All GLG News Analyses Filed Under: Healthcare Services

Just a new name for capitation. Blue Cross will fix their costs in advance and insure themselves a profit; any losses will be borne by the already stressed providers.

While Wellcare has rebounded somewhat since it's critical fall following the FBI raid, there is still the likelihood of serious repercussions.  Should the WSJ story be true, the problems go to the top. The Board may be preparing to admit to serious problems and through this action demonstrate to...

Capitation has not worked for most in the past. The patient is still the one most responsible for his or her care. What is the incentive for them? Without the cooperation of the entire system and its integration this will not work.

Its critical for healthcare providers to insure that providing quality care is not just a notion but rather a reality. For too long the majority of providers have not focused on the idea that the higher the quality the lower the cost of providing services. Providers will that realize that reducing errors,...

2008 will be a difficult year for many Health care facilities due to Medicare reimbursement cuts. It is likely that IT spending will not increase significantly due to budget constraints. Specifically, independent facilities may wait on all but the mandatory upgrades or installations.

This plan would be worse than the capitated model because it would result in direct competition between the involved parties in a more complex network.  Primary care physicians may be incentived to limit referrals to specialists or to limit inpatient consultations.  Both primary care and specialists...

In my opinion, a postponement of California’s e-pedigree requirements to 2011 is now inevitable since the Board of Pharmacy has recently received sufficient evidence to justify a delay.  The California Board of Pharmacy’s Enforcement Committee meets on Wednesday. While e-pedigree is not on the...

I've been involved with managed care. The payment system suggested has nothing to so with patient care which is usually used to soften the blow of any changes.

Rising Healthcare Costs Need To Be Controlled. A significant percentage of these costs are due to "lifestyle disease" or "self-inflicted disease.'

The important lesson to accept that people have been judging physicians and care, but now the Internet offers a very effective tool to share information. Heed the comments and address them head on - change policies, change behavior, and/or do a better job of telling your patients what you are doing...