The Confused Parent's Guide to Health Insurance

April 01, 2017 / 0 Comments / in Editorial, Insurance / by Chip Hart

Meet Dr. Chad Hayes.  He's a solo pediatrician in SC with an interesting path to pediatrics who happens to write a particularly interesting and well-considered blog (yay, English majors!).  He showed...

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Egregious Insurance Policies (Thanks, Budd!)

October 13, 2010 / 0 Comments / in Insurance, Uncategorized / by Chip Hart

A few weeks ago, there was a challenge on the SOAPM list to come up with the Top 10 Most Egregious Insurance Company Behaviors.  Dr. Budd Shenkin compiled and edited the list which, in the draft you...

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Single Payer Bogey Man

For the record, I'm not in favor of a single-payer system.  But I'm also not a fan of much of the rhetoric that I hear against the concept.

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Shame on Horizon BCBS of NJ

It started when Susanne Madden sent me this "nice" message from Horizon to help me warn our clients about games Horizon continues to play.  Bottom line: they expect to stop paying for -25 or -59...

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H1N1 Admin Reimbursement

I had grand plans to keep track of all the different payers and publicize/shame many of them, but by the time the data came in...it was too late.

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UHC Buys Healthnet -D'oh!

July 31, 2009 / 0 Comments / in Insurance, UHC, Uncategorized / by Chip Hart

OK, I admit that I missed the original headline.  I was busy in FL at the Users' Conference.  But here it is:

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Oxford Shenanigans

June 30, 2009 / 0 Comments / in Insurance, oxford, Uncategorized / by Chip Hart

A few weeks ago, Dr. Stoller sent me this (and I have just been too swamped to keep up):

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Red Alert - Changes to First Data Bank AWP!

June 23, 2009 / 0 Comments / in awp, Insurance, Uncategorized / by Chip Hart

An eagle-eyed resource sent me this today:

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A Concierge Practice Beatdown

The underbelly of the insurance industry came into view earlier this year in New York.  Here's a great summary, stolen directly from histalk2.com.  Look at the conclusive sentence:

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Who Pays For What? Today: the 96110

I have had a number of off-line and on-line requests for details about who, exactly, is paying for the deveopmental testing (96110 and 96111) and non-face-to-face codes (or the "telephone codes"), so...

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