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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?