2+ hour, 43+ min ago   (581+ words) One of the most misleading words in international medical care is “worldwide.” What the public evidence shows Our team reviewed 874 insurance products across 187 insurer brands, using publicly available policy documents, benefit tables, provider directories, and plan materials. The results were…...

2+ mon, 4+ day ago   (665+ words) A conference table. Six to ten people around it. A health care startup is being evaluated for a multimillion-dollar investment. The people in the room are smart, with MBAs from top programs, former management consultants, ex-bankers who pivoted into health…...

2+ mon, 1+ week ago   (569+ words) Imagine a physician who has been practicing anesthesiology for 20 years. She is skilled, board-certified, well-liked, and respected by her team. She now works more hours than she did 10 years ago, covers more call, cares for sicker patients, and manages an…...

2+ mon, 4+ week ago   (21+ words) A pediatrician reflects on a colleague's child's leukemia diagnosis to highlight why maintaining health insurance coverage and Medicaid subsidies is crucial....

3+ mon, 1+ day ago   (823+ words) The extra 90 days is not a rounding error A 90-day credentialing timeline and a 180-day credentialing timeline can sound like two versions of the same problem. They are not. The second version can mean another quarter of rent, software, malpractice…...

3+ mon, 3+ week ago   (674+ words) KevinMD.com In one health care organization, a provider was reviewed and cleared through routine payment integrity processes. Months later, that same provider became the subject of a fraud investigation, based on patterns that had been present all along. Both…...

4+ mon, 5+ day ago   (716+ words) KevinMD.com I’ve recently been forced to make painful and difficult choices that impact my personal life as well as my small business because this Congress has been unwilling to renew tax credits that used to significantly lower the cost…...

4+ mon, 2+ week ago   (983+ words) KevinMD.com For more than two decades, I have worked in health insurance, first at insurers and more recently as a consultant on Medicare policy. I have led large Medicare Advantage analytics and actuarial organizations comprising actuaries and data scientists…...

5+ mon, 1+ week ago   (729+ words) A piece circulating in the direct primary care community made a confident claim: that the best DPC physicians will not need employer-aligned models or adjacent entities because individual consumer demand will sustain them. Fully booked by individuals, insulated from institutional…...

5+ mon, 2+ week ago   (359+ words) The Internal Revenue Code is at times irrational and vague, and if nothing else, it is very complicated. However, if you understand it, patterns emerge, and many of them are unfavorable to physicians. Specifically: Know the enemy and know yourself…...