Posts

Broken Promises

Yes, I’m breaking my promise to post the appeal letter today. However, that’s not the promise for which today’s entry is titled. Something more important needs to be communicated. I’ve written many times about Susanne Madden and her Verden Alerts. Why the world hasn’t pounded down her door and signed up for her service is …

The Verden Effect

A couple weeks ago, the Verden Alert gave me this little notice about Oxford: Please note that in an effort to become more transparent and communicate more clearly, Oxford has modified its policy change listings. Oxford now posts exactly what revisions have been made to its changed policies. Interesting, because happened shortly after the release …

“We will not sacrifice profitability for membership.”

They usually write themselves. Reason #1156 to pay attention to Susanne Madden and the Verden Group – the AMA itself has turned to her for an analysis of the exodus of patients from many of the large, national plans. Apparently – based on the quote above, from Wellpoint’s CEO – the insurance companies are more …

Perhaps I Spoke Too Soon (More UHC/Ingenix and Oxford/Alerts)

Just as Dr. Stoller hit PedTalk with the info, I was reading the teaser over on FierceHealthcare: Now, a consumer is raising the stakes a bit by attempting to get class action status for a suit against Ingenix itself. I’ve written about my experience with the Ingenix “data” and their relationship with UHC, though I …

Verden Does It Again

I really can’t make too much of the quarterly Verden Rankings. Anyone sitting down to negotiate with an insurance company or analyze contracts should have a copy in hand. It’s not only free, but you can’t get that kind of information anywhere else. Amazing. Anyway, check out Susanne Madden’s latest blog, which points out a …

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 …

Catch Up

I get a lot of little messages every day that I feel like I should save and/or share, but they don’t add up to an entire blog entry (I don’t like to do more than one a day, if that, as it feels like spamming). So, here’s my house cleaning: The AAP has released the …