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GLG News by Experts on Pay-for-Performance Plans

Frederic Goldstein, President and Chief Operating Officer

Frederic GoldsteinPresident and Chief Operating OfficerU.S. Preventive Medicine, Inc. What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Healthways A Market Downturn and Results

August 26, 2008

Healthways' Guidance Not So Healthy | www.forbes.com

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?

Frederic Goldstein, President and Chief Operating Officer

Frederic GoldsteinPresident and Chief Operating OfficerU.S. Preventive Medicine, Inc. What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Genetic Testing Will Move to Mainstream Acceptance

April 29, 2008

Experts see boost to genetic testing from US bill | www.reuters.com

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.

Frederic Goldstein, President and Chief Operating Officer

Frederic GoldsteinPresident and Chief Operating OfficerU.S. Preventive Medicine, Inc. What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

DOJ Joining Suit against OH MDs and Hospital

April 7, 2008

DoJ joins whistle-blower suit against OH MDs, hospital | www.fiercehealthcare.com

The DOJ joins in when they have reviewed materials and believe it likely that there is a case with some civil or criminal violations.

Frederic Goldstein, President and Chief Operating Officer

Frederic GoldsteinPresident and Chief Operating OfficerU.S. Preventive Medicine, Inc. What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Medicaid Health Plans Under the Microscope - Amerigroup Sued by District of Columbia

April 4, 2008

Amerigroup Medicaid Rates Questioned, Suit Filed | biz.yahoo.com

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 rates on a go forward basis.

Frederic Goldstein, President and Chief Operating Officer

Frederic GoldsteinPresident and Chief Operating OfficerU.S. Preventive Medicine, Inc. What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Physician Ranking Systems Going Mainstream With National Focus

April 4, 2008

Uniform Doctor Ratings Sought | online.wsj.com

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 College of Cardiology are now supportive. There are some provider types that can benefit from this due to their operations and systems.

Frederic Goldstein, President and Chief Operating Officer

Frederic GoldsteinPresident and Chief Operating OfficerU.S. Preventive Medicine, Inc. What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Relationships Between Manufacturers and Physicians will be More Closely Scrutinized, not Just in Orthopedics

March 31, 2008

New Focus of Inquiry Into Bribes: Doctors | www.nytimes.com

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 orthopedics. 

Frederic Goldstein, President and Chief Operating Officer

Frederic GoldsteinPresident and Chief Operating OfficerU.S. Preventive Medicine, Inc. What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Price Controls are Not the Solution to the Annual Increases in Pharmaceutical Costs

March 31, 2008

Rx Watchdog Report: Trends in Manufacturer Prices of Brand Name Prescription Drugs Used by Medicare Beneficiaries—2002-2007 | www.aarp.org

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.  This data along with price data needs to be provided to physicians so they can appropriately select a product for their patient. 

Frederic Goldstein, President and Chief Operating Officer

Frederic GoldsteinPresident and Chief Operating OfficerU.S. Preventive Medicine, Inc. What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Police Department Focuses on Getting Officers to Lose Weight

March 31, 2008

In Deep-Dish Pizza Land, a Thinner Blue Line | www.nytimes.com

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 such a tightly focused program.

Frederic Goldstein, President and Chief Operating Officer

Frederic GoldsteinPresident and Chief Operating OfficerU.S. Preventive Medicine, Inc. What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

WellPoint Disappoints, Cites Increased Medical Costs as One Reason

March 13, 2008

Health insurers take a dive on WellPoint's warning | www.marketwatch.com

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 and health plans are unwilling to take the risk to introduce robust enough systems in the belief that they won't have the clients long enough to see the results.

Frederic Goldstein, President and Chief Operating Officer

Frederic GoldsteinPresident and Chief Operating OfficerU.S. Preventive Medicine, Inc. What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Pay for Performance Can Drive Physician Behavior, but don't Forget the Patient

February 29, 2008

Managed-care company sees benefits of pay-for-performance | www.tennessean.com

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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