Insight, analysis & opinion from Joe Paduda

May
1

Disaster central

Disaster preparedness and recovery and storm and weather forecasting are new to, and very obvious on the exhibitor floor at RIMS. Since this year’s annual conference is in New Orleans, that’s no surprise.
The disaster theme began in the morning keynote, where an official from CDC talked about the potential for a pandemic.
While disasters natural and biological may be the theme, the common nuts and bolts of risk management are more what attendees are after. Several risk managers were left scratching their heads after the keynote.
The consensus was “well, that was kind of interesting, but the chances for a pandemic are pretty small, and there are a lot of other issue out there that I’m really worried about…like TRIA renewal, the insurance cycle, property rates…”
The disaster folks do have cool videos and charts, and have spent big bucks on their displays.
The other interesting attendee is Blackwater, the private security and protection firm that has been very visible in Iraq of late. They are pitching protection for American companies’ overseas locations and employees, and may have a ready audience among oil companies operating in Nigeria and the mid-east.
All in all, a different flavor this year, one that is just a bit disconnected from the real concerns of most risk managers.


Apr
30

RIMS’ good start

I’m attending the annual gathering-of-the-property/casualty-industry-tribes, vendor trinket-and-trash -ree-for-all, expense-account-depletion event known as RIMS (Risk and Insurance Management Society’s annual meeting), and will be blogging from New Orleans for the next three days.
Before I dive into the exhibit hall, a quick note complimenting the organizers for their commitment to the local folks. This year RIMS coordinated a volunteer day, wherein insurance types donned working garb (jeans., not suits) and headed out to communities in the city to continue the clean up from Katrina.
This was not only a great thing for the organizers and organization to do, it may well have been a sobering experience for the risk managers. Few have ever seen the likes of the devastation they were cleaning up yesterday. Picking up debris while surrounded by broken glass, trash-strewn streets, empty lots and condemned buildings can’t help but add raw appreciation of the reality of “risk”; risk that in most cases has been viewed solely from a financial perspective.
This Risk:Real World may well be worth repeating.


Apr
27

Direct to Doc marketing

Big pharma woos docs with free food, trips, and samples. Now that’s a “dog bites man” story. The reason for the ongoing marketing to docs is obvious – more contact, more drugs sold.
But the world is starting to look much more closely at the pharma-physician relationship, and that examination is likely to bring changes.

Continue reading Direct to Doc marketing


Apr
26

Another group health deal

The merger and consolidation process continues. Coventry Healthcare is acquiring two small health plans in the midwest and another chunk of the Federal Employee Health Benefit Plan.
Coventry is a strong player in the mid to smaller employer market, and a major player in the FEHBP (due to their First Health acquisition). This deal, which is valued at about $130 million and is all cash, makes sense for Coventry and Mutual of Omaha. MoO has long played at the periphery of group health, never quite getting to any significant mass.
And the consolidation continues…


Apr
26

Implants

Just to be clear, I’m talking about the ones used in spine surgery, bone and joint surgery, and other orthopedic procedures. The use of surgical implants has grown dramatically, as have their prices, and the impact of utilization and price means big bucks for WC payers.
Big bucks as in $72 million in California alone. As in adding 11% to 33% to inpatient hospital bills in the Golden State.

Continue reading Implants


Apr
24

Decisions about health care

The good folks at the California Healthcare Foundation explain why more information does not necessarily equal better consumerism.
Their main point? Consumers’ decision making processes are not linear, simple, or straightforward; the deep complexities of the health care decision-making process do not lend themselves to simple metrics and ranking systems, yet that’s what consumers like to use.

Continue reading Decisions about health care


Apr
23

Desperate times, desperate measures

The largest health plan trade group wants to form a new agency to “compare the cost and effectiveness of medical treatments as part of a series of recommendations to reduce health care costs.” (California HealthLine from CongressDaily) At first blush that’s pretty similar to what the Agency for Health Care Research and Quality is doing today.

Continue reading Desperate times, desperate measures


Joe Paduda is the principal of Health Strategy Associates

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A national consulting firm specializing in managed care for workers’ compensation, group health and auto, and health care cost containment. We serve insurers, employers and health care providers.

 

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