sjmotew Archive

As Medicaid Rolls Swell, Cuts in Payments to Doctors Threaten Access to Care –

As Medicaid Rolls Swell, Cuts in Payments to Doctors Threaten Access to Care –

I am surprised that some would even suggest that access and physician enrollment will not be substantially (and negatively) impacted with the drop in Medicaid physician payments for many states.  The impact of increased Medicaid enrollees in expansion states certainly strains provider schedules, now tie-in the relapse of reduced reimbursement insufficient to cover costs of care….we will see if standard economic theory fits here.

“We now have several hospitals that have closed, and all the hospitals in the state are hurting to some extent,”

Comment refers to Tennessee’s failure to expand Medicaid and the negative impact on state hospitals and access to care.  Article link identifies the non-traditional Medicaid expansion options that are available to states declining to access federal support.  Political pressure mounting as expected financial consequences mount for states.


I like my morning coffee…paleo-style

Coffee Beans..just not always black and reliant solely on the flavor of the bean.  It is difficult to find unaltered, non-processed additions to the morning ‘Joe’.  The creamy texture we desire is usually the result of a fat-based components, or worse, artificial fat substitutes that fall way off of the healthy spectrum.  The following is my recipe for my morning coffee flavor promoter:

-1 Can organic coconut milk (not light).  Be wary of added thickeners (carrageenan etc.)

-2 Tablespoons organic pure Cacao powder

-1/2 Tsp. organic vanilla extract OR ½ Tsp. organic vanilla bean powder

-¼ Tsp pure stevia (optional for those who must have sweeter flavor)

Place all ingredients into micro-blender, blend for minimum of 2 minutes.  Keep stored in refrigerator and add 1-2 Tbsp to each 8oz. coffee.