Insight, analysis & opinion from Joe Paduda
People who obtained private health insurance coverage thru the Exchanges in 2014 were less healthy than those previously insured. A just-published article in HealthAffairs provides details on their medical issues and conditions, more on this below. [sub req] That’s not … Continue reading More insured via Exchanges is good news for Work Comp
Read More...Several years ago the CBO (Congressional Budget Office) predicted the Affordable Care Act would negatively, if minimally, impact employment. Since then, there’s been much parsing of employment data – and way too much credence given to anecdotal reports – by ACA … Continue reading The ACA and employment
Read More...20 million more Americans are covered today than were pre-ACA. ACA’s insureds are poorer, more likely to be recent immigrants, and much more likely to be Hispanic than the rest of the country. And for many, their new coverage is … Continue reading ACA – who’s covered now and why it matters
Read More...Elections have consequences, none more so than this one. With the GOP headed for potentially historic losses in the Senate and House – and another four years of a Democratic-controlled White House and administration, policy makers are working on what … Continue reading Obamacare – Round Two
Read More...WCRI’s annual meeting began with a presentation on the relationship of fee schedules to case shifting. Put another way, does physician compensation affect categorization of claims as work comp? This followed their previous study (discussed here) on the impact of … Continue reading Reimbursement’s effect on case shifting to work comp
Read More...Just realized I’ve yet to post my annual Top Ten Predictions for Workers’ Comp – my apologies! Here we go… The comp market will soften pretty much everywhere*. As rates continue to come in flat or a few points down, … Continue reading Workers’ comp – predictions for 2016
Read More...The ACA is in place and causing massive changes to the provider and payer landscape. One question broached by WCRi in recently-published research deals with the possibility of “case shifting” from group health to work comp. That is, do primary … Continue reading Does the ACA cause providers to shift cases to work comp?
Read More...Reuters reported Friday that Apax partners, owners of One Call Care Management and Genex, is “preparing to bid close to $2 billion for peer Helios, people familiar with the matter said, in what would be one of the workers’ compensation … Continue reading Another transaction in work comp
Read More...I don’t see why not. Those who don’t track these things that closely likely don’t know that UHG is in the work comp services business. Back in the spring, the company’s Optum subsidiary purchased PBM Catamaran, who had just bought work comp … Continue reading Is UnitedHealthcare going to stay in the workers’ comp services business?
Read More...The Supreme Court decision against the plaintiffs in King v Burwell marks the end of the significant legal challenges to the PPACA. It also makes it much more difficult for a future President to undo key parts of ACA, … Continue reading King v Burwell – implications for workers’ comp
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