Insight, analysis & opinion from Joe Paduda

Search Results for: PPO

Thank goodness Rudy lives in America!

If GOP Presidential candidate Rudy Giuliani had been a British resident, he may well have died of prostate cancer. At least that’s what he claims. He’s wrong.

Read More...
Posted on October 31, 2007Author Joe PadudaCategories Health Policy4 Comments

WellCare – the bigger implications

Yes, they are innocent until proven guilty. But it doesn’t look good for Wellcare, the Florida-based Medicaid and Medicare health plan. And what’s bad for WellCare may be bad for private insurers.

Read More...
Posted on October 29, 2007Author Joe PadudaCategories Medicare and Medicaid3 Comments

What happens when a fee schedule goes up?

I’ve always been a ‘non-advocate’ of tight fee schedules and broad based discounted networks. Actually it’s a little more than that – I believe mandated across-the-board low fees are counterproductive, ill-conceived, harmful, and may actually increase costs while decreasing access … Continue reading What happens when a fee schedule goes up?

Read More...
Posted on October 26, 2007Author Joe PadudaCategories Workers Comp1 Comment

Back pain – what the data mean

Back pain is a huge issue in workers comp – not only due to cost, but also because the range of treatment options is seemingly as broad as the number of claimants.

Read More...
Posted on October 25, 2007Author Joe PadudaCategories Workers Comp1 Comment

How does Oregon do it?

Oregon’s workers comp system is a success. It is 42nd lowest in insurance rates and among the highest benefits for injured workers in the nation. Premium rates have not gone up for eighteen (18) years. Costs have declined 50% during … Continue reading How does Oregon do it?

Read More...
Posted on October 24, 2007Author Joe PadudaCategories Research2 Comments

The Faux Canadian

A fake email from a fake Canadian has been circulating in cyberspace. It purports to help we Americans understand the problems inherent in mandated universal coverage by exposing the dark and dirty secrets of Canada’s dysfunctional health care system. The … Continue reading The Faux Canadian

Read More...
Posted on October 15, 2007Author Joe PadudaCategories Health Policy26 Comments

Their own worst enemy

Health reform is coming. This looks to be a huge win for private insurers – millions of potential new members signing up for mandated coverage. Unless, of course, the industry proves itself completely incompetent. That’s a real possibility.

Read More...
Posted on October 8, 2007Author Joe PadudaCategories Health Policy2 Comments

Win the nomination, lose the election – the GOP on health care

As I’ve noted before, there are clear differences between the GOP and Democratic Presidential candidates on health care. And it looks like the Dems’ approach is a heckuva lot closer to what regular voters want than that espoused by the … Continue reading Win the nomination, lose the election – the GOP on health care

Read More...
Posted on October 3, 2007Author Joe PadudaCategories Health Policy3 Comments

Third Party Solutions’ new strategy

TPS, the last third party biller standing, has wasted no time. Just hours (well, perhaps a couple days) after their acquisition of rival WorkingRx was announced, TPS launched their new strategy. They are positioning themselves as a vertically-integrated pharmacy solution … Continue reading Third Party Solutions’ new strategy

Read More...
Posted on October 2, 2007Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs, Workers Comp2 Comments

Will WalMart change US healthcare?

When WalMart introduced the $4 prescription program, my commentary headline was “much ado about not much”. In retrospect, too strong a statement that early on. The initial program covered less than 1% of the scripts filled at WalMart, and was … Continue reading Will WalMart change US healthcare?

Read More...
Posted on October 1, 2007Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs7 Comments

Posts pagination

Previous page Page 1 … Page 104 Page 105 Page 106 … Page 123 Next page
 

DISCLAIMER

© Joe Paduda 2025. We encourage links to any material on this page. Fair use excerpts of material written by Joe Paduda may be used with attribution to Joe Paduda, Managed Care Matters.

Note: Some material on this page may be excerpted from other sources. In such cases, copyright is retained by the respective authors of those sources.

ARCHIVES

Archives

HEALTH STRATEGY ASSOCIATES

About Joe Paduda
Engagements
Strategic Planning
Operational Improvements
Sales Improvements
Investor Guidance