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Posted to
News
by
The Doctor Weighs In
on
Fri, Apr 26 2013
Filed under:
Filed under: Health insurance, care coordination, People in healthcare, Health care professionals, Payment, Health care & health policy, Politics & public policy, HMO, Massachussets health care, consistency, competition in healthcare pricing, high deductible plans, Running a Hospital, Paul Levy, health care costs, value-based model, PPOs, health care consumers, consolidation
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Posted to
News
by
The Doctor Weighs In
on
Fri, Nov 18 2011
Filed under:
Filed under: Kaiser Permanente, Payment, Health care & health policy, Politics & public policy, Medicine: wellness & disease, Patricia Salber, benefits of integrated delivery systems, breast cancer treatment, denial of coverage for cancer patients, support for breast cancer patients, treatment of breast cancer patients, HMO
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This sounds a little bit like Jan Brewer in Arizona except this time it’s the HMO’s with their proposal to save money and you can link to the video and see what the news station uncovered in this confidential document. It’s not nice and it’s budget algorithms cuts. Let me tell you, if you...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Jan 20 2011
Filed under:
Filed under: Medically Related, Insurance, HMO, Budgets, Blue Cross, elderly, nurses, Minnesota, lawmakers, cuts
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Alvarado Hospital apparently wanted a higher rate than Tri-City Hospital to care for prison inmates so the contract was lost under the decision making of the new owners, Prime Healthcare. It was noted in the article below that Prime plans on spending around $25 million to upgrade the hospital with...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Jan 14 2011
Filed under:
Filed under: Medically Related, Other Items of Interest, healthcare, HMO, Hospitals, Balance Billing, Refund, Prime Healthcare, Clinics, audit, Orange County County, San Diego, Alvarado Hospital
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Here we go again with technology making automated decisions and this is where a person needs to step in and review the chart, history and information. Guidelines were established by either an insurance company study or one accessed elsewhere and then the recommendations were poured into a table with...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Wed, Dec 29 2010
Filed under:
Filed under: Medically Related, Technology, My Commentaries, healthcare, health insurance, HMO, Diabetes, Medicaid, Medications, Algorithms, Greed, Michigan, treatments, ethics, denial of care, pulmonary vasculary disease
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The acquisition was first announced back in August of this year. This is one more private equity group seeing an opportunity to generate enough revenue to turn around and sell in some point in time. I think healthcare investments today contain a bit of risk as there are ethics questions that...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Dec 16 2010
Filed under:
Filed under: Medically Related, Insurance, health insurance, HMO, Hospitals, Heatlhcare, Mergers and Acquisitions, private equity, Prospect Medical, Leonard Green
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Back in September California regulators were digging around and were looking to fine United Healthcare subsidiary Pacificare $10 billion in fines, based on data found in audits. We all know that getting a judgment and collecting are 2 different issues and some get settled out of court too. In 2008 Pacificare...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Tue, Dec 14 2010
Filed under:
Filed under: Medically Related, Insurance, Other Items of Interest, health insurance, HMO, Orange County, United HealthCare, Contracts, branding, PacifiCare, algorithms fraud, capitation, St. Josephs Hospitals, rebranding, subsidiaryies
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The first task of of business is to upgrade the ER at Alvarado Hospital. In Orange County where I live in California, you can roll bowling balls through the once busy parking lots as the company does not normally sign contracts with insurers and charges their customary rates. Just as the...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Nov 18 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, HMO, Hospitals, Balance Billing, Refund, Prime Healthcare, Clinics, infections, audit, Orange County County, Alvarado Hospital
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Laws and regulations are certainly getting more complicate as time moves on and the original reason for the grandfathering even was to allow employers to keep their existing plans as they are without moving under the new law with additional consumer protections. Now with exemptions we have one...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, Oct 25 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, health insurance, HMO, HHS, Chicago, PPO, employees, Suburb, penalites, grandfather, exeptions
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This looks like a start to move employees to an insurance exchange in time and to shop for their own. When you stop and think of the administrative time that companies and small governments are beginning to complain about, this township decided to give cash and let the employees do their own thing...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Sat, Oct 23 2010
Filed under:
Filed under: Medically Related, Other Items of Interest, My Commentaries, healthcare, health insurance, HMO, Chicago, PPO, employees, Suburb
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The agreement constitutes limiting consumer choices to doctors and hospitals that adhere to rigorous quality measures the article states, so how rigorous this gets remains to be seen, but it will all come down to dollars. In California we recently had a doctor file suit as he could not be accepted...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Wed, Oct 6 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, HMO, Business Intelligence, Hospitals, Blue Cross, Investments, incentives, Contracts, advocate
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“Any Willing Provider” law in California is where the doctor is contesting the fact that they won’t let him in, after agreeing to all terms and payments and meeting provider eligibility criteria . This goes back to the early HMO days where only a certain number were allowed to participate and perhaps...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Oct 1 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, health insurance, Lawsuit, HMO, doctor, Blue Cross, provider, healthcare reform
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With the new structure they could form additional physician group joint ventures for outpatient surgery and oncology centers, controlled by the hospital group. As a public hospital group they can’t get the bundled Medicare compensation. The CEO also said they want to market and further their...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Tue, Sep 14 2010
Filed under:
Filed under: Medically Related, Insurance, Other Items of Interest, medicare, HMO, Hospitals, Doctors, Compensation, accountable care organization, physician's group, Broward Heatlh Systems
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This just struck me kind of funny today as it was something sent to me via email but darn if it is not getting close to the truth! BD Technorati Tags: HMO , hospitals , clowns , healthcare , managed care , humor
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Molina Healthcare has been expanding their services to rural areas and earlier this year launched their telemedicine program in California, with our Governor attending the launch. In there expansion there have been a few bumps in the road as you can see with a lot of activity here to include the...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Sep 10 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, Cisco, Mobility, HMO, Twitter, California, Telehealth, governor, Texas, Web visits, Molina Healthcare, Unisys