Pro Pharma Talks Pro Pharma
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- Gesundheit und Fitness
Welcome to Pro Pharma Talks, where we bring clarity to a variety of healthcare topics -- from pharmacy to medical insurance, and more!
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Rationing Medication Therapy
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Government Funded Research & Privately Sold Medications
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Cyber Security & Healthcare
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The Reality of Testing Positive for Covid-19
1. The science of Covid-19
2. Pneumonia Vaccine
3. Immunocompromised patients do well with most vaccinations including RSV – these patients at increased risk of infections – new research indicates that vaccinations against human papillomavirus, hepatitis B, herpes zoster are not a problem to give
4. Misinformation
Prevention is KEY!
Once you have Covid-19, now what? –
Access
Precautionary responsibility
Super-spreaders
5. Supporting Information
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A Model for High Quality, Low Cost Health Care
PP Talks – A Model for High Quality, Low Cost Health Care
Rational -Arguments over ACA indicate that it is worthwhile to find another solution that uses basic principles to deliver high quality at low cost –The Cure That Works, by Sean Masaki Flynn
Message -- health care first rate, easily accessible, and inexpensive
Singapore health care system
Target – Singapore: Elements of health care services
Insurance
Examples
US Examples
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Observations on the Argument Over Health Care Policy
1. Who Makes HC Policy?
a. State differences – access, price and coverage
b. Individuals affected –
i. 17M buy insurance
ii. 29M don’t have insurance
iii. MCare & Medicaid not affected – State expansion of Medicaid, but higher rates of inflation in Red States
2. Hospital Closures & Medicaid Expansion
a. ACA improving health care?
i. Hospitals closed in States rejecting Medicaid
1. States expanding Medicaid – lower and falling hospital closures
2. ACA – improved hospital financial performance w/lower probability of closure for rural markets and counties w/large amt of uninsured
3. Supreme Court left Medicaid expansion to the States
4. Hospital closure leads to loss of well-paying and skilled jobs
3. Wall Street – Another Option for Paying For Health Care Benefits
a. Sell wealth management to individuals
i. Lower cost method to gain new customers
ii. Morgan Stanley, Goldman, Fidelity, Charles Schwab, E*Trade, Amazon/JPMorgan/Berkshire Hathaway
iii. Wall St has the analytics to redeploy investment dollars to benefits
iv. Same as insurance brokers?
v. TPA/PBM – middleman model to transactional model
4. Geography Matters – John Wennberg, MD
a. Dartmouth Atlas of Health Care – cost of living, site of care, volume of services delivered, hospital/MD salaries
b. Example –
i. SF Chronicle reports cost in No. CA 30% > So. Ca d/t UC Berkeley Petris Center on Health Care Markets and Consumer Welfare
ii. Primary reasons -- D/t consolidation in hospitals, insurance and MD practices b/w 2010-2016 (adj for higher cost of living and wages)
iii. Result – mergers/acquisitions in health care = HP+PBMs, MD practices, Plans, Pharmacies lead to higher costs
iv. Marketplace competition, technology, telehealth, international competition, competitor ads leverage cost differences
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Make sure to subscribe to get the latest episode.
Contact Us:
Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html
Email: info@propharmaconsultants.com
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