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The Phlegmatist posted:cuttings costs by firing pharm techs and just making patients go fill their own scripts in the back somewhere I've been waiting for the pharmacy school implosion for a long time.
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Mar 30, 2018 15:04
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When all these pharmacists lose their jobs, will they be qualified to be GPs or are they completely hosed?
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Mar 30, 2018 15:55
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The lion's share of Humana business is Medicare Advantage plans. Maybe they would focus on using the fact that they are Wal Mart to get lower drug prices and beat the benchmarks?
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Mar 30, 2018 15:58
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It's that and also cost savings for Humana by pushing primary patient point of care up to the retail clinic level and keeping covered members the hell away from expensive EDs. That's one of the reasons that, despite the sudden desire for everyone to vertically integrate, nobody's trying to acquire the major hospital chains. Things are looking pretty grim for us. A lot of this is because of the massive credit-fueled buying spree in the when hospitals rabidly built new facilities and acquired physicians groups. Many chains are deeply in debt and payers are trying to keep people away from hospitals if at all possible.
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Mar 30, 2018 18:40
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KillHour posted:When all these pharmacists lose their jobs, will they be qualified to be GPs or are they completely hosed? quote:But people familiar with the pace of technological change in pharmacies don't buy the government's projections. The few who are optimistic about the prospects for human pharmacists are hanging their hopes on legal strictures. "Most pharmacists are employed only because the law says that there has to be a pharmacist present to dispense drugs," one pharmacist told me. In other words it's not the pharmacists' skills that will keep them employed—it's the fact that the humans have good unions, and good lobbyists. Once the law catches up to the reality of robot superiority, the humans will be out on the street.
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Mar 30, 2018 20:01
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It sucks because pharmacy was considered a stable career that got you into a nice six figure job. You see a lot of immigrants going into it because you can bust your rear end studying for PCATs and going to pharmacy school and not really have to deal with institutional racism like you get in other areas of the healthcare industry. And then, well, retail pharmacy will be gone soon and there's not enough jobs in other sectors to absorb the amount of newly-unemployed pharmacists.
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Mar 30, 2018 20:21
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KillHour posted:When all these pharmacists lose their jobs, will they be qualified to be GPs or are they completely hosed? So much this. Law schools are the archetype of professional school implosion everyone points to...and while I agree there's a glut of lawyers I think that's not going to proximately cause a collapse of legal services demand. In reality there's likely a huge amount of legal services that are completely undeserved in America due to high costs, and I imagine the coming years will see some sort of tech-bro disruption in that space. I don't just mean LegalZoom helping random people form an LLC or C/S Corp, but rather some sort of system that lets legal services that used to be beyond the affordability of the lower-middle and poor classes more accessible. Of course that will be concomitant with the collapse of wages for lawyers who will slowly, but surely, become little more than Uber drivers who happened to spend $150,000 or more for the privilege. That's why we're already seeing law schools close. --- But pharmacy school is a whole different can of worm poo poo waiting to explode. It seems everyone here already sees the writing on the wall for retail pharmacy, but frankly hospital pharmacists aren't safe either. Blah blah automation. If you don't know anything about this then just set your Google-Fu into motion with the search term "SwissLog". Full hospital pharmacy automation is basically just a matter of time. Not just pills in plastic packs for each dose to a patient that's delivered by a SwissLog bot cart and dispensed automatically, but far far more hospital automation that goes beyond what I'm talking about here. Honestly I don't see how *ANYONE* can hope to survive in the world of "I fill prescriptions" two decades from now. Period. I don't see how. It's already likely to be pretty hard within a decade. There's still going to be a space for research pharmacy, sure, and there will continue to be up until General AI manages to do creative work autonomously, but the research pharmacy space is nowhere big enough to handle the massive glut of unemployment coming down the pipe short of some sort of massive nationalized work program....and I seriously doubt that's going to happen even with a complete Democratic Congress & White House with a Bernie Sander-esque President. The Phlegmatist posted:It sucks because pharmacy was considered a stable career that got you into a nice six figure job. You see a lot of immigrants going into it because you can bust your rear end studying for PCATs and going to pharmacy school and not really have to deal with institutional racism like you get in other areas of the healthcare industry. I know a girl that used to be a pharmacy tech who is now going to pharmacy school. Standard Indian heritage story. She completely blows me off when I bring up how all of this is happening. I don't think she'll recognize it till it's hitting her in face. Crashrat fucked around with this message at 10:02 on Mar 31, 2018 |
