> Many insurers, after whittling down physicians' reimbursements, now take an additional cut if the doctor prefers — as almost all do — to receive funds electro

> Many insurers, after whittling down physicians' reimbursements, now take an additional cut if the doctor prefers — as almost all do — to receive funds electronically rather than via a paper check. What’s the angle here? Classic rent seeking because they can? Profiteering collecting interest on the float? Banking on doctors being slow to cash physical checks? There’s some heavy stickiness to using one of these paperwork handlers for doctors. The switching costs are significant. But you’d still think there’s enough money there for someone to step up and offer the service without the fees. There’s enough money in fee per service to eat the big guys’ lunches. It’s ridiculously close to the payroll business and we all know what happened there over the past 5-10 years.