This article is an updated version of the one that Mr. Chase penned after visiting with me in March of 2013, just after I had spoken to a group of third party benefit administrators (those who administer the health plans of self-funded companies) about our facility’s practice model.  This is a much more hard-hitting version, one that includes classic quotes from my friend Jim Millaway.  Hope you enjoy.

G. Keith Smith, M.D.