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Mar 31, 2018 09:40
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Thanks to automated pharmacies I guess we'll see a lot more deaths due to bad web interfaces. https://www.wired.com/2015/03/how-technology-led-a-hospital-to-give-a-patient-38-times-his-dosage/
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Mar 31, 2018 16:06
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Crashrat posted:There's still going to be a space for research pharmacy, sure, and there will continue to be up until General AI manages to do creative work autonomously, but the research pharmacy space is nowhere big enough to handle the massive glut of unemployment coming down the pipe short of some sort of massive nationalized work program....and I seriously doubt that's going to happen even with a complete Democratic Congress & White House with a Bernie Sander-esque President. Funding for retraining and transitioning to a new career needs to be part of any push for national health care. I don't know why this is always seemingly ignored. There are just way too many people employed in health care right now period thanks to all the ridiculous red tape and middlemen that infest the entire system. UHC would put me out of a job and that's fine since I can easily find employment elsewhere. The low-level admin staff aren't so lucky -- they'll most likely be going back to retail. And most of them came into the healthcare industry on the promise that it was a stable career choice. Everyone always needs healthcare, right? At some point we'll need a broader societal response to automation (like a UBI or something) but I'm not really sure if we're at that level yet. e: in other news, the GOP might accidentally kick off a wave of hospital closures since they don't...seem to know what they're doing. at all. so this would be a good time to start pushing for nationalized health care. The Phlegmatist fucked around with this message at 17:39 on Mar 31, 2018 |
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Mar 31, 2018 17:36
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The Phlegmatist posted:e: in other news, the GOP might accidentally kick off a wave of hospital closures since they don't...seem to know what they're doing. at all. so this would be a good time to start pushing for nationalized health care. It's occasionally a state problem as well: https://twitter.com/ASlavitt/status/980161773633490945 https://twitter.com/OverlordMarie/status/979454202215837696 https://twitter.com/SamParmesan/status/980073501821493248
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Mar 31, 2018 20:23
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Paracaidas posted:It's occasionally a state problem as well: You’re in favor of registering handguns, aren’t you? Well, some of these kids possess far more power than any handgun. ... No, I don’t see a difference, all I see is weapons in our classrooms.
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Mar 31, 2018 20:56
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Arglebargle III posted:Thanks to automated pharmacies I guess we'll see a lot more deaths due to bad web interfaces. It's more like deaths caused by automated processes will be more dramatized by the news, as the overall rate of failure/death goes down. Kinda like commercial airline failures.
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Mar 31, 2018 21:03
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Paracaidas posted:It's occasionally a state problem as well: Wait what the gently caress
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Mar 31, 2018 21:29
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Hieronymous Alloy posted:Wait what the gently caress I don't know what specifically is going to be on the 2020 left platform, but by 2024 I'm betting you a nickel that I don't think the Z generation is going to tolerate the Nazi uprising. At all.
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Mar 31, 2018 21:36
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Hieronymous Alloy posted:Wait what the gently caress You know, a misunderstanding. A whoopsie. An innocent drafting error.
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Mar 31, 2018 22:04
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Hieronymous Alloy posted:Wait what the gently caress Minnesota has a whole bunch of these style of registries either run through the UofMN or the Minnesota Department of Health. Usually the UofMN starts up the registry and eventually hands it over to the State to run and maintain. If it makes you feel better there is a Minnesota Immunization Information Connection registry that tracks the immunization status of every person in the state. The Minnesota Cancer Surveillance System collects information on all diagnosed cancers among Minnesota residents. There is the traumatic brain injury and spinal cord injury registry that was grown to include all injuries from trauma in the trauma registry https://cnbd.umn.edu/research/suma-jacob-lab/find-network There is the UofMN's autism registry.
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Mar 31, 2018 22:31
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Hieronymous Alloy posted:Wait what the gently caress They're not putting spergs in camps.
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Mar 31, 2018 22:46
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Gobbeldygook posted:https://mobile.twitter.com/OverlordMarie/status/980121181339705344 I have to wonder if Dr Suma Jacob is preparing to hand off the registry to the state and someone wanted to make sure the state had the authority to run the registry and now doesn't want to fess up to it because some dipshits on twitter don't care how Minnesota works.
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Mar 31, 2018 22:56
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It was pushed by an anti-vax chiropractor, lol If you want to put all those fuckers on a list and shoot them then I won't exactly support it, but it's probably best for the common good.
