Joyce Smith’s Post

Every time I feel like I have a basic understanding of the policies behind the Business of medicine, I come to a conference like this and learn how much I still don’t know. The deep entangled mess that is healthcare billing and payments, insurance company monopolies, legislations is like a Gordian knot. Thank you to the ASA for simplifying so many complex topics and distilling it down to key challenges facing our patients and our profession now. #ASAWLC #safeVACare #medicarereform #patientsafety #leadersinmedicine #leadershipinmedicine American Society of Anesthesiologists®

The objective of a peer-to-peer review is to reach a mutual understanding of the medical necessity and appropriateness of the services provided. Through open communication and the exchange of clinical information, the parties involved aim to find common ground and resolve the claim dispute. This collaborative approach can often lead to a reversal of the initial denial, ensuring that patients receive the necessary care and coverage. Ultimately, peer-to-peer reviews play a vital role in improving patient care, reducing administrative burdens, and promoting a more efficient healthcare system. 💼 🫱🏻🫲🏼 Let us take the burden off your shoulders! Claims Management & Denials Solutions at fixmyclaim.com #FixMyClaim #Insurance #Solutions #FamilyHealthcare #Innovation #MedicalExperienced #Services #InsuranceAdvocates #AppealExpertise #PoliciesReview #ClaimSuccess #InsureWisely #ClaimExperts

Cost Containment Lie 7 Uncovering the hidden in the medical cost One of the lesser-known and surprising factors as well driving up medical service prices is the manipulative tactics employed by some assistance companies who lacks the know how, and medical platform for revision and negotiation These entities, often lacking the necessary expertise or infrastructure, exert undue influence on service providers. To secure favorable contracts with insurance companies, these assistance companies compel providers to inflate their prices. In return, they offer seemingly attractive discount rates that mask the underlying cost increases. This not only distorts the market but also places an unnecessary financial burden on the insurance companies. It's time to shine a light on this practice and demand transparency in the healthcare industry. #healthcare #medicalcosts #insurancefraud #business #economy

Tune in to a special edition of AlteaTalks recorded in Dublin - https://lnkd.in/e3CArDMn Irish healthcare professionals face a shifting medico-legal landscape as reforms outpace established practices, and we've got the perfect guide to help you understand it all. Join us for an insightful episode as Janet Keane, Clinical Negligence Director at DWF LLP Dublin, navigates these turbulent waters with her unique experience in both defence and plaintiff roles. In this episode, you'll discover: • How the cervical check scandal drove the change to mandatory open disclosure • How the regulators are struggling to keep pace with the demands of a booming aesthetics sector • The critical importance of risk management and transparency in today’s Irish healthcare landscape Whether you're a healthcare or insurance professional operating in Ireland, this episode is filled with essential insights you can't afford to miss. Listen now to stay ahead in the fast-evolving world of healthcare law and policy. Stay up-to-date with every episode by subscribing to AlteaTalks now: https://lnkd.in/eK6Tyg46 #AlteaTalks #Europe #healthcare #healthcareindustry #insurance #Ireland #medicalmalpractice #podcast #regulation

A great, precise overview of the issues currently at the forefront of Irelands Medical Legal landscape. A very interesting listen.

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The Bismarck Healthcare model used in Capitalistic Democracies such as Japan, Switzerland and Germany and others enables access for all citizens to quality affordable multi private insured and private delivered medical care with better outcomes, costs and access than America's Insurer centric medical care mess. Medicare Advantage for all pushed by the insurers you work for closely resembles the three HMOs for all Model mandated in Israel except MA for all in America would l not limit the profits or take of the insurers as in Israel where insurance companies are utilities not luxuries https://lnkd.in/evX8nur

The #Globalization of Healthcare and its Implications for International #Medical #Insurance Providers In this iPMI Global In Focus article, AP Companies Global. Since 1997, Global Medical Strategy Director, Dr. Arthur L. Diskin, M.D.,takes a look at globalization and its implications for #iPMI providers. An excellent read: https://lnkd.in/eairxZtr

Why does litigation in the life sciences space seem to move so slowly? In this short video, Keri Marmorek, Claims Team Leader, Healthcare, discusses some of the litigation challenges facing the industry that our specialised claims and insurance expert are uniquely positioned to address.  Learn more about our Life Sciences team: https://ow.ly/6sj050SpUpE  #beazley #HealthcareInsurance

The #Globalization of Healthcare and its Implications for International #Medical #Insurance Providers In this iPMI Global In Focus article, AP Companies Global. Since 1997, Global Medical Strategy Director, Dr. Arthur L. Diskin, M.D.,takes a look at globalization and its implications for #iPMI providers. An excellent read: https://lnkd.in/eVZJWy5x