Google This in 40 Years


In writing these newsletters, I’m always looking for current, relevant, and credible materials. More often than not, I focus on the rising cost of healthcare and our successful efforts to bend the cost curve through managed care, utilization review, provider networks, pharmacy networks, etc.

I recently found an article from the Congressional Budget Office on the issue of controlling healthcare costs. Unfortunately, it was published in 1979! The government has struggled with this for over forty years! To quote Dr. Phil, “How’s that workin’ for ya?”

The new year is bringing new challenges. In the first 2 days of 2019, over 30 drug companies filed price increases (they say don’t worry, everybody gets a discount; so why file for an increase?). Kentucky has a newly adopted workers’ comp pharmaceutical formulary to help control usage. Will you use it?

Hospital costs are continuing to rise as inpatient customers decline, outpatient customers increase, and newly purchased physician practices are not as lucrative as predicted. Fortunately, our state has also adopted treatment guidelines based on The Official Disability Guidelines (ODG). Will you use them? Will you double-down on quality utilization review to control admissions and fairly apply these guidelines?

They’re coming for you. It’s not time to go it alone. Hopefully no one reads my headline on Google in 2059.   Call us. We can do better.

William Faris, JD
Chief Executive Officer

Posted in OMCA