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Search Results for: consolidation

The first fill conundrum

OK, we’re now going to abruptly transition from the broad interest (Canadian health care policy) to the hairs-breadth narrow – this is for the folks who deal with workers comp pharmacy issues. One of the biggest challenges facing WC payers … Continue reading The first fill conundrum

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Posted on October 18, 2007Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs, Workers Comp1 Comment

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

Is the WC PPO marketplace becoming a monopoly?

Managed care execs at WC payers are getting increasingly nervous, and well they should be. There are major changes afoot in the WC managed care market. The consolidation at the top means that changes in policy and practice by the … Continue reading Is the WC PPO marketplace becoming a monopoly?

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Posted on September 4, 2007Author Joe PadudaCategories Workers Comp2 Comments

Coventry’s WC customer service

A few Coventry workers comp folks were not happy with my characterization of their customer service as less than optimal. They all noted that their customers seem happy and appreciate the high level of service at Coventry. I don’t doubt … Continue reading Coventry’s WC customer service

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Posted on June 26, 2007Author Joe PadudaCategories Workers Comp

Doings in work comp managed care

Here in no particular order are a few items of interest from the world of workers comp managed care.

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Posted on May 23, 2007Author Joe PadudaCategories Workers Comp6 Comments

Coventry’s workers comp plans

Coventry released their earnings report last Friday and hosted a “get to know the new workers comp team” event at RIMS last night. Here are the take-aways.

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Posted on May 1, 2007Author Joe PadudaCategories Workers Comp2 Comments

Another group health deal

The merger and consolidation process continues. Coventry Healthcare is acquiring two small health plans in the midwest and another chunk of the Federal Employee Health Benefit Plan. Coventry is a strong player in the mid to smaller employer market, and … Continue reading Another group health deal

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Posted on April 26, 2007Author Joe PadudaCategories Manage Care - Group Health1 Comment

The Concentra – First Health deal: Coventry’s views

Timing is everything; Coventry’s fourth quarter financials release came on the heels of the Concentra acquisition announcement, allowing the observer to compare results to prognostications.

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Posted on February 12, 2007Author Joe PadudaCategories Workers Comp3 Comments

Work comp is hot

MSC was sold last year to Monitor Clipper. Brazos invested in Cypress Care (a client). Genex was jsut sold to an investment firm, and another has bought up a big chunk of MSC’s debt. Injured Workers’ Pharmacy is on the … Continue reading Work comp is hot

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Posted on January 29, 2007Author Joe PadudaCategories Workers Comp4 Comments

Third party billers on the block

Third party billers WorkingRx and Third Party Solutions may be for sale. The two pharmacy factoring companies together own the work comp script factoring business, a sector that has been under some pressure lately. According to several industry sources, the … Continue reading Third party billers on the block

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Posted on December 12, 2006Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs, Workers Comp3 Comments

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