Medicaid insurance and new solo private practice
Hello! I am in the process of opening a solo psychiatric practice this summer and currently getting credentialed with some of the commercial insurers and Medicare. During this credentialing process, a blue cross blue shield agent said, "If you choose not to accept Medicaid Managed Care members, this would be for all health plans, not just for BC/BS. NYS doesn’t allow for providers to pick and choose what MMC policy they can and cannot accept, as it is all or nothing."
To my...
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Source: Student Doctor Network - February 17, 2023 Category: Universities & Medical Training Authors: geripsyched Tags: Psychiatry Source Type: forums
Un-accredited Managed Care Residencies
Does anyone know how long it takes to hear back from non-accredited managed care residencies? How similar is their timeline to PhORCAS programs?
Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - July 6, 2022 Category: Universities & Medical Training Authors: pharma012 Tags: Pharmacy Residencies and Fellowships Source Type: forums
Medicare guidelines for managed care
Has anyone worked for a managed medicare company like Humana or United doing to review for approval to IPR. I do peer to peers all the time and i swear its luck of the draw on getting patients approved for transfer from acute to ipr. The constant thing i hear is “they dont fit medicare criteria for ipr”. I know the basics and when i ask which criteria they never will say specifics. Just usually the same line about not fitting over and over. If they elaborate at all they just say the person...
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Source: Student Doctor Network - April 1, 2022 Category: Universities & Medical Training Authors: Momentum70 Tags: PM&R Source Type: forums
Can't put my fingers on exactly what area I am interested in...is it a bad look for letters of intent?
I am a 4th year pharmacy student currently in my 6th APPE block and starting my journey applying to Pharmacy residencies around the country. As of right now, I have not been able to narrow down my interests to just one area; however, I am currently interested in managed care, infectious disease, pediatrics, ambulatory care, critical care, medication safety, and community. I plan on applying mainly to managed care pharmacy system programs, pediatric programs, and some clinical programs that...
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Source: Student Doctor Network - November 5, 2021 Category: Universities & Medical Training Authors: TheOnlinePharmacist Tags: Pharmacy Residencies and Fellowships Source Type: forums
Recruiters/Hiring agency?
What hiring agencies/recruiting services are good for someone seeking a way into the pharma industry or managed care industry? I've tried LinkedIn and haven't found much help from it with many of them being scammers/fakes. (Source: Student Doctor Network)
Source: Student Doctor Network - July 6, 2021 Category: Universities & Medical Training Authors: SaturatedTurd Tags: Job Market Source Type: forums
Managed care residency
I am looking for someone who has done managed care residency or currently doing.
Do you recommend attending ASHP midyear this year? I know many industry fellowships and clinical residencies attend there, but how about managed care residencies? Does anyone has any experience that can share? Thanks. (Source: Student Doctor Network)
Source: Student Doctor Network - October 25, 2020 Category: Universities & Medical Training Authors: sagain Tags: Pharmacy Residencies and Fellowships Source Type: forums
Private Practice vs. Managed Care
I would really appreciate anyone's advice about this: have been working with a managed care organization for the past 3 years. I make into the upper 500k. Good benefits. Good lifestyle. Got an opportunity to work in a private practice with significant more salary (probably double), good contracts in place and with PI work. I don't know if it's worth jumping ship? The current job does have potential to move into management positions as well. (Source: Student Doctor Network)
Source: Student Doctor Network - August 17, 2020 Category: Universities & Medical Training Authors: mohandess Tags: Pain Medicine Source Type: forums
I've been a member since 2007 and came to give back as a Rph.
Well, it's been a few years since I posted, so you know I'm not a troll or new account.
Some background: Went to pharmacy school about 10 years ago, did a residency, got into managed care.
I've read a few of the posts here and just wanted to give my 2 cents.
Don't go to pharmacy school unless you are smart and can hustle. I know everyone thinks they are like this, so be honest with yourself and figure it out. I'm in CA. Basically, if you can't get into UCSF, USC, UOP or UCSD. Find another...
