 billion, a potential savings of 58%.

The rising gap between public and private hospital prices is a cause for concern and raises questions about the efficiency of the employer market,” said Katherine Hempstead, senior policy adviser at the Robert Wood Johnson Foundation, which sponsored the project. </SNIP>

Do you know your rights? Here is what to do.

Pot Brothers at Law | Shut The Fuck Up Friday

The responses should be memorized by anyone that already doesn’t have theirs ready to go.

What to do when you get pulled over? | Pot Brothers at Law – Tip of The Day



Q COPS blah blah blah Questions?

A. I’m not discussing my day sir

Q  COPS blah blah blah more questions?

A. Am I being detained or am I free to go?

Q. COPS blah blah blah more questions?



What do you do?



Learn THE SCRIPT© and SHUT THE FUCK UP™ (when cops ask questions) 👍 @pot_brothers_at_law 💪 ALWAYS BE RESPECTFUL TO LAW ENFORCEMENT

Trump will never get someone else on the court.

Democratic senator calls for eliminating filibuster, expanding Supreme Court if GOP fills vacancy

Lisa Murkowski says she won’t vote on a justice to replace Ruth Bader Ginsburg before the election: ‘Fair is fair’

Millions of female voters who are already infuriated by Trump’s degradation of women will view his ability to nominate three Supreme Court justices in a single term as an assault. They aren’t going to permit it.

NPR REPORTED Ginsburg told her granddaughter she wanted her replacement to be appointed by the next president.
“My most fervent wish is that I will not be replaced until a new president is installed,” she dictated to granddaughter Clara Spera days before her death.


Donald Trump Wanted to Keep This Video Deposition Secret. We Got a Copy. – Mother Jones

He and his lawyer hoped to prevent this footage from the Trump University fraud case from “getting into the hands of the media.”

How to Break Out of Your Social Media Echo Chamber

Platforms like Facebook are designed to profit from humans’ confirmation bias. Here’s how to restore balance to your feed.

Confirmation bias and powerful proprietary algorithms, social media platforms ensure we only get a single side of every story.
“It’s a tale of two feeds, because thanks to confirmation bias and powerful proprietary algorithms, social media platforms ensure we only get a single side of every story. Even though most Americans continue to describe themselves as holding balanced views, we still naturally gravitate toward certain content online. Over time, algorithms turn slight preferences into a polarized environment in which only the loudest voices and most extreme opinions on either side can break through the noise.”

Facebook Has Been a Disaster for the World: How much longer are we going to allow its platform to foment hatred and undermine DEMOCRACY?

Facebook has been incredibly lucrative for its founder, Mark Zuckerberg, who ranks among the wealthiest men in the world. But it’s been a disaster for the world itself, a powerful vector for paranoia, propaganda and conspiracy-theorizing as well as authoritarian crackdowns and vicious attacks on the free press. Wherever it goes, chaos and destabilization follow.

Facebook staffer sends ‘blood on my hands’ memo
Fake accounts have been undermining elections around the world, an ex-Facebook employee has claimed.

Facebook’s new policies are meant to stop the spread of conspiracy theories and hate in Groups. “For the first time, Facebook is releasing stats concerning how the social media platform moderates what goes on in Facebook Groups. Alongside the new numbers, the company has also announced new policies surrounding how it will deal with conspiracy theories and hate speech that often flourishes inside these groups.”

Debunked QAnon conspiracy theories are seeping into mainstream social media. Don’t be fooled.. “While many QAnon theories and content remain on fringe platforms like far-right message board 8kun, some have made their way into mainstream social media services like Facebook, Twitter and YouTube. On those platforms, the bogus or misleading material is gaining traction among people who have no idea they’re dabbling in QAnon.”

Phys .org: Many Americans believe false election narratives, survey shows. “‘Kamala Harris is not a natural-born American citizen.’ False. ‘Joe Biden’s family has illegal business ties with China.’ False. Believe it or not, large segments of the population are aware of these kinds of unsupported narratives related to the fall 2020 election and believe that at least some of these narratives are true, according to the first in a new series of reports by Indiana University’s Observatory on Social Media, also known as OSoMe.”

