Posts

Verden Group’s First Managed Care Report

Awesome, just awesome. I love it. Over at The Verden Group, they’ve been busy working on their quarterly ranking program of the 160+ managed care organizations they track. They’ve developed a unique scoring system that allows you to see, in a wonderful graphic, exactly which insurance companies stink the most. Perhaps I’ll go on in …

The Concierge Concept Continues to Spread

“A few weeks back, I pointed out a living, breathing example of a successful cash only pediatric business. I’ve also added a few posts about concierge pricing and what our customers are doing.Meanwhile, over on her blog, Susanne Madden adds some insightful commentary on the subject, including one point in there which is quite subtle, …

Prompt Pay Laws

I’m stumped. PCC has advocated that our clients use the prompt pay laws that exist for every state in the country.  We have heard, from time to time, of the “seven-cent-checks” that our clients receive.  However, I was prompted by a question from Alison over at the Pediatric Coder’s Pink Sheet, and asked around.  It …

“Insurance execs: Stop lining your pockets”

Medical Economics has commented on Susanne Madden’s article about Medical Cost Ratios [link removed]. Haven’t read it yet? Don’t do so just before bed, it will keep you up. Good work, Susanne!

Highmark Lawsuit (Feb Deadline!)

[Before I begin, it looks like there might be an important RVU update later today!] From hmosettlements.com: On October 19, 2007, Highmark Inc., and Highmark West Virginia, Inc. d/b/a Mountain State Blue Cross and Blue Shield (“Highmark”), entered into a Settlement Agreement with physicians. The settling parties filed their Joint Motion for Preliminary Approval of …

Susanne Madden arrives on the scene!

My apologies for brevity and inconsistency, but we are in the midst of a family emergency and I am racing out of town.  In my potential absence over this Thanksgiving week – and later, to augment or even replace your reading here – check out Susanne Madden’s blog!  Many of you know her from PedTalk …

Phone Reminders for Flu Shots

One thing leads to another and I found myself poking around the American Journal of Managed Care today. Doesn’t that title seem redundant to you? As though there might be, say, a Canadian version of the same publication? In this journal, I found an interesting piece about the use of phone reminders to get patients in …

AAP NCE Day 2

How’s this for breaking news? Here’s a sneak phone-camera shot of Dr. Lander presenting a well deserving Dr. Francis with the Buzzy award. Quite a day. We all heard the great news (though overdue) about United and the -25 modifier from Dr. Lander. I’ll get the official announcement shortly and post it. Great work. The …

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 …

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 …