Insight, analysis & opinion from Joe Paduda

Search Results for: PPO

Friday catch-up

Today’s catch-up is pretty workers’ comp-centric.  Lots going on, so here we go. The ACOG (APAX-Coventry-OneCall-Genex) conglomeration continues.  A couple of items of note; APAX is out recruiting several execs to add depth and experience to the senior management ranks. … Continue reading Friday catch-up

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Posted on September 12, 2014Author Joe PadudaCategories General Insurance Issues5 Comments

What’s your Plan B?

The pending acquisition of Coventry Workers’ Comp Services by APAX will consolidate a very big chunk of the work comp managed care services market.  The potential impact bears careful consideration. I’ve taken the liberty of quoting below from a piece I … Continue reading What’s your Plan B?

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Posted on September 4, 2014Author Joe PadudaCategories Workers Comp6 Comments

The Apax-Coventry deal – implications aplenty

While it may be a bit premature, I’d suggest it is never too soon to being thinking thru the potential implications of a deal of this magnitude.   Let’s do a very quick review of market changes, then jump into … Continue reading The Apax-Coventry deal – implications aplenty

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Posted on September 3, 2014Author Joe PadudaCategories General Insurance Issues, Workers Comp2 Comments

Aetna’s sale of Coventry – the deal is done

While it may not be closed, the deal is done. Multiple sources indicated APAX is scheduled to close the purchase of Coventry Workers’ Comp a month from now.  The long-rumored sale will close October 1 – if everything goes according … Continue reading Aetna’s sale of Coventry – the deal is done

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Posted on September 2, 2014Author Joe PadudaCategories Workers Comp33 Comments

Friday catch-up

The last couple weeks of the “real” summer are flashing by…things have been a little slow out there but a few items of note crossed my virtual desk this week. Workers’ comp From Insurance Thought Leadership comes a piece about … Continue reading Friday catch-up

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Posted on August 22, 2014Author Joe PadudaCategories General Insurance Issues

Friday catch-up – the work comp world

WorkCompCentral’s Joey Berlin wrote up the details of a presentation on chronic pain treatment featuring Gary Franklin MD, Medical Director of Washington state fund L&I, Kathryn Mueller MD, Medical Director of Colorado’s Work Comp department, Noah Aleshire of the National Center … Continue reading Friday catch-up – the work comp world

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Posted on July 25, 2014Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs

Monday catch-up

Summer is in full swing, which means the A/C is running at full blast in Florida and Texas, while those of us in upstate NY are gloating…I know, you will be soon when we’re subzero and you’re at 70… Things … Continue reading Monday catch-up

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Posted on July 21, 2014Author Joe PadudaCategories General Insurance Issues3 Comments

Latest changes in the work comp PBM world

Helios is the new name for PMSI/Progressive.  The idea is to have a single name for the two different firms, both of which had positive brand images in the work comp world.  In talking to the marketing folk, their take … Continue reading Latest changes in the work comp PBM world

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Posted on July 16, 2014Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs, Workers Comp1 Comment

Compound medications – a killer scam

Compound drug use is exploding – so much so that Texas has changed their employee benefits program to limit reimbursement to $300.  They didn’t have much choice, as the Texas Employees’ Retirement System’s compound drug costs have gone up 4,600% … Continue reading Compound medications – a killer scam

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Posted on July 7, 2014Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs, Workers Comp6 Comments

Friday catch-up

A rather busy week to be sure.   Not exactly beach reading, but plenty of food for thought while you’re manning the grill, watching the game, or lolling about. Reform rollout The biggest news was the decline in health care … Continue reading Friday catch-up

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Posted on June 27, 2014Author Joe PadudaCategories General Insurance Issues1 Comment

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