Physicians/Healthcare Professionals -EMR Question

#27
#27
Professor Nono said:
To answer your question, 4. Where are they? That's the question I am trying to get answered.
Click to expand...

I've worked in IT in healthcare for almost a decade across 3 different companies.

I'm willing to bet you're not going to find what you're looking for with any physician. Maybe some really small town out in the boonies doctor, but that's about it.
 
#28
#28
VolsSportsFan said:
I've worked in IT in healthcare for almost a decade across 3 different companies.

I'm willing to bet you're not going to find what you're looking for with any physician. Maybe some really small town out in the boonies doctor, but that's about it.
Click to expand...

The OP will need to follow the banjos to find what he needs.
 
#29
#29
You wait, health insurance is on it's way to being regulated like car insurance.

You will get rates based off of age, genetic disposition, pre existing conditions, weight, tobacco usage and so on.

My work already gives better rates based on tobacco usage, BMI levels,and if you agree to health coaching.

Communists I say.
 
#30
#30
kiddiedoc said:
Thanks for the smart-assed response, but I actually explained that green snot is usually viral infection, allergies, or irritant.

Good luck finding someone with your requirements. Given the current medico-legal landscape and need for contact info for telephone follow-up (which we routinely provide without charge), you might check in the back of some trailers along the interstate in Florida. I hear you can't get cheap CT scans there, too. Medications are not well-regulated in Mexico, so there is another option, and you wouldn't even need a physician.
Click to expand...

I don't want a follow-up call - I don't want a nanny and "best practices" is for azz-covering insurance people. If I want to talk to the doc, I will call the doc. If docs really knew the actual "medico-legal landscape" (at least here in TN) instead of listening to their malpractice insurance agents who sell insurnace, they would know that they are getting RAPED in premiums for no reason. But docs are busy, getting busier with paperwork, and delegate too much of the business side of their work to others. There, you made me say it.
 
#31
#31
Dude just steal a scrip pad. Self-diagnose, scribble down some crap, and control everything you put in your body. That's clearly what you want.
 
  • Like
Reactions: 1 person
#33
#33
Professor Nono said:
If docs really knew the actual "medico-legal landscape" (at least here in TN) instead of listening to their malpractice insurance agents who sell insurnace, they would know that they are getting RAPED in premiums for no reason. But docs are busy, getting busier with paperwork, and delegate too much of the business side of their work to others. There, you made me say it.
Click to expand...

Clearly, you have no idea what you are talking about.
 
  • Like
Reactions: 3 people
#34
#34
goldenvol said:
You wait, health insurance is on it's way to being regulated like car insurance.

You will get rates based off of age, genetic disposition, pre existing conditions, weight, tobacco usage and so on.

My work already gives better rates based on tobacco usage, BMI levels,and if you agree to health coaching.

Communists I say.
Click to expand...

What other way should insurance work? The whole idea is trying to predict the losses and charge people based on their predicted claims.
 
#35
#35
kiddiedoc said:
Clearly, you have no idea what you are talking about.
Click to expand...

Ever notice that the people that ***** about doctors and insurance companies the most are the people that need doctors and insurance companies the most?
 
#36
#36
GAVol said:
What other way should insurance work? The whole idea is trying to predict the losses and charge people based on their predicted claims.
Click to expand...

Yep - the real issue is that health insurance is really prepaid healthcare and not insurance.

It's more akin to buying a prepaid maintenance plan and bumper to bumper warranty on your car instead of buying car insurance.
 
#37
#37
volinbham said:
Yep - the real issue is that health insurance is really prepaid healthcare and not insurance.

It's more akin to buying a prepaid maintenance plan and bumper to bumper warranty on your car instead of buying car insurance.
Click to expand...

The professor nails it yet again. It'd be a lot simpler if we just had everybody post a bond.
 
#38
#38
GAVol said:
What other way should insurance work? The whole idea is trying to predict the losses and charge people based on their predicted claims.
Click to expand...

That doesn't work so well for people with chronic health issues.
 
#40
#40
Professor Nono said:
Um, have you seen the TN Dept. of Health malpractice report for the latest year? I guess not.
Click to expand...

I rechecked to make sure. $147M paid to claimants in 2013 (slightly UP from 2012). $153M was paid for liability insurance. The difference is returned to us by reductions in the following year's premiums, FYI.

Continue to enlighten us.
 
#41
#41
Also, it's important to mention that the reduction in liability payments in tennessee is due, in large part, to efforts by State Volunteer Mutual and their continued work with the Tennessee Medical Association. SVMIC also offers continued risk reduction education and rewards docs for staying current with the seminars and online activities. I could not be more pleased with them and most every physician in the state would agree.
 
#42
#42
kiddiedoc said:
Also, it's important to mention that the reduction in liability payments in tennessee is due, in large part, to efforts by State Volunteer Mutual and their continued work with the Tennessee Medical Association. SVMIC also offers continued risk reduction education and rewards docs for staying current with the seminars and online activities. I could not be more pleased with them and most every physician in the state would agree.
Click to expand...

