Managed Care Matters
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Joseph Paduda's weblog on managed care for group health, workers compensation & auto insurance, covering health care cost containment, health policy, health research, and medical news for insurers, employers, and healthcare providers.
Managed Care Matters
3w ago
Under a new Trump Administration, Medicare will be privatized, with “Medicare Advantage the default enrollment option” for seniors. This despite the myriad and well-documented problems with Medicare Advantage – prior authorization hassles delaying much-needed care, limited access to physicians and ..read more
Managed Care Matters
1M ago
A beautiful Friday morning here in New York’s Finger Lakes…here’s the good news from this week. First, the Supreme Court rejected the Purdue Pharma opioid settlement agreement – thereby allowing victims to pursue legal action against the Sackler family. As ..read more
Managed Care Matters
1M ago
A just-published research study examined the impact of reductions in opioids on workers’ comp patients and prescribers in Ohio and Washington. (our research which includes payers’ opioid spend is here) Key takeaways: Providers reported more limited and cautious prescribing than ..read more
Managed Care Matters
1M ago
WCRI’s latest report on drugs in workers’ comp has some excellent news...opioid usage dropped 29% from Q1 2021 to Q1 2023. WCRI’s data is from 28 study states representing the vast majority of workers’ comp drug spend. It may well ..read more
Managed Care Matters
1M ago
The state legislation that will MOST affect workers’ comp is often not ABOUT workers’ comp – rather it deals with other parts of the healthcare ecosystem. For example: Regulating Pharmacy Benefit Managers FromWaPo: At least 41 state legislatures introduced bills ..read more
Managed Care Matters
1M ago
Lots of good stuff going on these days. First, good …well actually great news is from Pennsylvania. From WESA: Pennsylvania is getting another $29 million in federal funding to clean up abandoned mines, as part of the mine cleanup projects ..read more
Managed Care Matters
1M ago
We are finishing up our Annual Survey of Pharmacy Benefit Management in Workers’ Comp…here’s three findings from the 15+ we’ve done so far. 1) 60% of respondents are reporting an increase in overall drug spend – with reasons varying from ..read more
Managed Care Matters
1M ago
Back to Florida… the home of many workers comp payers’ nightmares. This time in Miami – where we find Kendall Hospital. A large teaching hospital, level 1 trauma center, and…the most costly facility within a 10-mile radius. Combining scores for ..read more
Managed Care Matters
1M ago
Going to be a nice weekend in New York’s Finger Lakes…hope it’s just as nice wherever you are… Here’s the good stuff that happened this week… Jobs and increasing wages The economy is booming…adding over a quarter million jobs in ..read more
Managed Care Matters
1M ago
In a key step to help protect workers from excessive heat, OSHA’s Advisory Committee on Construction Safety and Health (ACCSH) met to review a draft rule’s initial regulatory framework. While we wait for OSHA’s rule-making process to wend its way ..read more