No matter how you slice it, today’s version of Direct Primary Care (PCP) is Virtual Primary Care with a little bit of Brick & Mortar added in.
Continue reading Direct Primary Care Is Virtual Care With A Sprinkle of Brick & Mortar Added InDay: April 2, 2023
PBMs Are Modern Gangsters
“PBMs are modern gangsters,” Yost said in a statement. “They were designed to protect and negotiate on behalf of employers and consumers after Big Pharma was criticized for overpricing medications, but instead they have absolutely destroyed transparency, scheming in the shadows to control drug prices on all sides of the market………………….
Continue reading PBMs Are Modern GangstersThe Case For Paying Primary Care More Than Specialists
“It used to be that the best and the brightest went into primary care because it was the most challenging……………..I don’t mean because you have to see a patient every five minutes. I mean that every time a patient walks through the door, you don’t know what’s going to come at you, and you have to be prepared for anything.”
Continue reading The Case For Paying Primary Care More Than SpecialistsCovenant HealthCare “Allegedly” Did Something Bad & Horrible
Covenant HealthCare, two physicians to pay $69M in false claims settlement
Hayley DeSilva – Wednesday, March 29th, 2023
Saginaw, Mich.-based Covenant HealthCare and two physicians have paid $69 million in three civil settlements for allegedly violating the False Claims Act, the Justice Department reported March 29.
Continue reading Covenant HealthCare “Allegedly” Did Something Bad & HorribleThinking Outside The Box
How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them
by Patrick Rucker, Maya Miller and David ArmstrongMarch 25, 5 a.m. EDT
Internal documents and former company executives reveal how Cigna doctors reject patients’ claims without opening their files. “We literally click and submit,” one former company doctor said.
Continue reading How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them