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GLG News by Managed Care Experts

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January 11, 2008
daily use Cialis---a good idea!
Analysis of: Cialis Is Cleared for Daily Use | online.wsj.com
Author: David Zimmerman, President/Owner, Doctors of Pharmacy, Inc.
    Physicians have been prescribing lower dose Cialis...off label... for a long time. The FDA finally agreed and approved it.
January 4, 2008
Wombs for Rent - Organs for Buyers.
Analysis of: Outsourced Wombs | warner.blogs.nytimes.com
Author: GLG Expert Contributor
Wombs for rent and organs for purchase is not new news, but it certainly is a growing business.  Aside from the obvious effect on a reinsurer profits for allowing very expensive transplanted vessels to be eligible for reimbursement, there is the larger issue of if it is right to allow. ...
January 4, 2008
World Health insurance at 30,000 feet is quite different from emerging market eutrepeneuring
Analysis of: To your health: diagnosing the state of healthcare and the global private medical insurance industry | www.swissre.com
Author: GLG Expert Contributor
The authors comments are accurate for a multibillion dollar multinational reinsurer looking down from 30,000 feet.  The US spends about $1.6 of the estimated $5 billion.  Identifying emerging trends in foreign lands will take a wary eye.  It is highly unlikely that the type of risk giant...
Ronald KiimaJanuary 2, 2008
2007 Accounting Error of the Year: Depreciation and Amortization
Analysis of: Securities Suits Spike in 2007 | www.cfo.com
Author: Ronald Kiima, President , Kiima Incorporated
The subject article provides some interesting insights into the upward reversal in the number of securities class-action lawsuits filed during 2007.  Given such, I thought it might be fitting to offer my personal insights into what I continue to believe is the most common, yet rarely noticed, accounting...
Richard BalandDecember 3, 2007
Repayments to Medicare May Be Too Much to Ask
Analysis of: Medicare | Some Hospices Forced To Repay Medicare for Exceeding Reimbursement Limits as Patients Live Longer Than Expected | www.kaisernetwork.org
Author: Richard Baland, Partner, B2B CFO
The government has paid hundreds of millions less as a result of these measures. Now, the government has targeted the Hospice industry. Of course, there is no physician that can predict how long a patient will live. Physicians sign orders for Hospice patients that are terminal. The physician cannot...
Richard BalandDecember 3, 2007
Scorecards Represent a Simple and Inexpensive Tool in Hospital Turnarounds
Analysis of: Crouse Hospital's Turnaround Shows There's Hope For Distressed Hospitals | www.hfma.org
Author: Richard Baland, Partner, B2B CFO
Board restructuring, Implementation of appropriate information systems, Productivity and staffing, Debt restructuring, Revenue cycle improvements, Supply expense reductions, New contracts and capital equipment approval processes are the Turnaround areas that scorecards...
Frederic GoldsteinNovember 28, 2007
Medicare and Medicaid on the Way to Bankrupting the Country
Analysis of: CBO: Medicare and Medicaid spending growth unsustainable | www.ama-assn.org
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
While Medicare and and Medicaid currently consume about 8% of the countries GDP, the CBO projects these two programs will consume 18.5% unless major changes are made. These changes are going to require a much different approach than what is operating today.
Frederic GoldsteinNovember 28, 2007
Another Medicare Health Support Project is Canceled Early.
Analysis of: Form 8-K for HEALTHWAYS, INC | biz.yahoo.com
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
The current standard approach to disease management does not work well in the high disease burden, senior based market.  For DM to be successful with these populations they must provide more intensity of services. While this cancelation by CIGNA of the contract will not impact Healthways as they...
Frederic GoldsteinNovember 27, 2007
Nursing Homes to Receive More Oversight
Analysis of: Stiffer penalties on shoddy nursing homes sought | www.reuters.com
Author: Frederic Goldstein, President and Chief Operating Officer, U.S. Preventive Medicine, Inc.
The nursing home industry has been an arena for investors to establish large companies and then sell them at a profit. Although regulated now, the industry is in for additional scrutiny based on investigations and Committee hearings.
November 26, 2007
Practice valuations going at a premium and buyers abound
Analysis of: Guaranty Insurance Services Announces Acquisition | www.insurancenewsnet.com
Author: GLG Expert Contributor
Good article, and method.  Growing an agency is quite challenging today.  Its always a good idea to tie the buying price to longevity of the book and create an incentive to keep current clients renewing during the transition.       The smaller agencies may actually...

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