Ok - pipe down class it's time to actually learn something. Here are the facts:

In 2013, 79 Million was paid to malpractice claimants through settlements and verdicts. Of the 79 Million, 2.3 Million was via judgments. There were 126 judgments that went down in malpractice cases. Of these, 119 were defense verdicts with no money awarded. 153 Million was paid in malpractice premiums in 2013. Interestingly, the insurance reserves are no longer included in the annual malpractice report.

In 2012, 90 million was paid in settlements and verdicts. Of the 90 million, about 75 million was in judgments and the rest was by settlement. There were 130 court judgments in 2012 for malpractice cases. Of these, 125 were defense verdicts with no money awarded. For the verdicts that were entered for the plaintiff, it appears that two judgments from two death cases amounted to the lion's share of the awards. 143 Million in premium was written in 2012. Again, the insurance reserves were left out of the report.

One has to go all the way back to 2006 to find out what the reserves are for the reporting insurance companies. In 2006, premiums written were 344 Million and reserves were..... 794 Million. And total paid damages were 105 Million.

So, it appears that the "medico-legal" environment has improved for the "medico" part of the equation. Further, I find it interesting that the reserves are not disclosed anymore. How much is socked away by physician owned State Vol? How much reserve is required to meet insurance regulations in TN? How much should be returned to the docs in dividend or other ways?

Class is over for now. That's the true "medico-legal" environment.

If you desire to check on the aforementioned numbers, you may go to:

Insurance Division - Malpractice Reporting Information
 
#45
#45
Velo Vol said:
That doesn't work so well for people with chronic health issues.
Click to expand...
I'm not sure anything works well in an insurance model where there are guaranteed losses and rampant adverse selection. It's the age old health insurance problem.
 
#46
#46
Professor Nono said:
Ok - pipe down class it's time to actually learn something. Here are the facts:

In 2013, 79 Million was paid to malpractice claimants through settlements and verdicts. Of the 79 Million, 2.3 Million was via judgments. There were 126 judgments that went down in malpractice cases. Of these, 119 were defense verdicts with no money awarded. 153 Million was paid in malpractice premiums in 2013. Interestingly, the insurance reserves are no longer included in the annual malpractice report.

In 2012, 90 million was paid in settlements and verdicts. Of the 90 million, about 75 million was in judgments and the rest was by settlement. There were 130 court judgments in 2012 for malpractice cases. Of these, 125 were defense verdicts with no money awarded. For the verdicts that were entered for the plaintiff, it appears that two judgments from two death cases amounted to the lion's share of the awards. 143 Million in premium was written in 2012. Again, the insurance reserves were left out of the report.

One has to go all the way back to 2006 to find out what the reserves are for the reporting insurance companies. In 2006, premiums written were 344 Million and reserves were..... 794 Million. And total paid damages were 105 Million.

So, it appears that the "medico-legal" environment has improved for the "medico" part of the equation. Further, I find it interesting that the reserves are not disclosed anymore. How much is socked away by physician owned State Vol? How much reserve is required to meet insurance regulations in TN? How much should be returned to the docs in dividend or other ways?

Class is over for now. That's the true "medico-legal" environment.

If you desire to check on the aforementioned numbers, you may go to:

Insurance Division - Malpractice Reporting Information
Click to expand...

Wrong again:

"As reported by counsels for claimants, claimants were paid damages totaling $146,827,228 (One Hundred Forty-six Million, Eight Hundred Twenty-seven Thousand, Two Hundred Twenty-eight Dollars) on cases closed in 2013 by way of judgments, traditional settlements, and ADR methods in the 2013 reporting year."

(From the report you referenced. I believe you might have read the incorrect section, which would leave out legal fees.)

I'm not sure how many other types of insurance companies reimburse their clients for unused funds, spend a great deal of money and time to minimize claims, and work closely in partnership with their clients' professional organizations, but that's exactly what my malpractice insurance company does. In fact, it's about the only insurance I carry that I think ISN'T a racket.
 
  • Like
Reactions: 1 person
#47
#47
kiddiedoc said:
Wrong again:

"As reported by counsels for claimants, claimants were paid damages totaling $146,827,228 (One Hundred Forty-six Million, Eight Hundred Twenty-seven Thousand, Two Hundred Twenty-eight Dollars) on cases closed in 2013 by way of judgments, traditional settlements, and ADR methods in the 2013 reporting year."

(From the report you referenced. I believe you might have read the incorrect section, which would leave out legal fees.)

I'm not sure how many other types of insurance companies reimburse their clients for unused funds, spend a great deal of money and time to minimize claims, and work closely in partnership with their clients' professional organizations, but that's exactly what my malpractice insurance company does. In fact, it's about the only insurance I carry that I think ISN'T a racket.
Click to expand...

Naw - right again is more like it. Here's the actual chart:

View attachment 92717
 
#49
#49
I cut and pasted from the report. Sorry if it doesn't fit your agenda. SVMIC is very open with claims reporting to its clients.

Head south, my friend. Mexico is warm this time of year.
 
#50
#50
I see this every day in the pharmacy. Someone walks in, asks a question, then argues with you over the answer because it wasn't in agreement with what they thought or wanted to hear.
 
  • Like
Reactions: 1 person
New posts
You must log in or register to reply here.

VN Store



Back
Top