HMO Archives - Wisdom. Applied. https://blog.weisspc.com/tag/hmo/ Wisdom Applied - Decoding the Business of Healthcare — Mark Weiss’s Perspective Fri, 01 May 2026 16:41:22 +0000 en-US hourly 1 183918279 More On Overturning the No Surprises Act https://blog.weisspc.com/more-on-overturning-the-no-surprises-act/ https://blog.weisspc.com/more-on-overturning-the-no-surprises-act/#respond Mon, 23 Dec 2024 17:40:21 +0000 https://blog.weisspc.com/?p=31507 It you haven’t yet read it, see my December 16, 2024, post, Now’s The Time to Overturn the No Surprises Act, for part 1 of this thread.

When that post was published on LinkedIn, my friend James Prudden commented, asking me how patients would be protected if the No Surprises Act were repealed. Here’s my response to James.

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]]> https://blog.weisspc.com/more-on-overturning-the-no-surprises-act/feed/ 0 31507 Now’s The Time to Overturn the No Surprises Act https://blog.weisspc.com/nows-the-time-to-overturn/ https://blog.weisspc.com/nows-the-time-to-overturn/#respond Mon, 16 Dec 2024 16:22:49 +0000 https://blog.weisspc.com/?p=31495 Re-frame the issue for what it really is: Surprise physician services stealing. Now’s the time for the No Surprises Act, and each state counterpart, to go.

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]]> https://blog.weisspc.com/nows-the-time-to-overturn/feed/ 0 31495 In-Home Emergency Care Will Contribute to Putting Hospitals on Life-Support https://blog.weisspc.com/in-home-emergency-care-will-contribute-to-putting-hospitals-on-life-support/ https://blog.weisspc.com/in-home-emergency-care-will-contribute-to-putting-hospitals-on-life-support/#respond Mon, 01 Jul 2024 15:07:45 +0000 https://blog.weisspc.com/?p=31166 What will be left after many more services are pulled out of the hospital?

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]]> https://blog.weisspc.com/in-home-emergency-care-will-contribute-to-putting-hospitals-on-life-support/feed/ 0 31166 The Price of Dog Food and Your Medical Group’s Survival – Success in Motion https://blog.weisspc.com/increasing-costs-medical-group-survival-sim/ https://blog.weisspc.com/increasing-costs-medical-group-survival-sim/#respond Tue, 31 Oct 2023 09:09:00 +0000 https://blog.weisspc.com/?p=30326 Ride along with Mark as he discusses increasing costs and the impact on your group's future.

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]]> https://blog.weisspc.com/increasing-costs-medical-group-survival-sim/feed/ 0 30326 The Problem Is the Cure – Podcast https://blog.weisspc.com/the-problem-is-the-cure-audio/ https://blog.weisspc.com/the-problem-is-the-cure-audio/#respond Thu, 28 Sep 2023 08:34:00 +0000 https://blog.weisspc.com/?p=30307 Listen to Mark as he discusses how many medical group leaders come to him for help when they’ve got a “problem” and they’re looking for a solution.

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]]> https://blog.weisspc.com/the-problem-is-the-cure-audio/feed/ 0 30307 Direct Contracting by Physicians and Medical Groups – Medical Group Minute https://blog.weisspc.com/direct-contracting-by-physicians-and-medical-groups-video/ https://blog.weisspc.com/direct-contracting-by-physicians-and-medical-groups-video/#respond Wed, 30 Nov 2022 11:21:00 +0000 https://blog.weisspc.com/?p=28281 Ebay and Craigslist have disintermediated the classified section in the newspaper, which used to be the largest moneymaker in that business. The newspaper as middleman has been put to bed for the last time.

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]]> https://blog.weisspc.com/direct-contracting-by-physicians-and-medical-groups-video/feed/ 0 28281 Let’s Find the Cure for Surprise Physician Services Stealing – Podcast https://blog.weisspc.com/surprise-physician-services-framing-audio/ https://blog.weisspc.com/surprise-physician-services-framing-audio/#respond Thu, 28 Jan 2021 12:00:00 +0000 https://blog.weisspc.com/?p=19465 There is a crisis. But it's not the one you've heard about. It's time to fix that. It's time to change the conversation. But to do that, you have to change the frame.

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]]> https://blog.weisspc.com/surprise-physician-services-framing-audio/feed/ 0 19465 Let’s Find the Cure for Surprise Physician Services Stealing – Medical Group Minute https://blog.weisspc.com/surprise-physician-services-framing-video/ https://blog.weisspc.com/surprise-physician-services-framing-video/#respond Wed, 18 Nov 2020 12:00:00 +0000 https://blog.weisspc.com/?p=19430 There is a crisis. But it's not the one you've heard about. It's time to fix that. It's time to change the conversation. But to do that, you have to change the frame.

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]]> https://blog.weisspc.com/surprise-physician-services-framing-video/feed/ 0 19430 The Problem Is the Cure – Medical Group Minute https://blog.weisspc.com/the-problem-is-the-cure-video/ https://blog.weisspc.com/the-problem-is-the-cure-video/#respond Wed, 19 Aug 2020 11:00:39 +0000 https://blog.weisspc.com/?p=19020 Many medical group leaders come to me for help when they’ve got a “problem” and they’re looking for a solution.

