Paduda: Companies Need strategies, Execs Need Success

Those two often don’t match up very well. Example: Work comp insurance companies benefit when medical and indemnity costs are lower than expected. So, lower medical costs equal better “outcome” for the company. Many — if not most — managed care executives are evaluated in part based on “network penetration” and “discount below fee schedule.” Thus, the more dollars that flow through their network, and the deeper the discount those providers give the network, the “better” the executive’s p...