Many medical group leaders come to me for help when they’ve got a “problem” and they’re looking for a solution.
Tag: insurer
Many medical group leaders come to me for help when they’ve got a “problem” and they’re looking for a solution.
Oftentimes, they think that the solution lies outside of the problem.
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.
In August, 2019, the giant insurer UnitedHealth informed the large physician services company, TeamHealth, it would be dumping TeamHealth from two-thirds of their high reimbursement in-network contracts.
Former CEO Michael Babich pleaded guilty last week to charges related to the plethora of kickback allegations surrounding Insys Therapeutics, Inc., and its fentanyl drug, Subsys.
U.S. Government Intervenes in 5 Kickback Based Whistleblower Cases Against Insys – Success in Motion
Ride along while Mark discusses the expanding case involving Insys Therapeutics and kickbacks paid to induce prescription of its drug, Subsys.
Special Announcement on AB 72 for California Physicians or Anyone Afraid This Crazy Idea Will Spread
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 […]
On October 25, 2017, another physician, Jerrold Rosenberg, M.D., pleaded guilty to charges related to the plethora of kickback prosecutions emanating from Insys Therapeutics, Inc., and its fentanyl drug, Subsys. Couch and Ruan Sent to Prison In February of this year, I wrote in my post Pain Medicine Doctors Alleged to Have Received $115,000 in […]
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.
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.