Insight, analysis & opinion from Joe Paduda
Two items in today’s news indicate the growing significance of data analytics in managing workers comp claims and costs. While there are differences in focus, with Liberty focusing on provider identification and Crawford on claims and case management, Liberty Mutual … Continue reading Liberty Mutual, Crawford, data analysis, and workers comp
Read More...Katrina will have a significant impact on the world insurance markets, and the impact will be felt quickly in the form of higher prices for many property and casualty insurance lines. Here’s how this works. Insurers price their coverage based … Continue reading Katrina’s impact on insurance costs
Read More...Pay for performance is likely to get a big boost from the Federal government. A bill linking physician pay under Medicare to reporting quality data will be introduced in the Senate before the end of the year, the first step … Continue reading Pay for Performance – Medicare initiative
Read More...The two competing economic models of health care are greatly influencing the debate on the future of health care in the US. One, hewing closely to the free-market standard, calls for consumer-driven decisions, free markets open to all investors in … Continue reading Competing models of health care
Read More...So-called “specialty hospitals“, facilities typically owned by for-profit firms and/or practicing physicians, have been the subject of much debate by the Centers for Medicare and Medicaid Services (CMS). Now, it looks like CMS will continue their ban on new facilities … Continue reading Ambulatory Surgical Centers’ future
Read More...There has been lots of news about Medicare lately; a good round-up is available at California HealthLine. News includes: Physician reimbursement – the current fee schedule expires in 2006, after which reimbursement is scheduled to decline by 5% annually … Continue reading Center for Medicare/Medicaid Services’ impact on private payers
Read More...One of the more distasteful practices in the medical profession is the subject of an article in today’s Wall Street Journal. The practice is so-called self-referral of patients by a physician to an imaging facility where they stand to gain … Continue reading Cheating docs
Read More...Two reports on so-called “specialty hospitals” were released yesterday in hearings on Capitol Hill. The Medicare Payment Advisory Commission’s (MedPAC) report calls for an extension of the ban on construction of new specialty hospitals. For those who have not been … Continue reading Ban on specialty hospitals may be extended
Read More...The Medicare Payment Advisory Commission released its recommendations for changes to Medicare, and they aren’t just playing around at the margins. Key recommendations include – –instituting a pay-for-performance scheme for hospitals, doctors, and home-care facilities (no details provided…) –extend the … Continue reading Possible changes in Medicare
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