Failing Government Taketh Away

About the Book

America is number one in health care cost per capita and 38th in quality care. Statistically, Americans spend more money on their health care than anything else but food. But the consumption of the health care dollar is predominately not paid for by the consumer. The middlemen, so to speak, make the forces of free enterprise moot. Consumers are bystanders in the relationship between purchase and quality because they do not directly pay for the service or products. This phenomenon is called Monopsony. The consumer is not the buyer. But the buyer is almost singly dominant. This is the reverse of Monopoly where the seller has the last say. This is not Microsoft at work. It is the Federal and State Medicare and Medicaid programs that buy upwards of 75% of all health care service products. Under the Obama Nation Government will be the purchaser of last resort for all Americans. Due to the onslaught of the “baby boomers” both the Government run health care and the insurance industry will bankrupt America unless they learn how to Win the Monopsony Game. This book defines the problems and proposes common sense solutions.

About the Author

Jerry Is a CPA, a Fellow in the American College of Health Care Administrators, a licensed nursing home administrator and CEO of All-American Care, Inc. He has written 6 published books and over 100 published articles on reimbursement and management systems. All-American Care, Inc., his long term care operating company has owned or operated skilled restorative care facilities in Illinois, Arkansas, Arizona, Muscatine and Washington, Iowa. They are models for franchising his company’s software, management policies and procedures to other locations. While running nursing homes, as the frontline Administrator in the late 1980’s and early 2000’s, he invented a computerized method for measuring staff effectiveness. It is based on the principles of Case Management for capturing and billing for the appropriate entitlement services for Medicare beneficiaries and Medicaid recipients. This software system utilizes the care planning process to document skilled care for reimbursement and establish a basis for Activity Based Costing and Six Sigma performance measurement. He has implemented this approach in over 140 nursing homes and assisted living centers all over the country with amazing results. By balancing workload with worker capacity, labor efficiency and productivity can be dramatically improved. Once this balance is struck the runaway turnover and absenteeism is quelled and all resources can be focused on patient care. It is then feasible to pursue better restorative outcomes by eliminating wasteful labor practices and balance the Federal and State budgets for an aging America.