Insight, analysis & opinion from Joe Paduda

Search Results for: PPO

The Economist on W’s sinking of SCHIP

The ‘Economist‘ (an intelligently conservative publication) finds fault with Pres. Bush for his stubborn refusal to expand S-CHIP, you know W’s losing it. Here’s a quote from their piece (sub req) An aversion to government-run health-care programmes and new taxes–a … Continue reading The Economist on W’s sinking of SCHIP

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Posted on September 28, 2007Author Joe PadudaCategories Health Policy

Why the good news on Employer health care costs?

It looks like employers’ health care costs will increase by somewhere in the mid-to-high single digits next year. According to one survey, costs for employer-sponsored health insurance will average over $9300 per worker next year. That’s just 7% more than … Continue reading Why the good news on Employer health care costs?

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Posted on September 26, 2007Author Joe PadudaCategories Manage Care - Group Health5 Comments

Bush blasts SCHIP

Pres. Bush’s condemnation of the proposed revamping of S-CHIP is, in various places, flat-out wrong, misleading, irresponsible, and blatant fear-mongering. What is even more disappointing is his attack on legislation that has broad bipartisan support. Sigh.

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Posted on September 25, 2007Author Joe PadudaCategories Health Policy1 Comment

HWR – the back to school edition

Today, we’re leading with a quote from W, from a talk in DC October 28, 2003 …”As you know, these are open forums, you’re able to come and listen to what I have to say…” That’s not what we do … Continue reading HWR – the back to school edition

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Posted on September 20, 2007Author Joe PadudaCategories Health Wonk Review4 Comments

Reform v tax breaks

Sen. Clinton’s health care proposal is generally consistent with her fellow Democratic presidential candidates – universal coverage, an end to medical underwriting, most coverage delivered by private insurers. Giuliani’s proposal is also not much different from other Republicans’. Expanded HSA … Continue reading Reform v tax breaks

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Posted on September 18, 2007Author Joe PadudaCategories Health Policy5 Comments

Coventry’s next move in workers comp

Coventry appears to be wasting no time in flexing its market-share muscles. Sources indicate they have begun efforts to restructure deals with their network resellers – the bill review and managed care companies that have traditionally marketed Coventry’s networks to … Continue reading Coventry’s next move in workers comp

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Posted on September 11, 2007Author Joe PadudaCategories Workers Comp9 Comments

Big doings in the workers comp network business

Aetna and Coventry are negotiating a deal whereby Coventry’s WC customers would gain access to the entire AWCA network thru Coventry. While parameters could change (or the thing could fall apart entirely), multiple sources indicate the AWCA network would replace … Continue reading Big doings in the workers comp network business

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Posted on September 6, 2007Author Joe PadudaCategories Workers Comp1 Comment

The NY WC Rx Update

We’re getting a clearer picture of the implications of NY’s adoption of a (very low) fee schedule for WC prescription drugs. As I’ve noted before, the WCB has clearly stated its opinion that the regs do not allow for reimbursement … Continue reading The NY WC Rx Update

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Posted on August 14, 2007Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs, Workers Comp

Medical cost trends and consumer-directed health plans

Several sources indicate health care cost inflation is now running about 7%, with the latest coming from Towers Perrin. This jibes with other reports, and is consistent with last year’s final figures. As always, the data underlying the overall result … Continue reading Medical cost trends and consumer-directed health plans

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Posted on August 9, 2007Author Joe PadudaCategories Health Care Issues3 Comments

It’s severity, #$%&*)@!

The workers comp insurance industry is booming – losses are down, profits are up, insurance rates are plummeting, and all is better-than-well. Fooled ya!

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Posted on July 30, 2007Author Joe PadudaCategories Workers Comp4 Comments

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