Interview: Nate Murray, Part 1 – Do the right thing
We recently caught up with Nate Murray, one of the three co-founders at Crossover Health, alongside Scott Shreeve, MD and Rich Patragnoni, MD. Unlike Scott and Rich, Nate is not an MD, but he knows more about the business and experience of healthcare than just about any physician. In this, the first of two posts, […]
Extirpating the “Health Insurance” myth
Extirpating (ĕk’stər-pāt’) v. To pull up by the roots. To destroy totally; exterminate. To remove by surgery. I recently took a great road trip with my two boys. We rented one of the new Kia Soul’s which my boys recognized from a very funny commercial developed to highlight its hipster (hamster?) vibe. The commercial reminded […]
Day 55: Stuck between a rock and hard(ly Health “Insurance”) plans
Stuck (stŭk) v. Caught or fixed Baffled * This article was submitted to us by one of our summer interns. Their name is being protected because they currently are in a health care start up protective witness program * Have you ever felt trapped when deciding your health insurance options? I have. Each year I […]
Sermo makes the connection: Health Reform leads to Cash-based Practices
Connection (kə-nĕk‘shən) n. The act of connecting. The state of being connected An association or relationship Sermo finally makes the connection between all the health insurance reform conversations and the inevitable consequence of pushing a large percentage of providers toward a cash based practice. I have highlighted the rise of direct practice
Utah leads out with new virtual health insurance exchange
Exchange (ĭks-chānj’) n. To give in return for something received; trade To give and receive reciprocally; interchange A place where things are exchanged, especially a center where securities or commodities are bought and sold There have been several interesting health finance innovations that have been announced recently which have relevance to heal
Cuomo Bully Pulpit: All Payers Database to be a reality
Bully pulpit (bʊl’ē pʊl’pĭt) n. Public Office of sufficiently high rank that provides the holder with an opportunity to speak out and be listened to on any matter. An effective mechanism to bring issues to the fore that were not initially in debate, due to the office’s stature and publicity. I never knew that Andrew […]
The Price of Opacity: Lessons Learned from UNC
Opacity (ō-păs’ĭ-tē) The quality or state of being opaque. Something obscure, impenetrable Dullness of mind I have been intrigued by the recent settlement by United with NY regarding underpayments to physicians based on faulty estimates of what constitutes a fair market rate (Ususal aNd Customer or “UNC”) for physician health services.
“An Unnecessary Effort”: Wuesthoff Health Pays for EOB’s
Unnecessary (ŭn-nĕs’ĭ-sĕr‘ē) adj. Not necessary; needless. Serving no useful purpose or function You have got to love it, huh? Did you see the most recent series of lawsuits just announced by the AMA. They must just be loving the opportunity to pile on their arch nemesis insurance companies at a time when their very future […]
Mary Jerome: The Rosa Parks of Transparency
Scheme (skēm) n. A systematic plan of action A secret or devious plan An orderly combination of related parts “Usual and customary” just became “Transparency and consistency” The United Health Group, in what will become a sweeping decision (interesting interview with author here) within the Health Insurance industry, was just levied
Transparency Trek: The Million EOB March
Trek (Trĕk) n. A journey or leg of a journey, especially when slow or difficult. A journey by ox wagon, especially a migration I have been thinking alot about EOB’s. How did these anomolies of reason, this perversions of clarity, and obfuscators of objectivity come into existence? To what intent are they provided to the […]