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…
A physician is convicted in the Insys/Subsys kickback case, highlighting ongoing risks around pharma deals and compliance for medical group leaders.
Earlier this year, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives.
Discover how group insurance coverage can shield your medical practice from the risks associated with malpractice claims.
Earlier this year, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives.
Obamacare provides health insurance coverage, but coverage is not access to care. For care, you need physicians and you need to be able to see a physician, the right one, when you require care.
Aetna won a $37M+ judgment against an ASC manager, underscoring insurers’ tactics to secure network integrity and punish providers.
Medical group decision making often moves fast when it should be slow, and slow when it should be fast.
When we think of risky behavior, we usually think of personal acts.
Risky behavior impacts medical groups and healthcare businesses, too. Sometimes this is a result of the personal acts or omissions of an employee, as in medical malpractice.