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
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.
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.
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.
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.
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 […]
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 […]