OKDrs.com

a health care company

This week's news


February 10, 2012

The health care news this week has been mostly about  contraception and catholic institutions.
It appears that part of the new health care reform bill includes the rule that if any institution accepts federal funds then it cannot deny payment for contraception.
This has produced a lot of turmoil and discussion. It is well known that catholic women do not abide by the dictums of the church as far as contraceptives are involved. What then should the average American citizen think about this issue?









December 30, 2011

There exist HMO's run by private companies which are designed specifically for Medicare patients.  Their premiums, copays and deductibles may be attractively much less expensive or even non-existent. As I understand it, the company is paid a certain fixed amount of money every year to take care of  all the healthcare needs of the indiviual enrollee. If one becomes ill, unlike traditional Medicare plans, the company may deny some tests and treatments. It is obvious that besides efficiency scales, which have a definite endpoint and limit, denying interventions and diagnostic tests would be an avenue to generate revenue.

The crucial question then arises regarding what constitutes nonessential tests and treatments. How is this decided on by one insurance company?

 

 

 

December 16,2011

 

This week’s health care news is mostly focused on ACO’s.

ACO’s stands for accountable care organization. This is basically an HMO that is owned by a hospital, insurance company, or a group of physicians.

The principle is to cut down on costs by rendering more efficient services.

The pit fall would be that which did in the HMO’s, namely denial of care.

Another hot topic this week is what is essential healthcare? In other words what is basic healthcare that will be the goal of universal healthcare for all Americans.


To read more about ACO's you can start by looking the word up in Wikipedia.