Here's a PCC client speaking about his localized ACO/hospital experience. I spoke with him a few times during the process and the message I think we kept coming back to is that the hospital is rarely a pediatrician's friend.
I believe my first series of blog posts years ago were specifically about insurance negotiation tactics. It's been a while, and John Canning sent me this link to share. Although it's a bit sp[censored], I can certainly confirm that I've seen the insu...
I picked up the WSJ while heading to our UC the other morning and read this article about a multi-billion dollar settlement with the credit card companies. One key piece of the settlement is language that allows vendors, such as pediatric practices, ...
During the NCE, Dr. Couchman suggested that I whip together a spreadsheet to show how to quickly calculate the divot made when you drop a poorly paying insurance company. Here it is.
First, Dr. Stoller threw out this amazing reference on SOAPM. It's a fast read from Wendell Potter (you remember, the former CIGNA-exec turned whistle blower) about talks happening between the insurance companies and Congress right now.
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 see below, I find quite impressive.
I've had a busy summer and just wrapped up my time at the Florida AAP chapter's "Future of Pediatrics" annual event. Thank you to those who stopped by to say hello! In a few short weeks, it will be time for the 2024 Pediatric CEO event, which I'm really excited for. I think there are a few seats left. I write, however, to draw your attention to two free resources that every pediatric practice should have bookmarked!
