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GLG News by Managed Care Pricing Trends Experts

Martin Gold, Principal

Martin GoldPrincipalTECHNOLOGY ACCESS PARTNERS LLC 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.

Will We Never Learn From Past Mistakes?

July 29, 2009

Mass. Panel Backs Radical Shift in Health Payment | www.nytimes.com

The idea of global payments is not a new one. This was attempted in the 1990's as part of insurer/provider risk-sharing arrangements. The dollars that providers will be given will have to be less than the amount the insurer spent on member care or no savings will be achieved. Providers will be required to recreate the administrative infrastructure of an insurance company along with the accompanying expense. Gatekeeper model managed care failed in the 1990s for all of these reasons.

Martin Gold, Principal

Martin GoldPrincipalTECHNOLOGY ACCESS PARTNERS LLC 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.

How Low Will Patient Volume Go?

January 7, 2009

Hospitals See Drop in Paying Patients | www.nytimes.com

Hospitals are experiencing a reduction in the number of Commercial/Privately Insured patients seeking elective procedures. Some hospitals are more significantly impacted by this than others. How low will the patient volume drop and how long will this reduction last?

Martin Gold, Principal

Martin GoldPrincipalTECHNOLOGY ACCESS PARTNERS LLC 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.

Conmed Under-performance is a Foreshadowing of Things to Come

January 6, 2009

Conmed lowers outlook as hospitals tighten budgets | www.boston.com

Conmed has indicated that sales of its devices have fallen partially due to the budget tightening at hospitals. While the company minimized the this issue in their statement it is just the tip of the iceberg.

Martin Gold, Principal

Martin GoldPrincipalTECHNOLOGY ACCESS PARTNERS LLC 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.

Medical Devices that Communicate: Great Concept but Insurers Won't Pay

January 5, 2009

Medical devices lag in iPod age | www.boston.com

Both consumers and medical experts believe that if medical devices communicate with each other like consumer electronic products, cell phones, iPods, etc., there would be fewer medical error related deaths. In theory device interconnectivity is a great idea, but such capabilities require substantial funding. The research and development expenses industry wide would to accomplish these standards would be astronomical. Should hospitals be demanding these type of capabilities from the device manufacturers? At a time when hospitals are attempting to negotiate LOWER prices for their devices, they are highly unlikely to be wiling to fund such improvements.

Martin Gold, Principal

Martin GoldPrincipalTECHNOLOGY ACCESS PARTNERS LLC 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.

Analysts Underestimate the Impact of the Recession on Device Manufacturers

January 2, 2009

Medical devices not immune to recession worries | www.boston.com

Poor financial performance and severe lack of credit are causing hospitals to place aggressive pricing pressure on device manufacturers. In addition, many hospitals are reporting a 20-30% reduction in elective procedure volume such as hip and knee replacement surgeries. The combination of the hospital financial environment and the recession will reduce hospital's purchasing volume and reduce the Average Sales Price (ASP) for the devices they purchase.

David Zimmerman, President/Owner

David ZimmermanPresident/OwnerDoctors of Pharmacy, 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.

Tamper Proof Narcotic Pain pill? YES

November 13, 2008

FDA Asks if Pain Pill Is Tamper-Proof | online.wsj.com

This drug will allow patients in severe pain to get the necessary pain relief and not have to worry about the other patients that abuse the drug.

William FinkPresidentManaged Care Pharmacy Consultants, 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.

Dangers of Methadone Usage

August 28, 2008

Dr. Mark Yergin testifies to Congress | www.nytimes.com

Doctors must be educated on the correct use of Methadone if unnecessary deaths are to be avoided.

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?

Jeanette Plowman, Independent Consultant

Jeanette PlowmanIndependent ConsultantJeanette Plowman 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.

While the RPO concept has taken a healthy shape in the Western countries, in India however, the RPO sector is currently at its infant stage.

August 7, 2008

HR outsourcing gaining steam | www.hindu.com

A recent study claimed that the global BPO industry will be worth $230 billion by 2012 and India stands to gain $50 billion of that global pie.  This boom may be in the wake of an U.S. economic downturn as employers who have historically shied away from offshoring may now become more receptive to the idea to cut costs. After the business process outsourcing and knowledge process outsourcing boom, the corporate sector in India is steadily gearing up for a new concept - RPO, which is recruitment process outsourcing. It aims at taking the burden out of the head-hunting. While the RPO concept has taken a healthy shape in the Western countries, in India however, there are only a few RPO firms currently catering to the needs of various domestic as well as multi-nationals in hiring employees for them.  The RPO sector in India is currently at its infant stage. 

William FinkPresidentManaged Care Pharmacy Consultants, 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.

Trends for Chronic Kidney Disease (CKD)

June 26, 2008

Resource Article: “Chronic Kidney Disease Prevalence Increases, Awareness Remains Low,” Drug Benefit Trends (vol. 20, no. 5, May 2008) | jama.ama-assn.org

There will be an increased use of costly diaylsis, especially among those people 70 years or older.  One would think that there would be a greater awareness of a disease consting $31 billion dollars a year.  However, this does not seem to be the case.

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