Insight, analysis & opinion from Joe Paduda
AHCA has failed, and with it the Republicans’ efforts to repeal ACA. Despite President Trump’s threats, cajolery, and bribing the Freedom Caucus, the attempt to repeal ACA is, for now and probably for the long term, dead. (Please allow me this … Continue reading AHCA has failed – what’s the next step?
Read More...If you cut a leg off your horse, it’s not going to run far or fast. If you cut two legs off, it’s going to fall over. And if someone else cut your horse’s legs off, you wouldn’t help them … Continue reading Three-legged horses can’t run
Read More...A busy week indeed! Here’s what happened that’s worthy of your attention. The Feds have been all over healthcare fraud for several years; earlier this week, Attorney General Loretta Lynch announced charges against 301 people accused of defrauding taxpayers – … Continue reading Friday catch-up
Read More...I cannot believe we actually have to discuss presumptive GOP Presidential nominee Donald Trump’s health care plan. Trump’s website calls for few specifics; most are recycled from other GOP positions while some directly contradict his past statements about healthcare or standard GOP … Continue reading Trump on health care
Read More...Is it the execs or the IT department? The workers’ comp, and, for that matter, the entire property and casualty insurance industry, is chronically systems-poor. While other industries view IT as a strategic asset, continually investing billions in IT, WC/P&C … Continue reading Who’s running your company.
Read More...Full or partial capitation, with or without risk withholds. Per-episode payments or cost caps. Fee-for-service with or without pay-for-performance. Ambulatory care episodic payments. Discount below billed charges. Packaged prices. Value-based reimbursement. The list of reimbursement types and variations is long and … Continue reading Provider reimbursement changes – painful and necessary
Read More...The ongoing rollout of the Affordable Care Act is the primary subject of this edition of Health Wonk Review – but there’s much more from the best of the health policy blogosphere – all summarized here for your reading pleasure! … Continue reading The Everything-PPACA edition of Health Wonk Review
Read More...Congratulations to Accident Fund’s Jeffrey Austin White – Jeff has been named Director of Innovation at the top-ten workers’ comp insurer. I’m honored to consider Jeff a good friend. He’s also one of the smartest people I know, and has … Continue reading UPDATE – Friday catch up, and follow up on the Aetna-CWCS story
Read More...In follow up to my posts on MSAs, I had the chance to interview Peter Foley of the American Insurance Association yesterday. Peter is quite knowledgeable about MSAs, the Medicare Secondary Payer Act, CMS’ perspectives, and how this affects payers. … Continue reading MSAs – another perspective
Read More...Thanks David – an excellent review of PPACA implementation, transparency, drug formularies in exchange plans, and all things health policy related is waiting at your fingertips – literally!
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