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Judge Rules on Balance Billing in California – Physicians not be able to balance bill

This ruling puts emergency physicians in a hard spot, but protects consumers. This goes back to the Prime/Kaiser scenario and more can be found under the related reading section here. There is a separate case pending with the California Supreme Court, so the matter is not closed yet by any means...

Posted to The Medical Quack .... by Barbara Duck on 11-23-2008
Filed under: Medically Related, Insurance, Hospital, health insurance, Health Care, Kaiser Permanente, Blue Cross, Balance Billing, Prime Healthcare, Venture Capital, Californa Medical Association, Insurance Reserves, Out of network care

Kaiser Permanente Has Most Hospitals in Nation With Inpatient Electronic Health Record

Other hospital systems are working to catch up. Just in the news recently was the pilot exchange of information between the VA and Kaiser. Also the PHR, personal health records, from HealthVault will be due to come on line soon, so patients will be able to transfer the information to their...

Posted to The Medical Quack .... by Barbara Duck on 10-21-2008
Filed under: Medically Related, Technology, Insurance, Other Items of Interest, microsoft, Medical Records, EHR, Physicians, PHR, HL7, VA, Hospitals, Kaiser Permanente, Patients, KP Health Connect, pilot program

Tenet subsidiary announces closing of Irvine Regional Hospital – Orange County, CA

In a related story from Forbes, as soon as the announcement was made, Tenet stocks rose. I guess if you are a hospital chain, it appears closing a hospital will raise the stock? Investors must see this as an opportunity for Tenet to make more money. Being local to Orange County, it is a...

Posted to The Medical Quack .... by Barbara Duck on 10-08-2008
Filed under: Medically Related, Insurance, Other Items of Interest, healthcare, Hospitals, Kaiser Permanente, Orange County, Stocks, Investments, http://www.bizjournals.com/losangeles/stories/2008/10/06/daily20.html

Playing The HMO Game – Kaiser, Viagra and more…

Now this has become a legal issue with the State of California, can this stand with not covering Viagra? It might appear the jury is going to be out on this one for a while and there are other drugs that come in to play with HMO coverage. What is and what is not covered is becoming a big issue...

Posted to The Medical Quack .... by Barbara Duck on 09-26-2008
Filed under: Medically Related, Insurance, Pharma/FDA News, healthcare, Viagra, HMO, Kaiser Permanente, Insider Trading

California sues Prime Healthcare over balance-billing practices

Prime Healthcare is growing in size, lagging just a bit behind Kaiser in size. By not having signed contracts, the hospitals can bill at their rate of service charge, so there are no breaks for the insurance companies. The hospitals see everyone in the ER rooms and are pretty much a lot of...

Posted to The Medical Quack .... by Barbara Duck on 07-02-2008
Filed under: Medically Related, Insurance, Other Items of Interest, My Commentaries, Hospital, health insurance, Kaiser Permanente, Prime Health Care