Insight, analysis & opinion from Joe Paduda
Now that health reform is the law of the land, the focus has turned to implementing the law itself. As anyone knows, the real work, and the real impact, is in the details, the definitions, the requirements and operating guidelines. … Continue reading Implementing Health Reform – Health Wonk Review reports
Read More...There’s a good bit of activity on the regulatory front as states with work comp pharmacy fee schedules consider possible changes to address the myriad issues inherent in AWP. A little background will help frame the issue. First, it’s important … Continue reading Should Medicaid be the basis for work comp drug fee schedules?
Read More...Earlier this week we discussed the impact of pending changes in the world of big pharma will affect workers comp. Changes to Medicare physician reimbursement, also just over the horizon, will have a dramatic impact on workers comp in ways … Continue reading Where the work comp world is headed – part 5, physician reimbursement
Read More...If ever there was a time to be writing about health reform, this is it. It’s an even better time to be reading about health reform. Is health reform dead, or is it just snoozing, waiting for a Prince Charming … Continue reading Health Wonk Review – so, what do we do now?
Read More...You’d think I’d learn not to make public predictions that may come back to haunt me, providing ammunition for folks who think I don’t know diddly. But I subscribe to Teddy Roosevelt’s philosophy” “The only man who never makes mistakes … Continue reading Workers comp managed care – predictions for 2010
Read More...Thanks to the good folks at Workers Comp Insider, I learned of an intriguing study conducted by Conning and Company that concludes (in part) that private work comp insurers don’t perform as well as public ones. Here are a couple … Continue reading The Public Option in Workers Comp
Read More...No one knows just yet, not even the regulators and legislators who are the ones tasked with coming up with a mechanism to replace AWP – which is going away in less than eighteen months. More accurately, the First Databank/Medispan … Continue reading Work comp drug fee schedules – what’s going to happen?
Read More...Physical therapy is one of the least understood components of work comp medical expense. This lack of understanding begins with a wide range of ‘definitions’ of what counts as PT – from services performed by physical therapists, to all the … Continue reading Managing physical therapy – what works and why
Read More...Yesterday we examined the health insurance industry’s role in the current reform process. Today we’ll look at the recession’s impact on reform initiatives. There are two obvious effects of the recession – fewer folks with insurance, and lower revenues for … Continue reading The recession and health reform
Read More...A couple weeks ago the good folks at PMSI sent a copy of their excellent Drug Trends Report over for a preview before the ‘official’ release at RIMS. There’s some interesting stuff in the Report, lots of good info about … Continue reading So, which PBM has ‘better’ results?
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