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The Massachusetts Avenue of health reform

The Health Policy Exchange

In contrast to the personality-driven path that Lyndon Johnson took to navigate legislative obstacles to Medicare and Medicaid, former management consultant Mitt Romney charted a decidedly different course to expanding health insurance when he became governor of Massachusetts in 2003. It was one thing to ask drivers to buy car insurance.

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Winds of Change

Evergreen Family Medicine

There are many forces, seen and unseen, contributing to this transformation.First, since the 1990s, hospitals have been consolidating to form health systems that exert monopolistic leverage in many health care markets.

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Legislative passage of Medicare

The Health Policy Exchange

health care legislation until the 2010 Affordable Care Act. Like every federally financed health insurance initiative to come, Medicare ended up costing substantially more than initially projected. (In This short video produced by the Kaiser Family Foundation summarizes changes that occurred in the program in the intervening years.

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Hospice in Prison Part 1: An interview with Michele DiTomas and Keith Knauf

GeriPal

So in 2010, there were about 150,000 incarcerated people in California. But when we look at people over the age of 55, 55 and older, we had about 11,000 in 2010, and now we have 18,000 people aged 55 and older. When they built a new prison hospital in Stockton, the dialysis went there.

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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

Nursing home, length of stay, I think it was like back in 2010, at the end of life. And so they’re in there for a very short time, couple weeks, get a little bit stronger and transition home after a hospitalization. The only time that Medicare is paying for nursing homes is in that post acute hospitalization rehab context.

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‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options

Physician's Weekly

But that’s when his family began fighting another adversary: their health insurer, which decided the treatment was “not medically necessary,” according to insurance paperwork. Health insurers issue millions of denials every year. “They’re, like, not accountable to anyone.” Senate report.