Uncategorized

Andy Slavitt, Ingenix

So we're going to start with one of the more controversial people I'm meeting at HIMSS, Andy Slavitt the CEO of the newly discovered and reviled by the Senate Ingnix. As you may recall, despite the fact that (not entirely to Andy's pleasure) I called them arms dealers, I was not entirely unsympathetic to what Ingenix was up to in the recent mess. So I talked to Andy about that, about what Ingenix actually does and whether it made sense for a health plan to own a big informatics company (his short answer…they don't!) An interesting interview you can see immediately below.

Livongo’s Post Ad Banner 728*90

Categories: Uncategorized

Tagged as:

8
Leave a Reply

8 Comment threads
0 Thread replies
0 Followers
 
Most reacted comment
Hottest comment thread
4 Comment authors
Sue OGregg MastersFL PCPTom Leith Recent comment authors
newest oldest most voted
Tom Leith
Guest
Tom Leith

Sue O writes: > A lot of patients choose to be informed Well, Sue, I don’t know where you live, but methinks this behavior is most atypical. As for what physician they see: if the patient has a PPO style plan, he’s almost certainly quite well-served seeing a doc in-network and then everything will work out fine with no surprises. If a patient wants to see an out-of-network doc, well, then, he should accept the fact that he’ll be paying a good chunk out of pocket. One presumes that the patient had a good reason for choosing an out of… Read more »

Sue O
Guest
Sue O

I don’t know if Ingenix “manipulated” the data or not. If they did, they shouldn’t have. But, I do think the MDR premise is a good one and a necessary one. I know that physicians don’t like to be held to billing standards, but there has to be a standard or healthcare costs will be totally out of control. If all charges are collected in a database based by CPT code this sets what is usual and reasonable for a certain charge by geographical area. I don’t care how special you think you are, you shouldn’t charge double what the… Read more »

Tom Leith
Guest
Tom Leith

FL PCP writes: > If you think Ingenix is providing valuable > information for patient care, then perhaps > you are part of the problem, not the solution. Perhaps. On the other hand, patients pay the insurance premiums ultimately, and so they’re interested (or should be) in their insurers cutting them the best deal they can get. Ingenix gave in quickly because the value’s in the analytics, not in the data management. Sure, turn that over to whomever wants it so long as we can still get the data! I’ll be you that nothing changes when the politicians get their… Read more »

FL PCP
Guest
FL PCP

With all due respect to Tom, Ingenix’ motives are clarified not only the media, but also by physicians (BTW, we care for the patients). Clearly “purchasing agents” (twice referenced) means insurers. “Transparency” has no real value to patients, since insurers determine reimbursement. True transparency would mean listing CEO compensation, shareholder returns and Health Underwriter’s profits on the EOB. Here is a small sample of the contribution Ingenix makes to healthcare: Educated Opinion from zdnet: Ingenix, a unit of UnitedHealthcare, has settled a fraud case filed last year by New York attorney general Andrew Cuomo that has repercussions across the medical… Read more »

Gregg Masters
Guest

Andy Slavitt does a respectable job addressing the current cloud of bad will circulating around Ingenix. I always wondered what ever happened to MDR; use to pay at the 75th percentile once upon a time before RBRVS conversion. I might note that the pricing database to which Andy referred with considerable history pre-dating the Ingenix acquisition, was compiled in a “usual, customary and reasonable” (UCR) charge based context. To say that this pricing methodology was “physician friendly” would have been to understate it’s nature. UCR pricing methodologies generally treated physicians very well; so his argument is on sound footing. Docs… Read more »

Tom Leith
Guest
Tom Leith

FL PCP writes:
> at the end of the day, their data-slathered
> info-mall offers nothing to patients or doctors.
Nonsense. Ingenix offer a great deal of pricing transparency to patients and their purchasing agents. This is quite valuable to patients and their purchasing agents.
t

FL PCP
Guest
FL PCP

I viewed the very interesting interview with Ingenix CEO Andy Slavitt. I am regularly fascinated by the Numbercruncher’s ability to evaluate physician reimbursement based on the multitude of nuances in any given office visit. While I respect their computational prowess and their penchant to attempt to quantify physician behavior, at the end of the day, their data-slathered info-mall offers nothing to patients or doctors. It is merely a complex data management system designed to limit physician compensation and erode the doctor-patient relationship. It adds to little value to medicine, but certainly adds value to the bottom line of major insurers.

Tom Leith
Guest
Tom Leith

`twill be interesting to see if the new not-for-profit compiler of physician fees comes up with anything different.
t