I've been a member since 2007 and came to give back as a Rph. (Source: Student Doctor Network)
Source: Student Doctor Network - August 14, 2020 Category: Universities & Medical Training Authors: moolman Tags: Pharmacy Source Type: forums
Board certification in managed care
Is it possible to work for a few years in managed care and take the board exam without going through residency? (Source: Student Doctor Network)
Source: Student Doctor Network - March 15, 2020 Category: Universities & Medical Training Authors: sagain Tags: Pharmacy Licensure and Exams Source Type: forums
Managed Care Pharmacists
Hello,
I am very interested into this (managed care pharmacists) and wondering anyone in this forum is working in this field. Thank you! (Source: Student Doctor Network)
Source: Student Doctor Network - October 6, 2019 Category: Universities & Medical Training Authors: Baboguy Tags: Pharmacy Source Type: forums
Medicare For All: Ramifications for Managed Care Companies (Kaiser Permanente, etc.), AMCs (Envision, USAP, Somnia, etc), and billing companies (Abeo)
I am not trolling or hoping to start a heated political discussion. And I don't wish to debates the merits of the proposal, nor its chances of passing. But Medicare For All is going to put Kaiser out of business, correct? I mean, they will still own their hospitals and clinics and patients will still engage with their Permanente physicians, but all the fat will be trimmed. Same thing for the Mayo Clinic, IHC, and all the others, correct?
Is the reason nobody talks about this is...
Medicare For All: Ramifications for Managed Care Companies (Kaiser Permanente, etc.), AMCs (Envision, USAP, Somnia, etc), and billing compani...
Source: Student Doctor Network - August 23, 2019 Category: Universities & Medical Training Authors: apoondoc Tags: Anesthesiology Source Type: forums
M.S in Pharmaceutical Outcome and Policy
I am considering enrolling in M.S program from University of Florida (UF) some time in the future for career advancement and opportunities in industry/managed care (specifically the health outcome liaison field and formulary management). The program from UF seems to have received a lot of recognitions from AMCP, and they have some tracks that really interest me. I am particularly interested in the applied pharmacoeconomic and managed care tracks. Both seem to have similar career prospect. I...
M.S in Pharmaceutical Outcome and Policy (Source: Student Doctor Network)
Source: Student Doctor Network - June 22, 2019 Category: Universities & Medical Training Authors: bookworm92 Tags: Pharmacy Source Type: forums
career change suggestions for current pharmacist?
hello i am current pharmacist 13yrs in retail and 1 year in managed care rph... i love managed care but currently work contract position and its competitive in philly, pa. I have 4 state licenses. ideally would love a laid back rph job doing something more clinical... i do not want to 12 hour shifts and do not want to deal with patient care too much and do not want to deal with too many narcotics? managed care is super competitive? is there any suggestions for something like a 1-2 year...
career change suggestions for current pharmacist? (Source: Student Doctor Network)
Source: Student Doctor Network - April 12, 2019 Category: Universities & Medical Training Authors: Tua09053 Tags: Pharmacy Source Type: forums
other pharmacist career opportunities outside retail
hi i am a current pharmacist with 6 years of retail experience and 6 months of managed care and 2 years of hospital. i do not enjoy patient care... what other career opportunities are there in pharmacy without patient care near cherry hill nj (45minute radius) (i am licensed in pa, nj, and delaware)... i enjoyed managed care but it is unstable position... i am willing to work towards the desired career.... also want mon-wed or mon-thurs schedule ideally 10 hours a day with 4 weeks or more...
other pharmacist career opportunities outside retail (Source: Student Doctor Network)
Source: Student Doctor Network - May 17, 2018 Category: Universities & Medical Training Authors: Tua09053 Source Type: forums
What do nephrologists do/lifestyle of nephro
Hi everyone
I hope all is well for everyone-- I just wanted to know if anyone could enlighten me on what private practice nephro docs do-- do they work out of dialysis centers or do they have private clinics? How many hours do they typically work a week/ what is call schedule like-- are there alot of emergencies? In addition, how much of the managed care/insurance issues do they have to deal with-- I have heard that physician payment for dialysis is GUARANTEED by the government. Please...
What do nephrologists do/lifestyle of nephro (Source: Student Doctor Network)
Source: Student Doctor Network - January 13, 2018 Category: Universities & Medical Training Authors: rs2006 Source Type: forums
