Forced Contracting: BCBS’s Answer to Balance Billing

Forced Contracting of Facility-based Physicians

In what may be the most aggressive effort to date by a commercial health plan to undermine the value of physician services, and put a halt to surprise balance billing; Blue Cross Blue Shield of Georgia sent out a notice … Continue reading


Will the ER Be There When You Need It?

ER closed

Sooner or later, you will need the ER. I don’t care how healthy you are, how much you hate going to the hospital for care, how much you distrust doctors or modern medicine, how rich you are, or how deep … Continue reading

Physician Fees: Should Hospitals Care ?

Physician Fees:  Should Hospitals Care ?

In my previous post, I asked if physicians should care about what the hospital(s) they affiliate with charge. In this post, I will address the slightly touchier question of whether hospitals should care about what their physicians charge. I will … Continue reading

Hospital Charges: Should Physicians Care ?

Hospital Charges:  Wheel of Misfortune

Recently my primary care physician ordered some screening lab tests for me, some of which may not be covered by Medicare. Since he has long been associated with one of the local hospitals (he was recently Chief of the Medical … Continue reading

I Miss ‘Marcus Welby MD’


Granted, the ‘Marcus Welby MD’ show was a bit paternalistic, homophobic, and at times corny, but it had a certain twist (the elder Welby was a progressive thinker compared to his younger colleague, Dr. Steven Kiley, who was something of … Continue reading