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Managed Care Matters

WebFour reasons. Claim counts continue to remain pretty flat with lost time claim frequency down yet again. Drug costs have plummeted over the last decade, and now account for …

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Two major drivers of healthcare outcomes and costs

WebConsolidation among health systems and hospitals continues apace, and with it comes higher costs, more utilization, and longer disability durations. Get the details …

Category: Health Go Health

The giant of healthcare

WebThe giant of healthcare. UnitedHealth Group projects its 2022 revenues will be around $320 billion – that’s equivalent to 7% of total US healthcare spend. (around 80% …

Category: Health Go Health

Three reasons we’ll have major healthcare reform by 2025

WebMiddle class voters can’t afford healthcare. Total health insurance cost for the average family with employer-sponsored coverage is over $22,000 annually. Even …

Category: Health Go Health

Haven Healthcare's next step

WebIs partnering with two big insurance companies to offer creative plans to two of its owners’ employees.. 30,000 JPMorgan workers in Ohio and Arizona covered by …

Category: Health Go Health

How we measure “value” in healthcare is all wrong.

WebFunctionality is the only “value” metric that matters, yet pretty much no one in healthcare and no healthcare organization – except in workers’ comp – talks about …

Category: Health Go Health

for hospitals, Cost ≠ Quality

WebSome hospitals are efficient – defined as delivering excellent care at relatively low cost, while others are quite inefficient – high cost, not great care. Then …

Category: Health Go Health

U.S. healthcare vs the world in one chart

WebThe US healthcare system is delivering crappy results for way too much of our money. Given what we pay, we should have the fewest infant deaths, lowest surgical …

Category: Health Go Health

Could Medicare for All Solve the healthcare cost problem

WebIn health insurance, revenue growth is overwhelmingly driven by higher medical costs. So, medical cost inflation = higher revenues = higher stock prices (yes, …

Category: Medical Go Health

Hospital goings on

WebMeanwhile, giant for-profit H CA reported a big jump in earnings. From Reuters: HCA posted quarterly revenue of $17.34 billion, beating estimates of $16.78 …

Category: Health Go Health

Health Wonk Review

WebIf ever there was a time to be writing about health reform, this is it. It’s an even better time to be reading about health reform. Is health reform dead, or is it just …

Category: Health Go Health

Good news Friday

WebMedicaid. Checking in on Medicaid…41 states have expanded Medicaid, and by dribs and drabs some of the holdouts are moving to do the same. Georgia may well …

Category: Health Go Health

Medicaid and hiding assets to qualify

WebAn interesting post in HealthSignals New York addresses the “problem” of seniors hiding or transferring assets to qualify for Medicaid reimbursement for nursing …

Category: Health Go Health

MedRisk acquires Medata

WebMedRisk acquires Medata to further improve the claims experience for customers, patients, and providers. King of Prussia, Pa. (January 9, 2024) — MedRisk, …

Category: Health Go Health

Exchange health insurance premiums up 10%…

Webok, that’s the headline, but it’s so generalized that it’s all but useless. In fact, premium increases vary quite a bit around the country and even within markets. Our plan …

Category: Health Go Health

First Health & Concentra – predictions for the near term

WebFirst Health and Concentra (the managed care part, not the clinic part) have been out talking wiith customers and prospects, and information is starting to bubble up …

Category: Health Go Health

Americans can't afford healthcare

WebHaving a “single payer” system seems that it could at least bring much more uniformity to simplify the entire healthcare process. If everyone were operating under the …

Category: Health Go Health

Capitalism will never solve our healthcare problem

WebSome ill-informed but perhaps well-intentioned people opine that all we need to do to solve the healthcare cost problem is unleash the free market. Their thinking …

Category: Health Go Health

Getting smarter about PT.

WebCo-morbidities – aka health conditions a patient has in addition to the one you’re focused on – may be physical – think obesity, hypertension, arthritis – or mental – …

Category: Health Go Health

CVC acquires a majority stake in MedRisk

WebInternational private equity firm CVC Capital Partners will acquire a majority stake in workers’ comp physical management company MedRisk. The Carlyle Group is …

Category: Health Go Health

So, you want to invest in workers comp managed care

WebThe private equity and venture capital folks have been prowling around the WC managed care world for a couple of years now, looking for opportunities to invest …

Category: Health Go Health

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