Health Insurance Networks: Cost Saving, or Money-Grubbing?

Exposing insurance’s tricks for non-payment of claims

Sentia has solved this problem:

Read on Substack: open.substack.com/pub/sentiahealth/p/health-insurance-networks-cost-saving?r=473krc&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true

Or

Watch on YouTube: 

youtu.be/sPUUZY9FJpc

Not sure why the execs keep their jobs and layoff production. Do we need all top-level operation staff when there isn’t much left to operate? I have ahead time seeing C-suite doin any production work

Happy Valentines Day!

Loving the Olympics finally going on. In my eyes, the top sporting event. I say Olympics, World Cup, then the Super Bowl.

Does anyone have a good recommendation for Verbal tutor? Native English speaker scoring in the high 30’s / low 40’s and looking for some help

Why are potential business happenings by a candidate’s kid disqualifying but (gestures wildly) for the other candidate not for TSers? Going to your resort, conducting federal business at your property, having foreign officials stay, not doing a blind trust, being granted trademarks/land deals in other countries, promoting your products/books in office, calling out other companies? Stop pretending you care or advocate for anything good/true.

What is the LTI bench policy, how much time can an employee be on bench is it 90 or 120 days in business/industry consulting?

Anyone leave PA to work at a firm? What’s your experience been like? Any regrets? Tips?

MY NPS SIP deducts 30/- as convenience fees
I am 27 my NPS is for 33 years my convenience fees will be around 11k
What to do ?

Finally a bowl of like-minded people! I love reading but finding it’s so hard to find people to discuss what I read.

Any books to recommend on mental strength?

I've been job searching for nearly 4 months.... started using fishbowl 3 weeks ago... this app is far superior to anything on the market.

Hi.. Good day.

Can anyone help list out the variable pay components and bonus in Legato for claims associate?

Thanks in advance.

Anybody hiring for sdets and or software devs got a few months of experience rn and would like to get some more $$ and hopefully fully remote

Any health law attorneys with amazing work life balance or straight 9-5? Can you tell us what you do?

What is everyone’s sense of in house comp at a hospital?

What have you done to build up your book of business

Does anyone work at Sidley? Do you like it there?

I've been corp healthcare for 20 yrs and am planning an exit in 6 months to open a legal/consulting business. Looking for thoughts on billable hourly for law firms/ providers/healthplans as clients.

I do general transactional work but really want to get into healthcare. How can I make this happen?

Any recommended resources for a mid-level lit associate looking to develop some skills in health care transactional work? I'm primarily a med-mal attorney and several clients have small opportunities on the MA side that I'd like to be able to assist with. The firm does not currently have a specific transactional healthcare practice group so I'd need to go out of the firm for mentorship in this area. For now, I'm just looking for good basic foundational resources.

Appreciate it!

What additional certifications and/or training do you recommended to help boost your credentials in the Healthcare and/or Public Health arena? I currently work for a hospital system (managing litigation and involved with risk management) and trying to help make myself more versatile long term.

Fastest growing practice area within healthcare law?

Anyone in house at a hospital or academic health center? If so can you shed some light on work load, the main pressures of the job, your level of satisfaction and long term outlook?

How has your work been affected by COVID-19? I’m a regulatory and transactional attorney at an AmLaw 100 firm. Everyone has been telling me that health care will be fine (continued in comments)

Who's hiring entry level health care attorneys (less than 5 years transactional experience) with fully remote option?

Does anyone specialize in pharmacy or PBMs? What helped you grow in this area? Any helpful resources? Any and all advice welcome! This is a new area for me, and I am struggling!

Looking for a new mentor. Background- I previously practiced environmental law for some time and transitioned to health care about 4 years ago. Recently picked up pharmacy (in-house). I was interviewed for a Medicare/Medicaid role, but the hiring counsel thought I’d be great at pharmacy so placed me there. Was upfront about not knowing pharmacy one bit, but expressed my willingness to learn. Fast forward a year later- still struggling with Pharmacy knowledge. Looking for resources.. cont’d below

Where have people seen healthcare big law folks leave to? Mostly pharma? Providers/systems? Universities? Trying to get a sense of exit opps.

Anyone free to chat about getting into healthcare law?

Hi, I am a mid level associate at AM200 with experience in regulatory, transactional healthcare matters and some litigation. Looking to transition to a place with opportunities in healthcare investigations/white collar/disputes. Any suggestions? Looking to stay in New York and close to market pay (don't mind being slightly below).

I finished a Health Law LL.M. last May and haven't done anything with it thus far. I'm in insurance defense primarily (Liability, UM, UIM) and just got the LL.M. because I still had GI Bill to use or lose.

Any suggestions on how I can create/build a book of business as outside counsel using the degree? Thanks in advance.

Is it realistic to go solo in the healthcare law space? Or do boutique firms have a hold on the market?

Would getting a masters in health administration be worth it in terms of helping me get into healthcare law? I have transactional experience but no health law experience.