Rural hospitals – and healthcare – are in deep trouble.

With the unwinding of Medicaid post-COVID emergency, rural healthcare is falling deeper into financial trouble. Consulting form Chartis just published their review of rural healthcare…among the findings The unwinding issue is exacerbating problems in states that failed to expand Medicaid…the … Continue reading Rural hospitals – and healthcare – are in deep trouble.

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Optum employs(?) more doctors than any other organization

The giant subsidiary of United Healthcare employs [>]90,000 MDs and 40,000 more advanced practice clinicians – far more than any other entity. That’s more than one out of every ten physicians, and a far higher percentage of practicing MDs. While … Continue reading Optum employs(?) more doctors than any other organization

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Profit shifting aka work comp is funding the P&C industry’s losses.

Or, it is a GREAT time to be a monoline carrier. The property & casualty insurance business is a tale of two extremes, with work comp profits offsetting losses across all other lines. That’s one reason multi-line insurers are dragging … Continue reading Profit shifting aka work comp is funding the P&C industry’s losses.

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RAND’s report on Alternative payment models in work comp…oh my…

RAND’s long-awaited research paper on Alternative Payment Models for California Workers’ Comp is out. It is…underwhelming, incomplete, doesn’t focus on key metrics, did not include actual examples of APMs in WC (of which there are many), makes inappropriate comparisons, and…I could … Continue reading RAND’s report on Alternative payment models in work comp…oh my…

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Can Texas Mutual help Texas’ health insurance/healthcare needs?

Texas has some rather troubling healthcare problems…and Texas’ legislators are asking the state’s largest workers’ comp insurer to help solve those problems. First, a few Texas healthcare data points… more Texans are uninsured than in any other state, access to … Continue reading Can Texas Mutual help Texas’ health insurance/healthcare needs?

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