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GLG News by Managed Care Pricing Trends Experts

Analysis of: American's Gamble for Bargain Surgery Abroad (www.medpagetoday.com)
The deals abound for care abroad.  The perceived risk is always of infection or complications a long way from home.  But the tremendous differences between costs for dental work, to lithotripsy, to plastic surgery attract the medical tourist for many procedures.  Where complex...
Analysis of: Bush vetoes bill on children's health care (www.reuters.com)
    Public policy is clearly moving towards more transparency of medical cost and outcomes. All the leading democratic candidates say that national health care is part of their agenda. Bush has relented from his veto position, and is considering lowering the poverty level for increased...
Analysis of: Cigna reaches deal on doctors' rankings (news.yahoo.com)
    Entities that simplify ranking of hospitals and physicians will move market share and revenue.  More importantly, these providers will attract the educated and well informed (80,000,000 soon to arrive Medicare), and commercially well insured commercial customers. ...
Frederic Goldstein, President and Chief Operating Officer
Frederic Goldstein, President and Chief Operating Officer
U.S. Preventive Medicine, Inc.
Analysis of: Cigna reaches deal on doctors' rankings (news.yahoo.com)
CIGNA has received the okay from the NY Attorney General to publish its system for ranking physicians. Aetna is also moving forward with establishing a deal with the Attorney General. This process will proceed rapidly throughout the country and will change consumer behavior.
Frederic Goldstein, President and Chief Operating Officer
Frederic Goldstein, President and Chief Operating Officer
U.S. Preventive Medicine, Inc.
Analysis of: Government Raid Snares WellCare Directors (blogs.wsj.com)
Wellcare' stock has dropped like a rock since the FBI, Health and Human Services (HHS) and the Florida Attorney General's office raided the facility earlier this week. Initial speculation was on marketing activities, or billing issues.  It now appears that it may be based upon their use of...
Analysis of: N.Y. Giving Big Brokers Green Light To Accept Service Fees From Insurers (www.propertyandcasualtyinsurancenews.com)
Savvy CLients will rarely pay for underwriting help from their broker.  Additional service fees above the disclosed commission for underwriting analysis that some agents are looking to capitalize on will be a tough sell to most policy holders who feel the commission already compensates the...
Frederic Goldstein, President and Chief Operating Officer
Frederic Goldstein, President and Chief Operating Officer
U.S. Preventive Medicine, Inc.
Analysis of: IBM to Help Pay for Plans To Curb Childhood Obesity (online.wsj.com)
The country spends an inordinate amount on health care for people who experience conditions and illnesses that could have been prevented.  IBM recognizes the importance of Prevention as a mainstay of their health program. Prevention and Wellness companies are the future of health care delivery
Analysis of: Local insurance agency network's profits grow slower (www.news-journalonline.com)
    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...
David Zimmerman, PharmD, President/Owner
Doctors of Pharmacy, Inc.
October 19, 2007
A can of tennis balls?
Analysis of: Pfizer Abandons Exubera, Posts 77% Earnings Decline (online.wsj.com)
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.
Analysis of: N.Y. Giving Big Brokers Green Light To Accept Service Fees From Insurers (www.propertyandcasualtyinsurancenews.com)
    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...

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