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GLG News by Managed Care Experts

David Zimmerman, PharmD, President/Owner
Doctors of Pharmacy, Inc.
September 19, 2007
Soma re-visited??
Analysis of: FDA approves SOMA 250 mg (www.pipelinereview.com)
Soma has been around for many years. Now we have a new strength? Probably because there is no generic available on the 250mg.
Analysis of: Cancer Society Focuses Its Ads on the Uninsured (www.nytimes.com)
Specialist and hospital systems are at increasing risk on uncompensated care given the growth of Scheduled Benefit Plans and the uninsured. One strategy to combate the uncompensated catastrophic claim is to assimilate "facilities-intensive specialits". Inspired hospital system leadership will assimilate...
Analysis of: Handicapping Litigation Part I: (www.thepiracylawyer.com)
1. A 3 ring binder needs to be prepared for each filed or contemplated matter of litigation. The binder needs the basic documents of the case: (a) the Complaint or correspodence raising the issues, (b) any contracts involved, and (c) memos and e mails from either side that either summarize matters or...
Ronald Kiima, CPA, President
Ronald Kiima, CPA, President
Kiima Incorporated
Analysis of: SEC Schedule II - Visibility into the Integrity of Reported Results (tinyurl.com)
Few other disclosures give as much visibility into the integrity of a company’s reported results like the SEC’s Schedule II – Valuation and Qualifying Accounts. Unfortunately, despite such schedule being required of most public companies, few companies seemingly fully comply. The absence of otherwise...
Michael Berman, Assistant Vice President
AON Consulting & Insurance Services
Analysis of: American's Gamble for Bargain Surgery Abroad (www.medpagetoday.com)
The United States has very limited price transparency for medical providers and facilities. The lack of price transparency artificially raises costs in the United States because there is very little price competition for services.  This is true even in areas where there is excess capacity.
Analysis of: Columbia Docs Enter Computer Age (blogs.wsj.com)
The implications from physicians using an electronic medical record are better care of the patient as the latest results can be reviewed and compared longitudinally, less tests being ordered, fewer medication errors, and greater access to the patient's health information by the physician.
Frederic Goldstein, President and Chief Operating Officer
Frederic Goldstein, President and Chief Operating Officer
U.S. Preventive Medicine, Inc.
Analysis of: Doctors Offering No-Interest Loans to Patients (www.nytimes.com)
High Deductible Plans, growing medical costs, and an aging population will all contribute to the need for financing options.  This trend will expand beyond elective procedures.  Financing of elective procedures is also nothing new, in fact it was done in the late 80's by a Hospital Corporation...
Robert Forster, MD, Healthcare Consultant
Robert Forster, MD, Healthcare Consultant
Robert Forster, MD
Analysis of: Health Insurers Mull Costs, Future of Medicare (www.thestreet.com)
I disagree with Dr. Horvitz's assertions regarding rising cost of health care being the government and health plans.  These costs are but a drop of water compared to the actual unit cost of services and the # of services being delivered to Americans.  Health plan + governmental costs are in...
Analysis of: Michael Moore's Health Care Proposal (www.michaelmoore.com)
If you have not seen the movie SiCKO and are reading this you need to get out and see it this week. Michael Moore’s latest documentary SiCKO has behind it an aggressive prescription for reforming the US healthcare system. Moore’s film brings the healthcare industries’ failings under his microscope....
Frederic Goldstein, President and Chief Operating Officer
Frederic Goldstein, President and Chief Operating Officer
U.S. Preventive Medicine, Inc.
Analysis of: Patient Records Need Reviews (online.wsj.com)
The system for filing claims and keeping track of ones medical record provides ample opportunity for errors. As this story points out mistakes can be made in the billing or documentation of services and results.  These errors can end up costing the person when they seek insurance.

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