The Expertise Imperative and Compliance Technology
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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...
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.
Good article, and method. Growing an agency is quite challenging today. Its always a good idea to tie the buying price to longevity of the book and create an incentive to keep current clients renewing during the transition. The smaller agencies may actually...
For those who think Physician Scorecards are meaningless or they are problematic and hope that these measurement tools will not come; here are more large plans, some of whom are going to roll out nationally with these systems and they now have a stamp of approval.
Many risk assuming entities are available to doctors and hospitals courageous enough to believe they have the talent to manage their local healthcare market. Some 10-12 years ago we saw the market go nuts for Physician Practice Medical Groups (PPMGs), Group Practices without walls (GPWW’s), Independent...
The market response to healthcare inflation running at 200%-300% of the rest of the economy will force federal action to fund care as an established precedent and "access" to care. We have surpassed the price point where many individuals and small employers now elect not to...
Fred is both right and wrong by history. Ranking of physician performance is akin to work (or payment) for performance. Since I was around at the beginning of this movement and watching its development, it is clear that work efficiency particularly will high acuity patients is very difficult...