If lawmakers should remember one thing, it is that Americans can’t get health care without well-functioning health insurance markets. Legislators should scrutinize these mergers to guarantee that Americans receive the care they need at a reasonable price.
Monthly Archives: September 2015
Anatomy of a fraud bust: Collaboration creates efficiency
A Detroit FBI agent explains how large, multi-person fraud schemes unravel
Payers, Providers Debate Health Plan Consolidation Before Congress
http://healthleadersmedia.com/content.cfm?topic=HEP&content_id=321160
In the second hearing this month to review competition in the healthcare marketplace, the CEOs of Aetna and Anthem and executives of the American Hospital Association told lawmakers about the benefits and perils of health plan mega-mergers.
PBM vs. PBA: The pros and cons
Moving Beyond Price-Per-Dose In The Pharmaceutical Industry
Why Geisinger’s care coordination strategies are a model for the US
Pennsylvania’s doc-led system uses data-driven strategies to reduce ER visits, readmissions and improve patient care.
Emotional Intelligence and A Call-Up to the Big Leagues
“It is very important to understand that emotional intelligence is not the opposite of intelligence, it is not the triumph of heart over head — it is the unique intersection of both.”
— David Caruso











