Off the Chart with Medical Economics

Medical Economics
Off the Chart with Medical Economics podcast

Off the Chart with Medical Economics features lively and informative conversations with health care experts, opinion leaders, and practicing physicians, about the challenges facing medical practices today. New episodes release every two weeks, on Fridays. Off the Chart with Medical Economics Staff Host: Keith Reynolds Contributors: Chris Mazzolini, Todd Shryock, Richard Payerchin Inquiries: Please email Host Keith Reynolds (mailto:kreynolds@mjhlifesciences.com) with feedback, questions, guest suggestions and more.

  1. Malpractice caps and nuclear verdicts with Bob White, the Doctors Company

    3 DGN GELEDEN

    Malpractice caps and nuclear verdicts with Bob White, the Doctors Company

    Medical Economics Editorial Director Chris Mazzolini sits down with Bob White, president of The Doctors Company to discuss trends in malpractice litigation and what recent verdicts mean for the industry at large. Music Credits: Expressive Violin by Elonix - stock.adobe.com Relaxing Lounge by Classy Call me Man - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com Editor's note: Episode timestamps and transcript produced using AI tools. Introduction to the Episode (00:00:21) Overview of the podcast and introduction of the speakers discussing malpractice caps. Definition of Damage Caps (00:01:10) Bob White explains what medical malpractice damage caps are and why they are significant for physicians. Inflation and Damage Caps (00:02:23) Discussion on whether damage caps are linked to inflation and how they can change over time. Recent Changes in Colorado (00:03:37) Overview of recent developments in Colorado regarding malpractice caps and their implications. Current Cap in California (00:05:40) Details about the current cap in California and how it has changed over time. Colorado's Legislative Changes (00:07:32) Comparison of Colorado's recent legislation on malpractice caps to California's changes. Arguments for Increasing Caps (00:08:18) Discussion on the plaintiffs' bar's rationale for advocating higher damage caps. State Variations in Caps (00:09:49) Insight into how different states have varying laws regarding malpractice caps and potential trends. Impact of High Verdicts (00:13:00) Examination of the increase in large verdicts and its effect on the malpractice landscape. Consequences of Rising Caps (00:14:38) Exploration of the effects on insurance companies and physicians when damage caps rise. Settlement Pressures (00:15:03) Discussion on how rising caps influence the decision-making process for settling lawsuits. Historical Context of Verdicts (00:17:48) Comparison of significant verdict amounts over the years and the implications for the medical profession. Public Perception and Caps (00:19:50) Discussion on societal attitudes towards caps and their impact on the medical field. Advice for Physicians (00:21:09) Bob White shares best practices for physicians to protect themselves from malpractice claims. Building Patient Rapport (00:23:37) Discusses the importance of patient-provider relationships for legal protection against lawsuits. Transactional Healthcare Concerns (00:23:55) Explores the shift towards transactional healthcare and its impact on physician-patient relationships. Retail Medicine Issues (00:24:44) Addresses the challenges of retail medicine in building rapport between patients and healthcare providers. Physicians' Motivation (00:25:46) Highlights physicians' desire for strong relationships with patients as a primary reason for entering medicine. Insurance Choices for Doctors (00:26:10) Discusses the importance of understanding insurance options and the advocacy role of insurance companies. Advocacy in Malpractice Insurance (00:27:12) Emphasizes the need for insurers to advocate for doctors and engage in legislative matters.

    29 min
  2. Negotiating with payers with Scott Dewey, chief managed care officer at PayrHealth

    6 SEP.

    Negotiating with payers with Scott Dewey, chief managed care officer at PayrHealth

    Medical Economics Managing Editor Todd Shryock sits down with Scott Dewey, chief managed care officer at PayrHealth about the best strategies for payer negotiations. Music Credits: Gypsy Jazz Swing by tunes2go - stock.adobe.com COCKTAIL by Mythical Audio - stock.adobe.com The Joy of Being by Duke Herrington - stock.adobe.com Introduction to Negotiations (00:00:12) Overview of the podcast and introduction of the speakers discussing payer negotiations. Starting Preparation for Negotiations (00:01:03) Importance of having a strategy and understanding leverage before entering negotiations. Timing for Preparation (00:04:04) Advice on how far in advance physicians should prepare for payer negotiations. Contract Length Considerations (00:05:11) Discussion on the pros and cons of long-term versus short-term contracts. Negotiating Power of Smaller Practices (00:06:47) Insights on how smaller practices can find leverage against larger payer organizations. Dealing with Non-Negotiable Contracts (00:08:54) Advice for practices facing contracts labeled as "not negotiable." Prior Authorizations in Contracts (00:09:53) Strategies for negotiating limitations around prior authorization requirements. Unilateral Amendments in Contracts (00:12:31) Discussion on the commonality of unilateral contract amendments by payers. Common Contract Mistakes (00:14:11) Overview of frequent mistakes made by physicians in contract agreements. Value-Based Care Contracts (00:16:34) Differences between value-based care contracts and traditional fee-for-service agreements. Final Contract Considerations (00:19:48) Importance of getting all agreements in writing and understanding contract updates. Conclusion (00:21:43) Wrap-up of the discussion and thanks to the guest for sharing insights.

    22 min
  3. Special Bulletin: 2024 Tri-State Healthcare Leaders Conference

    4 SEP.

    Special Bulletin: 2024 Tri-State Healthcare Leaders Conference

    A special preview of what to expect at this year's Tri-State Healthcare Leaders Conference featuring interviews with three of the presenters.  Jennifer Wiggins, CEO of Aegis Malpractice Solutions, will take part in a roundtable discussion on the malpractice landscape on Sept. 19. Ashkan Nikou, head of security at Bluegrass Orthopaedic, will present a session on using verbal judo to persuade on Sept. 19. Stephen A. Dickens, vice president at SVMIC, will present a session entitled "Steps for Success in Strategic Planning & Leading Change" on Sept. 19. Sign up for the conference here. Music Credit: Calming Business Ambient by KLAmedia - stock.adobe.com Introduction to the Conference (00:00:00) Keith Reynolds introduces the special bulletin and previews the 2024 Tri-State Healthcare Leaders Conference. Jennifer Wiggins on Networking (00:00:53) Jennifer Wiggins expresses excitement for the conference and networking opportunities among healthcare administrators. Roundtable Discussion on Malpractice (00:01:38) Wiggins discusses her roundtable on the malpractice landscape, highlighting current trends and important changes. Ashkan Nikou's Perspectives (00:02:24) Ashkan Nikou looks forward to hearing diverse perspectives from practices across Indiana, Ohio, and Kentucky. Verbal Judo Presentation (00:02:37) Nikou shares details about his session on using verbal judo to persuade attendees on September 19th. Stephen Dickens on Networking (00:03:08) Stephen Dickens shares his eagerness to network and learn new approaches at the conference. Strategic Planning Session (00:03:43) Dickens presents his session titled "Steps for Success in Strategic Planning and Leading Change" on September 19th. Closing Remarks (00:04:48) Reynolds concludes the bulletin, emphasizing the importance of this year's conference and encourages subscriptions.

    6 min

Info

Off the Chart with Medical Economics features lively and informative conversations with health care experts, opinion leaders, and practicing physicians, about the challenges facing medical practices today. New episodes release every two weeks, on Fridays. Off the Chart with Medical Economics Staff Host: Keith Reynolds Contributors: Chris Mazzolini, Todd Shryock, Richard Payerchin Inquiries: Please email Host Keith Reynolds (mailto:kreynolds@mjhlifesciences.com) with feedback, questions, guest suggestions and more.

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