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August 26, 2008Healthways A Market Downturn and Results
Analysis of: Healthways' Guidance Not So Healthy | www.forbes.com
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
Healthways reported lower than expected earnings in its current quarter and analysts are pointing to a tightening in the healthcare markets and the fact that Healthways products are expensive. Does this really make sense?
April 29, 2008Genetic Testing Will Move to Mainstream Acceptance
Analysis of: Experts see boost to genetic testing from US bill | www.reuters.com
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
The passage of this bill by the Senate and the likely passage by the house are both good for consumers as well as the companies that conduct genetic testing.
April 7, 2008DOJ Joining Suit against OH MDs and Hospital
Analysis of: DoJ joins whistle-blower suit against OH MDs, hospital | www.fiercehealthcare.com
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
The DOJ joins in when they have reviewed materials and believe it likely that there is a case with some civil or criminal violations.
April 4, 2008Medicaid Health Plans Under the Microscope - Amerigroup Sued by District of Columbia
Analysis of: Amerigroup Medicaid Rates Questioned, Suit Filed | biz.yahoo.com
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
Amerigroup is but one example of the increased scrutiny being paid to Medicaid Health Plans following the FBI raid of Wellcare last year. Expect this to continue and have some volatility on Medicaid health plan performance. Some of this scrutiny may uncover material issues, or impact contracting and...
April 4, 2008Physician Ranking Systems Going Mainstream With National Focus
Analysis of: Uniform Doctor Ratings Sought | online.wsj.com
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
Doctor Rating systems are here to stay and will play a greater role in contracting and patient decision making. Those that seek to disbelieve or dismiss these efforts may find themselves on the wrong end of this debate. Even physician groups such as the American College of Surgeons and the American...
March 31, 2008Relationships Between Manufacturers and Physicians will be More Closely Scrutinized, not Just in Orthopedics
Analysis of: New Focus of Inquiry Into Bribes: Doctors | www.nytimes.com
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
This article discussed the Federal investigation into payments made by orthopedic implant manufacturers and physicians who use these products. While there are certainly appropriate consulting arrangements, these can be easily abused and there will be more investigations, not just in ortho...
March 31, 2008Price Controls are Not the Solution to the Annual Increases in Pharmaceutical Costs
Analysis of: Rx Watchdog Report: Trends in Manufacturer Prices of Brand Name Prescription Drugs Used by Medicare Beneficiaries—2002-2007 | www.aarp.org
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
While pharmaceutical companies raised prices at a higher level than general inflation, implementing price controls is not the appropriate means to control drug spend. More effort needs to be placed on clinical trials and the demonstration of efficacy and value prior to a products release. ...
March 31, 2008Police Department Focuses on Getting Officers to Lose Weight
Analysis of: In Deep-Dish Pizza Land, a Thinner Blue Line | www.nytimes.com
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
Naturally Police Departments are concerned about the weight of their officers, given the physical nature of the work for those on the beat, but this issue is beginning to be raised in the general employer arena. For employers to be successful with this type of approach, they need to go beyond...
March 13, 2008WellPoint Disappoints, Cites Increased Medical Costs as One Reason
Analysis of: Health insurers take a dive on WellPoint's warning | www.marketwatch.com
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
Health Plans are going to have to radically change their systems and approaches if they expect to improve their success in the long run. The system as currently structured dis-incents Health Plans from doing the right thing, actually managing health. This requires a long term commitment...
February 29, 2008Pay for Performance Can Drive Physician Behavior, but don't Forget the Patient
Analysis of: Managed-care company sees benefits of pay-for-performance | www.tennessean.com
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
Using appropriate Pay for Performance programs can drive physician behavior and results in changes in utilization, these should be continued but the patient component is a larger issue.
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