Insight, analysis & opinion from Joe Paduda
A recent court ruling in New Jersey could shut down Ambulatory Surgical Centers across the state. The judge determined that physician-owned ASCs (almost all ASCs are at least partly owned by physicians) violate a state law banning physician self-referral. Not … Continue reading ASCs — good, bad, or just ugly?
Read More...Bob Laszewski reviews Mike Huckabee’s health care position over at Health Policy and Markets. The net is there’s nothing much different from the other GOP candidates’ positions. As Bob (and I, and others) have noted previously, there’s just a lot … Continue reading Huckabee on health
Read More...A strong dose of consumerism will solve the health care cost crisis because people will be more careful in spending their own money than they are when bills are paid by great big insurance companies. That’s the theory behind the … Continue reading Consumerism’s big problem – reality
Read More...Always one to oblige fellow blogger and Cavalcade of Risk Hank Stern (he of InsureBlog fame), I eagerly agreed to host this week’s edition of the CoR. Little did I suspect just how popular the ‘cade has grown – I’ve … Continue reading Cavalcade of Risk – the pre-holiday edition
Read More...Yesterday was the beginning of a review of workers comp bill review vendors; today we’ll continue with a look at FairIsaac, a firm that provides software and performs bill review and Coventry.
Read More...Networks aren’t the only work comp managed care service experiencing change these days. The bill review business is also looking a bit tumultuous, with the landscape shifting in response to, as well as independent of, Coventry’s moves. I’ll be examining … Continue reading WC Bill Review – status update
Read More...Regina Herzlinger of Harvard University is one of the more visible academic supporters of consumerism in health care. She’s also wrong a good bit of the time, not in her statements of fact, but rather in her conclusions about what … Continue reading No, the Swiss are NOT proof that consumerism works
Read More...Nothing. At least it shouldn’t. But two states (California and New York), base their workers comp fee schedule for drugs on Medicaid’s rates – despite the complete lack of similarities between the two. Why is this a problem? Lots of … Continue reading What does Medicaid have to do with workers comp?
Read More...Economist N Gregory Mankiw published a piece in the NYTimes OpEd section calling into question some common perceptions about health care cost, affordability, and the rate of uninsurance. Mr. Mankiw did make some excellent points; his interpretations on others were … Continue reading Mankiw’s tortured logic
Read More...Just when you think the health insurance industry just could not do anything more self-destructively stupid, they raise the bar. From FierceHealthcare comes the news that HealthNet actually paid bonuses to staff based on how many claimant policies they could … Continue reading Dumber than a box of rocks
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