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]]> https://blog.weisspc.com/the-problem-is-the-cure-video/feed/ 0 19020 The Problem Is the Cure https://blog.weisspc.com/the-problem-is-the-cure/ https://blog.weisspc.com/the-problem-is-the-cure/#respond Mon, 29 Jun 2020 19:04:42 +0000 https://blog.weisspc.com/?p=18977 Most problems, maybe even all problems, are themselves the kernel of the solution.

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]]> https://blog.weisspc.com/the-problem-is-the-cure/feed/ 0 18977 Let’s Find the Cure for Surprise Physician Services Stealing https://blog.weisspc.com/surprise-physician-services-framing/ https://blog.weisspc.com/surprise-physician-services-framing/#respond Mon, 09 Mar 2020 13:00:00 +0000 https://blog.weisspc.com/?p=16516 There is a crisis. But it's not the one you've heard about.

It's time to fix that. It's time to change the conversation.

But to do that, you have to change the frame.

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]]> https://blog.weisspc.com/surprise-physician-services-framing/feed/ 0 16516 Direct Contracting – Part 2: Clear Your Mind of the Lies That Bind (Your Thinking) – Medical Group Minute https://blog.weisspc.com/direct-contracting-mindset-physicians-video/ https://blog.weisspc.com/direct-contracting-mindset-physicians-video/#respond Wed, 10 Oct 2018 16:00:30 +0000 https://blog.weisspc.com/?p=10032 Direct contracting can be used as a strategy to deflect the negotiating pressure of payors, especially down-stream middlemen such as IPAs and risk bearing medical groups.

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]]> https://blog.weisspc.com/direct-contracting-mindset-physicians-video/feed/ 0 10032 Direct Contracting – Part 2: Clear Your Mind of the Lies That Bind (Your Thinking) – Podcast https://blog.weisspc.com/direct-contracting-mindset-physicians-audio/ https://blog.weisspc.com/direct-contracting-mindset-physicians-audio/#respond Thu, 06 Sep 2018 16:00:39 +0000 https://blog.weisspc.com/?p=9905 : If you saw one dead raccoon, does that mean that all raccoons are dead?

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]]> https://blog.weisspc.com/direct-contracting-mindset-physicians-audio/feed/ 0 9905 Direct Contracting by Physicians and Medical Groups – Podcast https://blog.weisspc.com/direct-contracting-by-physicians-and-medical-groups-audio/ https://blog.weisspc.com/direct-contracting-by-physicians-and-medical-groups-audio/#respond Thu, 30 Aug 2018 16:00:38 +0000 https://blog.weisspc.com/?p=9903 Ebay and Craigslist have disintermediated the classified section in the newspaper, which used to be the largest moneymaker in that business.

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]]> https://blog.weisspc.com/direct-contracting-by-physicians-and-medical-groups-audio/feed/ 0 9903 Direct Contracting – Part 2: Clear Your Mind of the Lies That Bind (Your Thinking) https://blog.weisspc.com/direct-contracting-mindset-physicians/ https://blog.weisspc.com/direct-contracting-mindset-physicians/#respond Mon, 04 Jun 2018 13:37:13 +0000 https://blog.weisspc.com/?p=9708 This post is the second in a series on direct contracting by physicians and medical groups. See Direct Contracting By Physicians and Medical Groups for the first post in the series. Before we get too deep into the subject, let’s ask an epistemological question: If you saw one dead raccoon, does that mean that all raccoons...

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]]> https://blog.weisspc.com/direct-contracting-mindset-physicians/feed/ 0 9708 Direct Contracting by Physicians and Medical Groups https://blog.weisspc.com/direct-contracting-by-physicians-and-medical-groups/ https://blog.weisspc.com/direct-contracting-by-physicians-and-medical-groups/#respond Mon, 28 May 2018 15:00:22 +0000 https://blog.weisspc.com/?p=9680 In healthcare, middlemen abound. Hospital systems are middlemen for their controlled/employed physicians.

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]]> https://blog.weisspc.com/direct-contracting-by-physicians-and-medical-groups/feed/ 0 9680 Provider Agreements Plus Inflation Equals Trouble Unless… – Success in Motion https://blog.weisspc.com/agreements-plus-inflation-equals-trouble-sim/ https://blog.weisspc.com/agreements-plus-inflation-equals-trouble-sim/#respond Tue, 24 Apr 2018 16:00:45 +0000 https://blog.weisspc.com/?p=9234 Take a seat while Mark discusses the cure to the “tax” of inflation, cost of living (COLA) adjustments.

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]]> https://blog.weisspc.com/agreements-plus-inflation-equals-trouble-sim/feed/ 0 9234 Special Announcement on AB 72 for California Physicians or Anyone Afraid This Crazy Idea Will Spread https://blog.weisspc.com/special-announcement-on-ab-72/ https://blog.weisspc.com/special-announcement-on-ab-72/#respond Wed, 21 Mar 2018 21:34:41 +0000 https://blog.weisspc.com/?p=9139 Would any payor pay a physician or medical group more than Medicare plus 25% if they didn’t have to? Would any payor with the ability to control what its “average” contract rate is, reduce its “average” if that’s all it has to pay to an out-of-network physician or medical group? California’s law known as “AB...

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]]> https://blog.weisspc.com/special-announcement-on-ab-72/feed/ 0 9139