A payer (@Aetna ) telling you to email them for fee schedules → then asking for more info → then auto-replying that the mailbox is retired effective the day before your last email.
@AetnaHelp...?
This is healthcare administration in 2026, folks..
When 64% of substance use disorder denials are overturned, that's not a mistake—it's intentional delay. Carve behavioral health out of Medicaid managed care NOW. @SenatorBrouk & @JoAnneSimonNY are fighting to pass Senate Bill 8309A & Assembly Bill 8055A.
New Episode! "Deciding to Contract with a Payor: Joining "the Network""
Got a contract. The fee schedule is fine. Not great — fine. And now the question isn't can we do this. It's should we, and on …
podcasts.apple.com/us/podcas…
A better approach is to evaluate every state using a structured framework before committing capital. Below is an 8-factor playbook for choosing behavioral health markets more intelligently. healthcare-wiki.com/?p=15408 via @carenodes
Check out the latest article in my newsletter: From Ancient Wisdom to Modern Economics: The Case for Doulas in Healthcare linkedin.com/pulse/from-anci… via @LinkedIn
The ROI Calculator for Partnerships to Address Social Determinants of Health is a tool designed to help CBOs and their health care partners explore, structure, and plan financial arrangements to fund social services for people with complex needs. healthcare-wiki.com/2023/05/…
ROI Forecasting Calculator for Quality Initiatives is a web-based tool that is designed to help state Medicaid agencies, health plans, and other stakeholders assess and demonstrate the cost-savings potential of efforts to improve quality. healthcare-wiki.com/2023/05/…
This tool will allow you to calculate the economic returns of services or programs that improve mental health in your student population. healthcare-wiki.com/2023/05/…
Medi-Cal Managed Care Enrollment Report: This dataset contains the total number of Medi-Cal Managed Care enrollees based on the reported month, plan type, county, and health plan. healthcare-wiki.com/2023/05/…
The CAQH Index benchmarks adoption, volume, cost savings opportunities and spend for transactions along the administrative workflow. The following metrics help measure progress towards an automated workflow. healthcare-wiki.com/2023/05/…