Three Rivers Provider Network-TRPN managed care

[Guest guest]

A rant disguised as a question:

We received a marriage proposal in a fax today.

Actually it was an innocuous invitation to join a national PPO sent to us

" because members/payors have reported using our services " .

In the old days, a business had to be wined and dined to take a cut in

compensation in exchange for xyz; and the xyz had better be a promise of

much more business (unless your clinic is across the street from Intel or

Boeing and the MCO is their insurance carrier.)

Read down in the contract and it mentions that payment for services will be

75% of the total billed charges.Do we operate at a profit margin which makes

it valuable to take such a hit? As would say, " Do we even

know? "

What does TRPN do for this discount?

It appears that they are a clearing house for managed care. If they can get

us to take a 25% hit, then they can split the savings with the insurance

carrier. Makes sense. Billions of cents.

A miracle is to find a way to insert ourselves between a much needed and

repeat business product or service (gasoline, health care, garbage

collection) and the payers for that service. Then getting the providers to

take a discount and splitting that discount with those receiving the

services we'd get rich! And we wouldn't even be doing anything worthwhile!

We'd be a tapeworm in the bowl of society! Warm and well fed.

Then I looked on the provider list and there are about 200 chiropractors in

Oregon on the panel. Must be a good deal.

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

[Guest guest]

Watch your MVC EOBs, TRPN has made its way into Safeco's little inner

circle of friends. We do not belong to TRPN but Safeco has used them

to cut services and straightening out the mess has been ridiculous

(as is anything with Safeco).

, DC, DABCO

>

> A rant disguised as a question:

>

> We received a marriage proposal in a fax today.

> Actually it was an innocuous invitation to join a national PPO sent

to us

> " because members/payors have reported using our services " .

>

> In the old days, a business had to be wined and dined to take a cut

in

> compensation in exchange for xyz; and the xyz had better be a

promise of

> much more business (unless your clinic is across the street from

Intel or

> Boeing and the MCO is their insurance carrier.)

>

> Read down in the contract and it mentions that payment for services

will be

> 75% of the total billed charges.Do we operate at a profit margin

which makes

> it valuable to take such a hit? As would say, " Do we

even

> know? "

>

> What does TRPN do for this discount?

> It appears that they are a clearing house for managed care. If they

can get

> us to take a 25% hit, then they can split the savings with the

insurance

> carrier. Makes sense. Billions of cents.

>

> A miracle is to find a way to insert ourselves between a much

needed and

> repeat business product or service (gasoline, health care, garbage

> collection) and the payers for that service. Then getting the

providers to

> take a discount and splitting that discount with those receiving the

> services we'd get rich! And we wouldn't even be doing anything

worthwhile!

> We'd be a tapeworm in the bowl of society! Warm and well fed.

>

> Then I looked on the provider list and there are about 200

chiropractors in

> Oregon on the panel. Must be a good deal.

>

>

> ( E. Abrahamson, D.C.)

> Chiropractic physician

> Lake Oswego Chiropractic Clinic

> 315 Second Street

> Lake Oswego, OR 97034

> 503-635-6246

> Website: http://www.lakeoswegochiro.com

>