Archive for August 4th, 2016

The ACA Medical Loss Ratios – “COST-PLUS” Health Insurance in Disguise

Thursday, August 4th, 2016

evans

By Jeff Evans

I recently read an opinion piece that effectively summarized much of what many of us, in the health insurance and employee benefits business, have already figured out.”

(more…)

Managed Care – Cat Is Out of The Bag

Thursday, August 4th, 2016

catoutofbagBy Molly Mulebriar

The best kept secrets of managed care are no longer the industry’s best kept secrets. The cat is out of the bag,

(more…)

Welldyn Sold – Will Super TPA Benefit?

Thursday, August 4th, 2016

mulebriar

“The owner of Welldyn PBM and Continental Benefits has a vision to reduce health care spend in this country by 25%. With fresh capital from the sale of Welldyn, smart money bets Continental Benefits will become a national super TPA in short order. Before the Welldyne sale Continental Benefits was on a fast track. Now it will be nuclearized on an even faster track.” – Molly Mulebriar

(more…)

Narrow Networks = Balance Billing

Thursday, August 4th, 2016

angrydoctor1

Narrow Networks Fueling Surprise Medical Bills and Fights Between Insurers, Providers and Patients

(more…)