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Managed Care Matters
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Insight, analysis & opinion from Joe Paduda
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Managed Care Matters - Insight, analysis & opinion from Joe Paduda Insight, analysis & opinion from Joe Paduda Feb 14 Facility costs and quality – are you operating in the dark? Posted by Joe Paduda on Wednesday, February 14th, 2024 | Comments Probably yes. Facilities account for between a third and half of work comp medical spend – and that share is increasing as health systems and hospitals consolidate. Reality is there’s major variation between hospitals – some are stupid expensive, others quite reasonable; some have crappy quality, others excellent quality. Example… Here’s a good one for our colleagues in Louisiana …two hospitals less than 15 miles apart, with VERY different costs and similar quality ratings. Note costs are for MSK conditions …pretty relevant to workers’ comp. So, you can send your injured workers to a VERY expensive facility – Tulane – that does a handful of complex surgeries OR… To a MUCH less expensive facility – Ochsner – that...
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