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Search Results for: expansion

AWP and the pending changes to pharmacy pricing

This is more of a question than anything else. AWP (average wholesale price) as a pricing mechanism for drugs will eventually go away (due to a court order). There is an intense, if not very objective or helpful, debate re … Continue reading AWP and the pending changes to pharmacy pricing

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Posted on May 15, 2009Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs5 Comments

It’s official, Coventry is exiting Medicare PFFS

It’s official. Coventry Healthcare has informed their employees they will be closing up the Medicare Private Fee For Service business at the end of this year. The announcement was made today at the healthplan’s two PFFS operations centers in Houston … Continue reading It’s official, Coventry is exiting Medicare PFFS

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Posted on May 6, 2009Author Joe PadudaCategories General Insurance Issues

Obama’s speech – what does it mean for health reform?

Last night’s not-the-state-of-the-union speech covered a lot of ground, some of it rather superficially. Although health care was one of the President’s three key initiatives, he kept his comments at the proverbial thirty thousand foot level. He did take credit, … Continue reading Obama’s speech – what does it mean for health reform?

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Posted on February 25, 2009Author Joe PadudaCategories Health Policy

Is Corvel a TPA or a managed care company?

Both. At least that’s how company execs want to ‘brand’ Corvel – but it isn’t what their TPA customers want to hear. Me? I’m not so sure. Here’s how Corvel described itself in a recent SEC filing: “CorVel Corporation is … Continue reading Is Corvel a TPA or a managed care company?

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Posted on February 12, 2009Author Joe PadudaCategories Workers Comp

What the SCHIP vote means for health reform

Passage of the SCHIP expansion came about when several Republican senators joined the Democrats to pass the bill by a substantial margin. Although the bill passed the House easily (290-135), the key was the GOP votes in the Senate. This … Continue reading What the SCHIP vote means for health reform

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Posted on February 5, 2009Author Joe PadudaCategories General Insurance Issues

Coventry’s management shakeup

Yesterday’s announcement that Coventry had replaced CEO Dale Wolf with former CEO Allen Wise came after an internal review of the company’s performance, a review that didn’t come out too well. According to Dow Jones, “The move comes after a … Continue reading Coventry’s management shakeup

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Posted on January 27, 2009Author Joe PadudaCategories Manage Care - Group Health

The political winds and health reform

There’s a little more clarity about who’s handling health reform on Capital Hill and which proposals are currently in the lead. In the Senate, sources indicate the Wyden-Bennett bill is currently off the table, set aside in deference to the … Continue reading The political winds and health reform

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Posted on January 26, 2009Author Joe PadudaCategories Health Policy1 Comment

The future of health plans – predictions for 2009

This is one tough year to be putting on the swami hat and dusting off the crystal ball. There are so many moving pieces affecting the group health/individual/Medicare/ Medicaid world that it will be hard enough to analyze what happened … Continue reading The future of health plans – predictions for 2009

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Posted on January 12, 2009Author Joe PadudaCategories Manage Care - Group Health, Medicare and Medicaid1 Comment

Health care reform – we have to deal with costs

No, that’s not my entry for understatement of the decade. It is a follow up to my post last week about the impossibility of comprehensive health care reform given today’s rather difficult environment. Yet a recent editorial in the New … Continue reading Health care reform – we have to deal with costs

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Posted on December 3, 2008Author Joe PadudaCategories Health Policy3 Comments

The Democrats win big. Now what?

For the first time since the first two years of the Clinton administration, Democrats are going to dominate the House, Senate, and occupy the White House, giving Capitol Hill a decidedly blue tint. There’s lots on the agenda, but three … Continue reading The Democrats win big. Now what?

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Posted on November 6, 2008Author Joe PadudaCategories Health Policy6 Comments

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