When physicians think about allegations of kickbacks in the context of large insurers, it’s generally related to how a carrier’s internal “claims cops” have alleged that some physician or other provider engaged in a kickback scheme, obviating the payor’s need to pay claims, or, even worse, supporting their demand for repayment. In what some physicians…
Should non-taxpaying hospitals, the facilities that prefer to be known by the misnomer “not for profit,” be able to gamble their tax free funds on venture capital investments?
Facilities that prefer to be known by the misnomer “not for profit,” are able to gamble their tax free funds on venture capital investments. Should they?
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…
In healthcare, middlemen abound. Hospital systems are middlemen for their controlled/employed physicians.
Ride along with Mark as he discusses a the issues related to a national anesthesia group’s loss of a system-wide exclusive contract.
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…
Take a seat while Mark discusses using fear as fuel for your future.
Across the county in nearly every industry, large companies are laying off full time workers and are turning to staffing companies which, in turn hire what amount to temps, many on a part time basis.
In a Wall Street Journal piece published in last weekend’s Saturday/Sunday Nov. 11-12, 2017, edition, Ezekial Emanuel, M.D. of the University of Pennsylvania and other pursuits, wrote of the “hype of virtual medicine.” In particular, he cited studies that show that virtual medicine and high-tech health gadgets such as Fitbits accomplish nothing in regard to…