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What will Aetna do with Coventry Workers’ Comp?

That’s a question that’s been around for years, but one that’s being asked more and more these days. One clue could be – but probably isn’t – Aetna CEO Mark Bertolini’s evolving view of the purpose of...

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We haven’t seen anything yet.

Healthcare is changing really quickly and quite dramatically. Stuff we never would have thought of is happening every day. A huge PBM is buying one of the largest health insurers in the world. Provider...

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Media coverage of Amazon/Berkshire/JPMorgan misses the point.

The coverage of the JPMorgan/Amazon/Berkshire Hathaway healthcare initiative has been universal, breathless, and mostly superficial. Scoffers, “experts” are gleefully predicting this attempt to do...

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Monday update – healthcare costs, guidelines, what docs want, and market...

Here’s what happened last week… People who enroll in exchange programs in red states pay 3.2 percent more for their health insurance than folks in purple or blue states.  Research indicates it is...

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A wake-up call for the insurance industry

We are stuck in a self-destructive cycle, namely an industry-wide culture that rejects true innovation that leads to a huge talent deficit that prevents innovation. With few exceptions, there is little...

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Quick hits – new services, good news, and why your health insurance costs are...

What I missed when I was busy working last week… Workers’ comp HomeCareConnect launched a new service last week intended to smooth the transition for patients moving from acute care facilities to a...

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Private health insurance has failed.

If you had “government” health insurance for the last decade, your costs would be 20 – 25% lower today. That’s because private insurers have not controlled spending nearly as well as Medicare and...

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Hospitals and medical practices are losing billions.

And that has big implications for private insurance and workers’ comp. An insightful piece by Milbank Fund President Chris Koller details the carnage (Chris and I serve on Commonwealth Care Alliance’s...

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Are health insurers profiting while providers suffer?

Well, yes – but it’s not intentional. Most medical practices have seen a sharp drop in patient visits – and revenues – due to patient concern over COVID19 exposure. Hospitals have also suffered, as...

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COVID’s impact on workers’ comp…focus on the facts

Could COVID have a “very alarming potential outcome that could have a huge impact on workers’ comp” due to claims for neurological and psychiatric issues? That’s a concern raised by Mark Walls in tweet...

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The death of office work.

Ok, that was a bit clickbait-ey… but just a bit Lately I’ve had several conversations with work comp and health plan executives that lead me to believe office work is changed forever  A recent survey...

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The jobs boom

Gas prices are up, there are concerns about inflation, and some shortages continue – that’s the bad news. The good news is the hiring boom that’s been going on for over a year shows no signs of...

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Friday catch-up

Lots happened this week while I was hunting, driving, and finishing up the annual survey of pharmacy management in work comp. A quick update on pharmacy data points… across the 30 respondents we have...

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Quick takes

Stuff you may not have seen/thought much about… Good work from the Travelers...Analysis of a very large number of WC calms found: watch those new workers – those with < a year on the job account for...

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Texas Mutual foray into health insurance…part 2

Last week we talked about Texas’ healthcare problems and the Texas legislature’s decision to force Texas Mutual to jump into the health insurance business. Like you, I wondered mostly “why”… why force...

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Texas Mutual, $?%@&#) Legislators, and Unintended Consequences

Exclusive!!! photo of Texas’ elected representatives’ legislation development process (earlier reporting on TM’s health benefits thing is here.) The Net – If employers and their employees aren’t happy...

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