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I HAVE A PET PEEVE. I expect it is one of your peeves as well. Maybe together we can figure out what to do...
Insurance covers a loss up to a pre-agreed total amount. Automobile insurance covers up to the total value of your car. Home insurance maxes out at the total value of the home. Life insurance pays out at a pre-agreed amount. Both the insured and the insurer know at the outset what the maximum payout can be. This cannot be done with healthcare
The financial management of healthcare is a fascinating subject that affects each of us in many ways and deeply impacts the health of our country’s economy, as well as its people.
Let us remember that there have always been healthcare providers. Often they were the smartest or most respected, or just learned from their mentors. They had little to go on because there was little knowledge. They were often helping people by just “bending” their minds.
It seems like every day there is another ranting about drug prices — understandably so. They are high and they keep getting higher. Nobody seems to be able to control them.
Reporters from a major metropolitan newspaper took prescriptions for drugs that had serious interaction potentials to a significant number of pharmacies. In the vast majority of the pharmacies, there was no indication that anything was done to deal with the interaction issue.
In the ‘60s I had a boss who was more of a mentor than a boss. He was a physician in charge of a group of four or five health professionals who were creating all of the rules for California’s Medicaid program. We had a lot of fascinating and difficult things to work on.
Yesterday was my 80th birthday. Several times I said, “Thank you for the first 80 years — they have been great. I am looking forward to the next 80. There is still much to do.” However, this is also a time to look back on what has gone on since 1936. What follows are a few of the things that have impressed me.
The difficulty arises when we make measurable things important rather than make important things measurable. What a pharmacy benefits manager’s (PBM’s) drug trend report reveals is interesting, but what it conceals is essential.
Fifty years ago (1966) Medicaid started to exist. I was the staff person in charge of all the Medi-Cal drug program’s policies.There are many fascinating stories to tell.