Insight, analysis & opinion from Joe Paduda
Hospital in patient and outpatient, surgery, DME/home health, PT, pharmacy, imaging, lab… Which one is NOT like the others?? That’s easy – when it comes to impact on legacy/older claims, it’s all about pharmacy. The older a claim is, the … Continue reading One is not like the others.
Read More...The worst provisions of HB1465, aka the “any willing provider whether or not they can spell “workers’ comp” can join an MPN” bill have been removed from the text. Now, we get to deal with an almost-as-bad bill, which henceforth … Continue reading The MAJIC Act
Read More...At the height of the COVID crisis last year, some research organizations, brokers/consultants and “thought leaders” were gravely forecasting how awful this was going to be for workers’ comp. Sure, we didn’t know what was going to happen, although careful … Continue reading Comp’s culture of catastrophizing
Read More...The Greatest Country on Earth will not conquer COVID. Misinformation by “thought leaders” and their followers is the primary reason. The CDC ‘s experts no longer believe herd immunity is possible. Instead COVID will become woven into the fabric of … Continue reading Recklessness and Responsibility
Read More...myMatrixx’ Drug Trends Report is out – here are my key takeaways. Behavioral Health Kudos to the authors for the comprehensively addressing behavioral health (BH) issues. Among the takeaways are: Not addressing the mental health of injured workers can delay … Continue reading Work comp pharmacy and claim outcomes
Read More...Here’s how to think about price and service. Hint – getting it right requires taking the time to dig deep… Commodities vs specialized services All “services” are NOT created equal. Some are commodities – drugs, facilities, PPO networks, and some … Continue reading The right way to think about buying WC Services
Read More...Good to be back in the habit of regular posting…lots going on deserving of your attention. Drugs From myMatrixx, a very useful post from Phil Walls, everyone’s favorite pharmacist. Phil highlights three drugs in the pipeline that may well find … Continue reading Friday catch-up
Read More...All “discounts” are not bad. Unfortunately in comments on and emails regarding yesterday’s post a few folks jumped to the opposite conclusion. Let me explain. There are two distinctly different types of healthcare providers – let’s call them Care Managers … Continue reading Care managers vs Cost centers
Read More...When you get an offer you can’t refuse…you don’t. A couple months ago I was approached by an investment firm looking to build a niche practice focused on non-group health medical management. Long story short, for some undoubtedly very good … Continue reading Health Strategy Associates has been purchased.
Read More...Dr Steve Feinberg pointed me to two studies conducted by the Agency for Healthcare Research and Quality on chronic pain, both systematic reviews [reviews of published studies of a specific topic]. One focused on opioid treatments for chronic pain, the … Continue reading Chronic pain, opioids, and other drugs – the latest research
Read More...