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Mid Atlantic Medical Svcs (MME) Message Board

  • matollionequay matollionequay May 8, 2003 9:51 AM Flag

    Be cautious

    As you know my prior posts predicted enrollment and premium increases in excess of medical costs.


    Going forward long I am cautious due to several managment practices that I don't think are sustainable. I am concerned about claims denials that are likely to be successfully appealed. The 2 Adventist hospitals may be pursuing millions.

    I have strong doubts about former Kaiser docs in lead medical director positions. Vera and Padilla are not strong enough clinically to tell community based physicians how to care for sick people.

    Groban learned his lessons in customer service on the Alliance side. The improvements here at Mamsi over the last 3 - 4 years are significant. He needs to make the same improvements elsewhere in his organization.

 

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