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Mar 31, 2018 23:40
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They have already begun tracking us. Google Electronic Visit Verification. If you receive personal care assistant services you are going to have to carry a geolocation device with a mic and camera. They claim it's to combat fraud but it's extended beyond agency directed care into self directed care. We already get quarterly in home evaluations and two medicaid visits from our HMO. Most of the fraud is from agency care and they don't provide much as information on self directed care, nor how recovered spending stacks up to the cost of implementing and maintaining an EVV system. They already rolled it out in Ohio and it's a nightmare. Your device goes off and gives you warnings if you are x amount of feet from your home, requiring you to call in. If you want to have lunch with a friend or go out to the store you effectively have to call for permission. The main company lobbying for this is Sandata and they are getting most of the state contracts. It's really just a company paying politicians to make it an issue so they can swoop in and lock down a state for their device and support services.
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Apr 1, 2018 00:35
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quote:ORLANDO, Florida — At a medical conference, a Pennsylvania oncologist vociferously confronted a physician administrator from the Centers for Medicaid & Medicare Services (CMS) and said the agency is threatening his profession's livelihood and needs to change. hell yeah CMS and HHS are currently warring over 340B repeal which is totally something that happens in a sane healthcare system
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Apr 1, 2018 18:38
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in further democrats in the pay of the healthcare industry running terrified of Medicare For All, introducing the new, exciting wunderproduct, Medicare For Anyone! https://twitter.com/CAP_Health/status/981625201938051073 Medicare For Anyone: Because Making Your Employer Not Have The Power To Decide If You Live Or Die Focus Tested Poorly With Our Donors
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Apr 5, 2018 18:39
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Ze Pollack posted:Medicare For Anyone: Because Making Your Employer Not Have The Power To Decide If You Live Or Die Focus Tested Poorly With Our Donors Even if the new system is 100% better and cheaper people will want to be able to keep their old thing and will feel weird if they can't. Besides even if everyone was on medicare there'd still be a place for private insurance.
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Apr 5, 2018 18:43
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hobbesmaster posted:Even if the new system is 100% better and cheaper people will want to be able to keep their old thing and will feel weird if they can't. Besides even if everyone was on medicare there'd still be a place for private insurance. and after this complex battery of tests, you will be able to determine whether or not you are allowed to switch off of your employer's insurance! after all, where's the -fun- in not having to beg your insurance provider to do their loving job
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Apr 5, 2018 18:50
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New from the Center for American Progress, it's Medicare For Anyone (or Medicare Extra)! Because our health insurance industry donors have a cocked pistol held to our heads and if we utter the phrase "Medicare for All" they're gonna blow our brains out!
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Apr 5, 2018 20:24
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Just call it Tandencare.
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Apr 5, 2018 21:26
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Peven Stan posted:Just call it Tandencare. "they have a lot of sick people with assets, we have a lot of donors from the health insurance industry"
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Apr 5, 2018 21:29
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Ze Pollack posted:in further democrats in the pay of the healthcare industry running terrified of Medicare For All, introducing the new, exciting wunderproduct, Medicare For Anyone!
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Apr 7, 2018 03:39
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Defenestration posted:I wonder what cherry picked polling they get "most people are satisfied with their employer's insurance" from They probably controlled for "employer provides insurance" when looking at the answers. Or controlled for salaried workers. Or both. I'm happy with my insurance, but I would absofuckinglutely prefer government provided healthcare.
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Apr 7, 2018 03:46
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My employer paid plan demands precerts for all kinds of random procedures and the generic copay keeps on going up uP UP
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Apr 7, 2018 04:15
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Dirk the Average posted:They probably controlled for "employer provides insurance" when looking at the answers. Or controlled for salaried workers. Or both. This is me, though the degree to which I'm happy with my insurance is only compared to other insurance plans. Burn the health insurance companies and gimme that sweet, sweet government healthcare.
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Apr 7, 2018 07:19
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Defenestration posted:I wonder what cherry picked polling they get "most people are satisfied with their employer's insurance" from I suspect that most people who haven't yet used their insurance for anything major are satisfied with it, and that probably gets you a good way towards "most" Americans.
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Apr 7, 2018 08:34
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Defenestration posted:I wonder what cherry picked polling they get "most people are satisfied with their employer's insurance" from Gallup has 54% of Americans with favorable views of US Healthcare (compared to 77% ranking their own coverage 'Excellent' or 'Good')  Other high level numbers: 54% of employed Americans are satisfied with the total cost of their healthcare, which lags behind the 61% of all Americans. This matches past polling data suggesting that while the majority of those who receive coverage through their employer are satisfied with it, those numbers trail those receiving coverage through the government. Interestingly, despite majority satisfaction in their own care and favorable views of both US and especially their own coverage... 73% agree that the healthcare system "Has Major Problems"/"Is in a State of Crisis". This would go a long way to explaining the pushback experienced by healthcare reform efforts left and right. It's healthcare NIMBYism/FYGM with a heavy loss aversion component, even though the coverage and care they're protecting is substandard in most international comparisons. While I'm here, there have been a couple interesting elements from Kaiser surveys in the last few months.   SP is popular but lags behind, across all parties, a multipayer UHC. From that poll, at least: UHC as as popular with Americans as SP is with Democrats. The right column on the second graph pops out to me as well. It's from an earlier and differently worded poll, but 52% of Dems expect to keep their current care under a national health plan. That's trueish for those currently receiving government healthcare, but that doesn't make up half of the party.
