Insight, analysis & opinion from Joe Paduda
I’ve fielded several calls over the last few days from clients and colleagues asking about the potential implications of the Obama Administration’s vow to more rigorously enforce antitrust regulations. During the eight years of the Bush Administration, not one case … Continue reading Anti-Trust and the work comp managed care business
Read More...Perhaps the biggest battle brewing in Congress in the health reform war is that of the public option. As I said back in January, “Opponents claim that the Feds would have an unfair advantage due in part to their sheer … Continue reading Why a public health plan option isn’t anti-competitive
Read More...There’s been much talk about the pros and cons of Medicare for All as one option in a national health reform plan. Think Progress addressed the major complaints opponents of a governmental option have; Merrill Goozner’s piece last week focused … Continue reading Health reform – Debunking the argument against the government plan option
Read More...This is one tough year to be putting on the swami hat and dusting off the crystal ball. There are so many moving pieces affecting the group health/individual/Medicare/ Medicaid world that it will be hard enough to analyze what happened … Continue reading The future of health plans – predictions for 2009
Read More...As the options on the table become somewhat more clear, it appears all but inevitable that any national health reform program will include a public insurance option, sometimes labled as “Medicare for All”. The plans offered by Pres. Elect Obama … Continue reading What are health insurers afraid of?
Read More...In all the commentary and discussion about the source of AIG’s problems I’ve yet to read or hear what may be the most important contributor – the company’s culture. There’s no question AIG was long considered one of the world’s … Continue reading AIG’s troubles – the cultural roots
Read More...A few weeks ago I wrote about the big profits hospitals get from workers comp, and closed with the observation that comp payers are overpaying hospitals. The question is why? Glad you asked. Since OUCH (predecessor organization to First Health, … Continue reading Comp networks and hospital costs
Read More...So the purchase of MSC Pharmacy Services by Express Scripts will be finalized within a few weeks; what’s next? It is way too early to tell, as the announcement hit the street just last Friday. That said, from discussions with … Continue reading MSC and Express Scripts – future plans
Read More...The private equity and venture capital folks have been prowling around the WC managed care world for a couple of years now, looking for opportunities to invest their hard-solicited cash. Firms have invested in PBMs (MSC and Cypress Care), bill … Continue reading So, you want to invest in workers comp managed care?
Read More...Market consolidation continues unabated… Industry giant United Healthcare is acquiring Fiserv’s TPA and related businesses for $775 million in cash. The deal, slated to close either this quarter or next, does NOT include Fiserv’s third party biller operations.
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