Insight, analysis & opinion from Joe Paduda
Employers, taxpayers and insurers got a very loud wake-up call last month. If there was any doubt about the financial power of dispensing companies and their owners (we’re talking you, ABRY) – and the unbelievable profitability of dispensing – that has been … Continue reading Bringing a knife to a gun fight
Read More...I know, you are as tired of reading about physician dispensing in work comp as I am writing about it. At last, there’s some very good news. Quick refresher – docs dispensing drugs adds about a billion dollars in excess … Continue reading Physician dispensing in work comp; two victories!
Read More...Helios is the new name for PMSI/Progressive. The idea is to have a single name for the two different firms, both of which had positive brand images in the work comp world. In talking to the marketing folk, their take … Continue reading Latest changes in the work comp PBM world
Read More...The last session on Thursday focused on regulatory and legislative trends – primarily focused on state issues. There’s also a session on the impact of ACA on work comp; that’s something I’ve spent far too much time on – that … Continue reading NCCI – Work comp legislative and regulatory trends
Read More...Okay, deep breath here folks. There’s no question the Federal Exchange is a mess. And that’s the polite characterization. But let’s not get too carried away, because the Federal Exchange is just a small part of PPACA/Obamacare. In fact, the … Continue reading Obamacare is NOT just the Federal Exchange
Read More...It’s been a week of focus on pharmacy, so forgive one last post on the subject. Now that Illinois has joined CT MS AR SC GA and a host of other states that have addressed the outrageous practice of charging … Continue reading Solving work comp physician dispensing, one bill at a time
Read More...Florida appears poised to restrict overcharging for physician dispensing of repackaged drugs to workers comp patients, so dispensing companies are looking for greener pastures. One that looks promising indeed is Hawai’i, where physician dispensing exploded onto the scene last year, … Continue reading Money buying bad policy – the Hawai’ian version
Read More...NCCI released its 2011 pharmacy study yesterday, and there’s not much in the way of good news. Here are a few of the major take-aways from the research, which used 2009 data. – per-claim drug costs grew by 12% in … Continue reading Work Comp pharmacy in 2009 – more dollars, more opioids, more physician dispensing
Read More...The good folks at NCCI just released research which focuses attention on what looks to be the fastest growing part of the work comp medical dollar – drugs dispensed by physicians. The lead sentence in their annual update[opens pdf] on … Continue reading Physician dispensing in work comp – worse than you think
Read More...Earlier this week we discussed the impact of pending changes in the world of big pharma will affect workers comp. Changes to Medicare physician reimbursement, also just over the horizon, will have a dramatic impact on workers comp in ways … Continue reading Where the work comp world is headed – part 5, physician reimbursement
Read More...