What’s Missing From the New Medicare Advantage Finder Site?
There’s one thing missing from the new Medicare Advantage Plan Finder Site. If you choose an HMO plan, you still need a referral from a PCP to see a specialist. The pricing of the Medicare Advantage plans you see on the site make Medicare Advantage HMOs look pretty good compared […]
Lunchtime and Finding the Perfect Job
I just got another recruitment pitch with a “30 minute lunchtime, guaranteed.” Here’s what I know: If a job offer includes a “guaranteed lunchtime,” then You won’t get it. You’re gonna need it. Hard Pass. On the positive side, it’s a pretty easy screener […]
Protect Yourself Against Whistleblowers
Your biggest risk from whistleblowers is the primes in your organization. They’re collecting information that they will use to file a qui tam action in case they get terminated or as a nest egg when they decide to quit. These suits are usually settled without admission of wrongdoing but they can be […]
Sunday Update
All the news that’s fit to link Iora Health expanding. Iora is one of the good citizens of the Medicare Advantage world. A VC funded start-up who leverages the power of the Medicare Advantage program AS DESIGNED for the benefit of patients and the clinicians who care for them. Follow their lead. […]
Saturday Q and A
Dr. Ahmed writes: Thank you very much for your posts. How were you so successful in your Medicare Advantage practice? You’re welcome, Ahmed. Here’s the system that worked best for us. We had a certified coder review every Medicare Advantage encounter. They added the codes that passed muster […]
The Biggest Mistake a Telemedicine Clinician Can Make
Stay away from single disease or treatment telemedicine services Things such as sites that only treat herpes or need you to prescribe poorly supported therapies such as beta HCG for weight loss. And DEFINITELY stay away from any service that sells durable medical equipment. They’re tempting. […]
The Government’s New Medicare Advantage Plan Finder—What You Need to Know
The government has redesigned it’s new Medicare Advantage plan finder for the first time in ten years. Find it here. It’s straightforward and easy to use, though most of the information is supplied by the plan and isn’t confirmed by the government, so take it all with a grain of salt. […]
Outrageous Non-Competes Can Limit Your Life
I physician I recently worked with came to me with a problem. She wanted to open her own clinic but part of the non-compete in her most recent employment contract restricted her from owning any medical business of any kind, anywhere for seven years. Otherwise, she would have to […]
Why Aren’t You Doing Well With Your Dual-Eligible Patients
The capitation for “Dual-Eligible” or Medicare-Medicaid patients under Medicare Advantage can be as much as 30% higher than that of “regular” patients. So why aren’t you doing better with them? They’re not “sticky.” They don’t stay with their PCP, often changing after only a couple of months. […]
Sunday Links
Where you come for what you need to know. Since we’re in the “doldrums” of the Medicare Advantage calendar, I’m going to take a moment to preen— I’ve been doing these updates on one platform or another for more than five years—Becker’s Hospital Review has started ripping off my idea. Their links […]