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A true story of payer negotiations

Physician's Practice

Physicians, whether in small practices or employed by hospitals, face a daunting challenge when trying to get a payer to approve a medication, procedure or imaging study. The standard of care was hospital admission and surgical ablation of the obstruction to urine flow. The cost of the hospital procedure was $25,000 to $35,000.

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Lead, follow or get out of the way

Physician's Practice

Yes, you can judge a book by its cover, and make no mistake, patients judge your practice within only four seconds of walking through the front door. As Michael LeBoeuf, PhD, says in his book The Greatest Management Principle in the World (Putnam, 1985), "You get what you reward." What is it that they see?

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Legislative passage of Medicare

The Health Policy Exchange

Remarkably, Medicare was fully implemented only 11 months after the bill's signing, overcoming obstacles such as hospital segregation in the South, resistance from physician organizations such as the American Medical Association, and the logistical issues involved in issuing insurance cards to 18 million eligible seniors.

Insurance 130
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How Doctors Can Save More and Do Less

The Motivated MD

For the better half of 2024, I have been periodically writing posts that are individual articles that double as potential chapters to a future book. I have coined this content series Doctor Money: A Personal Finance Guide for Physicians , as this is my current working title. This is the same for personal finances.

Finance 52