All GLG News Analyses Filed Under: Healthcare Services

Some hospitals review swing bed utilization as follows: 1)Initial review within 24 hours to see if inpatient criteria are met. Criteria incorporate Severity of illness and Intensity of Service. Severity of Illness can be shortness of breath, multiple effusions or other symptoms. In other words, the...

The Health insurance industry is anticipating a profit windfall with the Universal Health Coverage proposals. Where is that money coming from? Will it come from the Federal government? Or, will the money come from a segment of society that has less influence on this debate? Could it be that the industries...

A Pfizer executive provided some new details about the company’s UK distribution plan. The program appears to be a success, although I’m skeptical that Pfizer’s plan will stop counterfeits. However, the plan will help the company recapture revenue lost to parallel importing. A Pfizer-style distribution...

    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. ...

It appears that children do not receive appropriate care according to this study but it fails to address the basic issues of documentation and access to care.      

The Bush Adminstration is recruiting 1200 physicians (100 from each of 12 communities) to go paperless and be rewarded by higher Medicare reimbursements.  The HHS secretary billed this five year "pilot project" as one of the Administration's biggest moves yet toward meeting the President's goal...

1. Although government entities have many activities, the role of "cop" is very much a favorite. As more government dollars roll into health care, we can expect more policing by the government, especially at the Federal level, over how those dollars are handled. 2. Disgruntled ex-staff provide a number...

Infection Rates and Quality Indicators now impact reimbursement. The Revenue Cycle Team at a hospital must incorporate both features into any work plan.

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.

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...