The Expertise Imperative and Compliance Technology
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MiniMed aka Limited Medical aka Scheduled Medical Benefits are not new. They derive from the disease specific plans of old. The article suggests that the uninsured have been ignored which is incorrect. Many major players have rushed this market niche to find...
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. ...
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...
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...
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...
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...
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.
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...
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.