One Small Lawsuit for Mankind

I have to come up with an analogy for the Great Medical Insurance problem here in the US. The Rebels vs. The Empire? Robin Hood vs. The Sheriff of Nottingham? David vs. Goliath? None of these is just right, but they each contain elements of the issue: a giant, controlling source of pain and trouble …

Slowly Turning Tide

Vaccines may be saving the lives of children, but they are killing the docs who give them. Pediatricians have to pre-purchase tens or hundreds of thousands of dollars of vaccines, insure them while they sit in the fridge, and then are often paid at or less than what they paid for the vaccines themselves when …

Retention Rate

The most common worry I hear from practices considering dropping a plan is that they can’t afford to “lose all those patients.” The larger the portion those patients make of a practice, the scarier it gets. “BCBS/Aetna/Oxford/etc. is 25% of my practice! I can’t lose 25% of my visits!” Ultimately, it’s the greatest obstacle in …

2007 RVU Snag

The 2007 RVU changes were a bit of a mess. Read the AAP’s RVU brochure you’ll see this little tidbit: Budget Neutrality: Statutory guidelines indicate that revisions to the RVUs for physician services may not alter physician expenditures within the Medicare RBRVS physician fee schedule by more than $20 million from the principal expenditures that …

All For One! (The Myths of Merging)

I took another “We Think We Need To Merge!” call today from a thoughtful practice on the east coast. A couple small groups, aimed at getting a more fair piece of the pie. Can’t say I blame their intent. Practice mergers are like tattoos – they sound good when you and all your friends have …

Sometimes They Write Themselves

Paraphrased from a customer message on our client-only mailing list today: I was wondering what you think of Coventry Health/Health First. I guess they have replaced old Health Care Value Management. We have been noticing that since Coventry has replaced HCVM their reimbursement has been ridiculously low… I called him and complained. Someone called back …

Another Day, Another Bluff

I’m going to take some liberties with an email I received from one of our customers today. Very typical. He’s been an “honor student” lately and has increased the revenue for his practice by tens of thousands of dollars simply by asking for what they should have been getting all along. After picking off some …

Convergence of Friends

Physician’s Practice just ran this article [may be broken]. It’s a real treat for me because, once Dr. Stoller does her presentation about Ghana at our 2007 Users’ Conference, then all three of the principles of the article – Pam Moore, Dr. Stoller, and Susanne Madden – have given presentations at our UC! Small world. …