Many medical group leaders come to me for help when they’ve got a “problem” and they’re looking for a solution.
Tag: out-of-network
The Problem Is the Cure
Most problems, maybe even all problems, are themselves the kernel of the solution.
Hospital Sues Medical Group. Medical Group Returns the Favor. Both Likely Lose – Podcast
At first I couldn’t believe my eyes. It seemed like a plot from the old Divorce Court TV show. But no, it wasn’t a battle of the spouses over the failure of a marriage, it was a battle of a hospital and a medical group over what appears to be the failure of an exclusive anesthesia contract.
Hospital Sues Medical Group. Medical Group Returns the Favor. Both Likely Lose. – Medical Group Minute
At first I couldn’t believe my eyes. It seemed like a plot from the old Divorce Court TV show. But no, it wasn’t a battle of the spouses over the failure of a marriage, it was a battle of a hospital and a medical group over what appears to be the failure of an exclusive anesthesia contract.
Let’s Find the Cure for Surprise Physician Services Stealing
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.
Why UnitedHealth Dumping TeamHealth Affects You
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.
Hospital Sues Medical Group. Medical Group Returns the Favor. Both Likely Lose.
At first I couldn’t believe my eyes. It seemed like a plot from the old Divorce Court TV show. But no, it wasn’t a battle of the spouses over the failure of a marriage, it was a battle of a hospital and a medical group over what appears to be the failure of an exclusive…
Surprise (Medical Bills)! Language, Framing and Your Bank Account
Both state and national level politicians certainly know what side the bread is buttered on, and who’s doing the buttering. There are far more patients than there are physicians, thus the rush to fix the problem they’ve defined as “surprise medical bills.” Sure, just like I’m surprised when I pay good money for admission to…
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…