“Social media executives should play a key role in ensuring the legitimacy of the 2020 election, former Director of National Intelligence Dan Coats suggested in a New York Times op-ed Thursday. In the article, Coats, a former Trump administration official, recommended the U.S. create a new nonpartisan commission that would help reassure the American public that their votes would be counted and would aim to monitor forces attempting to undermine the election.”

Alex Hope detailed in a long blog post how he used an Instagram post from former Australian prime minister Tony Abbott, showing a boarding pass, to discern his passport number and other personal details.”

Deadly mosquito virus prompts Michigan to urge residents to stay indoors

Trump Appointees Meddled in CDC Coronavirus Testing Guidance

The Queen strips disgraced producer Harvey Weinstein of CBE

NetHappenings News Headlines 9-18-2020

DOJ seeks SCOTUS review of change to census count
Thanks to Jonathan A Weiss

Fox News Faces Lawsuit Over Its Coronavirus Coverage

Fox News Faces Lawsuit Over Its Coronavirus Coverage

Louis DeJoy orchestrated an illegal straw donor scheme to help elect Republicans, according to a complaint filed by CREW.


Moderna and Pfizer Reveal Secret Blueprints for Coronavirus Vaccine Trials  By Denise Grady and Katie Thomas Sept. 17, 2020Updated 7:26 p.m. ET
Two drug companies that are leading the race to develop coronavirus vaccines bowed to public pressure on Thursday, abandoning their traditional secrecy and releasing comprehensive road maps of how they are evaluating their vaccines.
The companies, Moderna and Pfizer, revealed details about how participants are being selected and monitored, the conditions under which the trials could be stopped early if there were problems, and the evidence researchers will use to determine whether people who got the vaccines were protected from Covid-19.
Moderna’s study will involve 30,000 participants, and Pfizer’s 44,000.
Companies typically share these documents after their studies are complete. The disclosures while the trials are still underway, a rare move, are aimed at addressing growing suspicion among Americans that President Trump’s  drive to produce a vaccine before the election on Nov. 3 could result in a product that was unsafe.
The plan released by Moderna on Thursday morning included a likely timetable that could reach into next year for determining whether its vaccine works. It does not jibe with the president’s optimistic predictions of a vaccine widely available to the public in October.
Pfizer’s plan does not appear to estimate when its results could be available. Its chief executive has said repeatedly that the company hopes to have an answer as early as October. Moderna has said only that it could have a result before the end of the year.
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C.D.C. Testing Guidance Was Published Against Scientists’ Objections
A controversial guideline saying people without Covid-19 symptoms didn’t need to get tested for the virus came from H.H.S. officials and skipped the C.D.C.’s scientific review process. By Apoorva Mandavilli Sept. 17, 2020Updated 8:44 p.m. ET
A heavily criticized recommendation from the Centers for Disease Control and Prevention last month about who should be tested for the coronavirus was not written by C.D.C. scientists and was posted to the agency’s website despite their serious objections, according to several people familiar with the matter as well as internal documents obtained by The New York Times.
The guidance said it was not necessary to test people without symptoms of Covid-19 even if they had been exposed to the virus. It came at a time when public health experts were pushing for more testing rather than less, and administration officials told The Times that the document was a C.D.C. product and had been revised with input from the agency’s director, Dr. Robert Redfield.
But officials told The Times this week that the Department of Health and Human Services did the rewriting and then “dropped” it into the C.D.C.’s public website, flouting the agency’s strict scientific review process.
“That was a doc that came from the top down, from the H.H.S. and the task force,” said a federal official with knowledge of the matter, referring to the White House task force on the coronavirus. “That policy does not reflect what many people at the C.D.C. feel should be the policy.”
The document contains “elementary errors” — such as referring to “testing for Covid-19,” as opposed to testing for the virus that causes it — and recommendations inconsistent with the C.D.C.’s stance that mark it to anyone in the know as not having been written by agency scientists, according to a senior C.D.C. scientist who spoke on the condition of anonymity because of a fear of repercussions.
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