Insight, analysis & opinion from Joe Paduda
An article in Physicians News yesterday suggested providers look to workers comp to make up revenue losses from Medicare and commercial payers’ declining reimbursement. That wasn’t stated explicitly, but you don’t have to be a code-breaker to get author Franklin … Continue reading Cost shifting to work comp – sure, go ahead!
Read More...As insurers abandon the traditional “usual and customary” metric in favor of Medicare’s rates for out of network reimbursement, consumers are getting hit with higher bills, and many are protesting. That’s understandable; it’s also necessary. The usual and customary reimbursement … Continue reading The necessary demise of Usual & Customary
Read More...While all of Capitol Hill was focused on the hearings on ObamaCare at the Supreme Court, the Administration was quietly proceeding with plans to federalize the medical portion of workers’ compensation. The effort has reportedly been led by Assistant Deputy … Continue reading Workers’ comp medical to be federalized
Read More...Physician dispensing in Florida is back in the news, as we await with bated breath the outcome of this session’s legislative battle. On one side is the Florida Medical Association and Automated Healthcare Solutions, the Miramar company that provides software, … Continue reading Physician dispensing – the latest from Florida
Read More...With the release of WCRI’s latest report – this on on outpatient facility surgery costs – I’ll have to leave the next and last wave of crystal ball gazing to tomorrow. That’ll ensure it has a full charge before I … Continue reading Work Comp Outpatient facility costs – the summary
Read More...I’m all about accountability – and that means each year I have to report how I did on my predictions for the preceding twelve months. Not always a happy time, especially when it’s one of those “learning experiences.”. Yep, it’s … Continue reading Predictions for 2011 – how’d I do?
Read More...The chances that the Congressional Super-Committee will achieve its stated goal of cutting $1.5 trillion from federal expenditures over the next decade are fading fast. What happens when the six Republicans and six Democrats can’t agree on cuts? Big – … Continue reading Health care and the Super Committee – the cost of failure
Read More...After Dr Barth’s high level background we dove head first into the details of hospital costs and trends and management thereof. Indiana’s Linda Hamilton shared insights into hospital cost regulation in IN, a state with a rather inadequate cost control … Continue reading Workers comp hospital costs – perspective from Indiana and Virginia
Read More...In MCM’s ongoing effort to keep our loyal readers apprised of things that will affect their businesses, it’s time to remind one and all that the Super-Committee’s budget cuts are due in less than three months. Yep, in 83 days … Continue reading The Super-Committee; 83 days and counting
Read More...With nine of the twelve spots on the Super-Committee taken, it looks like energy, tax policy, and political connections (now there’s a surprise!) are well-represented. What isn’t is expertise in health care, Medicare, or Medicaid. With House Democrats scheduled to … Continue reading The Super-Committee – healthcare experts need not apply?
Read More...