Insurance companies and Third Party Administrators (TPAs) must recruit doctors and other providers for their networks in order to be competitive. At the same time they must police all the providers in regards to overcharging for the services they provide. THIS RESULTS IN A TREMENDOUS CONFLICT!

2. At the same time they must police all the providers in regards to overcharging for the services they provide.

3. THIS RESULTS IN A TREMENDOUS CONFLICT!

4. We know for a fact that, while Insurance Companies and TPAs have negotiated significant discounts with providers that some have no language in their contracts addressing length of stay in hospital.

6. Knee replacement surgery vs. options

7. Corning Hospital – Cardiologists

8. Pre surgical counseling

9. Medium and large claim review

10. Law limiting Kidney dialysis to $13,000 / month vs. $35,000 / month

11. Catastrophic case management

12. Partial Kidney transplant

13. Utilization Management