GLG News by Managed Care Experts

    A very old agent once said, "I have learned that in this business you need to specialize." Somebody else once said, "Get a high tolerance for ambiguity, you will be a lot happier." That is good advice for agency entrepreneurs. It definitely takes a horse of many colors to successfully...

Exubera is a great product. However, the delivery system was difficult to use and educate the patients how to use. Hopefully, the next generation of the product will be in a smaller more user friendly cannister.

    Great points about brokers being required to place business to maintain appointments, and also the increased costs associated with licensing compliance of a large stable of agents. Regrettably, neither of these carrier costs can me passed on legitimately in a "service fee" the...

Anyone would agree that bid rigging is criminal. Even that water gets murky if a broker purposfully targets bids to a preferred carrier, and then to other carriers already known to be denying new business.  The same can be said if a broker intentionally bids carriers already known to be super high...

1. The article looks at patterns of care for different populations. Taken in that context, it raises interesting questions about how diferent populations and the providers who serve them utilize health services. 2. The article overreaches in its conclusions. It extrapolates utilization of services to...

The  Marketing-Underwiter or Broker-Underwriter balances selling with competitive rating.  Many carriers have learned the hard way that it tends to win a lot of underpriced business.       The issue of independent brokers being compensated by the carrier...

As stated the Medicaid Systems are going broke. There has been additional stress put on the system. The immigration/alien problems as well as the present economic situations with housing foreclosures. We will see additional forced bundling with medical procedures thusly lowering costs for treatments....

Cost effective treatment of back pain. working within insurance guidelines An older population dealing with increased medical problems. Separating the acute, chronic, traumatic and non-traumatic patients. Unfortunately future guidelines for treatment of lower back pain will be dictated by the insurance...

1. The issue of Federal versus state law is always important as both levels of government expand their regulatory scope. When the two clash, which will predominate? 2. This case involves the issue of rules made by a state legislature versus the authority of a Federalr regulatory agency. Are regulatory...

I know that Pfizer finally came out with the inhaled insulin after many years of hype. Unfortunately its launch and the product has been a flop, primarily because of the size if the inhaler. It is large and looks like a can of tennis balls. It is difficult for the patient to understand the dosing and...