After my hospital adventure with the kidney stone, I return home on Tuesday, April 22, pain medicine in hand, to wait it out until I went to see Uroman, my long-time urologist, on Friday the 25th. He knows me well and is a friend as well as my physician. He has always been helpful, lays…
“Formulary? I didn’t even know I had one,” you might say. “What is a formulary?” Your formulary is the list of approved medications for which your health insurance will pay full policy benefits. The amount of benefits varies under all policies, based on whether the drugs are generic or single-sourced under patent protection. Naturally, the…
The President has worked hard to sell the ACA to folks that don’t want it, particularly those who aren’t really interested in paying higher than actuarial prices for insurance they don’t particularly need to underwrite those who do. This wealth transfer system is not very attractive. But the President has worked so hard to sell…
Let me get this straight. In the continuing effort to fix things, Health and Human Services (HHS) has strongly encouraged insurers to do the following things: 1. Pay claims for folks who have not yet purchased health insurance by paying their premiums. 2. Treat out-of-network health care providers as if they were in network. 3.…
I have been the recipient of some benefits under the Patient Protection and Affordable Care Act (The ACA, also known as Obamacare). I wonder by what name I should call it now? Should I take the administration’s recent cue and revert to calling it the ACA instead of Obamacare? Should I call it the ACA…
In an effort to limit costs, as any insurer is wont to do, Magnolia Health Plan in Mississippi has signed up all the Medicaid healthcare providers, and not one single provider more. Among the president’s many claims that are not panning out, his claim, “If you like your doctor, you can keep your doctor,” is…
Mississippi Chris Sharp CLL Blog 