This makes for fascinating reading – laredo-provider-community-conspiracy. Behind the scenes PPO physician contracting may be good material for a “whodunit” best selling novel.
Could a hospital administrator, whose hospital competes with another hospital five minutes away, have any financial intersts in the amounts paid to doctors who have admitting privilages at both hospitals? With leverage applied to PPO networks, could a hospital administrator get better reimbursement rates for key community physicians who agree to “play ball” with steerage of patients to his facility?
There are a lot of unanswered questions it seems.
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