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Apr 7, 2018 14:02
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Employer-provided group health insurance is the best insurance in the country, why wouldn't many people be satisfied with it?
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Apr 7, 2018 14:03
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It's interesting that poll questions about single-payer always frame the question along the lines of "Would you favor a government-run system even if it meant you paid higher taxes?" instead of, e.g., "Would you be willing to pay a fixed 5 percent more in federal income taxes toward healthcare instead of fluctuating insurance premiums and out-of-pocket costs?" Same with poll questions that ask about sentiment toward "government-run healthcare" but not about our marvelous current system of private-insurance gatekeepers/skimmers.PerniciousKnid posted:Employer-provided group health insurance is the best insurance in the country, why wouldn't many people be satisfied with it? Because of ever-increasing out-of-pocket costs combined with overly restrictive narrow networks--the same issues as the individual private-insurance market, only slightly less burdensome because of larger risk pools. Not to mention the "family glitch" within the ACA that determines employee affordability without factoring other family members. Satisfaction surveys usually show Medicare/VA/Medicaid at the top, followed by employer-provided insurance, then by individual insurance.
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Apr 7, 2018 17:33
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PerniciousKnid posted:Employer-provided group health insurance is the best insurance in the country, why wouldn't many people be satisfied with it? At my last job, costs kept increasing while coverage kept decreasing. By itself, it kept wiping out our COL adjustments. I expect this is common.
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Apr 7, 2018 17:38
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hello i am leaving the socialist worker's paradise of the NHS to the hellscape that is employer provided health insurance I have 3 options: Base PPO: $37/mo 2500 deductible, 90% co-insurance after deductible, 6000 OPM, drug coverage with co-insurance up to 2500 OPM Better PPO:$100/mo 300 deductible, 85% co-insurance, 2500 OPM, same drug coverage HDHP w/ HSA: $50/mo, $1500 deductible, 90% coinsurance after, $3000 OPM, same drug coverage after deductible also $500 HSA contribution from employer 4 prescriptions (1 generic); could be cut down to 3 since some are OTC in the US but not the UK. In contrast, the NHS: $0/mo (marginally higher taxes i guess), 100% co-insurance, $0 OPM, drug coverage is ~$14 copay with a $200 max if you get the pre-pay card. which plan is the best
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Apr 7, 2018 18:04
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Willa Rogers posted:It's interesting that poll questions about single-payer always frame the question along the lines of "Would you favor a government-run system even if it meant you paid higher taxes?" instead of, e.g., "Would you be willing to pay a fixed 5 percent more in federal income taxes toward healthcare instead of fluctuating insurance premiums and out-of-pocket costs?" Same with poll questions that ask about sentiment toward "government-run healthcare" but not about our marvelous current system of private-insurance gatekeepers/skimmers. boy it sure is weird how purchasing power correlates with satisfaction with insurance. i wonder what would happen if everyone pooled their power to dictate prices and quality
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Apr 7, 2018 18:05
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Accretionist posted:At my last job, costs kept increasing while coverage kept decreasing. By itself, it kept wiping out our COL adjustments. Do people usually attribute this to their specific plan, or to a rise in health costs in general?
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Apr 7, 2018 18:29
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PerniciousKnid posted:Do people usually attribute this to their specific plan, or to a rise in health costs in general? Usually it's the rise in health costs in general. But year after year, more people are having problems actually being able to use their insurance, mainly because of the increases in out-of-pocket costs (even among employer-provided insurance) that have been far greater than increases in salary year after year. The ACA pegs the cost of insurance premiums to one's annual income, but allows annual out-of-pocket costs to be as much as one-third to one-half of one's net income, whether insured individually or as part of a group plan. Hence one-third of those with serious and ongoing health issues skipping or deferring at least some medical care, according to one survey I saw last year. The lack of pricing controls on prescription drugs is particularly onerous for those with serious health conditions. And that's not even dealing with the issue of "balance billing," in which out-of-network providers working for an in-network hospital results in full-cost, non-covered care for people. Here are some (depressing) facts about balance billing.
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Apr 7, 2018 18:50
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