Day: May 12, 2017

 

Another Excellent Article By David Chase

Employer/union provided health benefits likely represent over two-thirds of industry profits as they wildly overpay for healthcare services due to the misperception that PPOs help save them money. In reality, PPO networks cost employers/unions dearly.

Increased outside scrutiny on how ERISA-regulated health plans spend their dollars could create immense potential liability for both company directors and health insurers across the country. 

Continue reading “ERISA Fiduciary Largest Undisclosed Risk I’ve Seen in My Career”

“It is my belief that any TPA or Advisor using this list of questions as a tool to evaluate options will be able to easily differentiate the pretenders, professional marketers and conscientious vendors offering a well-designed, well-supported offering.  Such differentiation is critical to the continued development of the RBR approach and disruption of traditional PPO use.” Glenn McLellan

Continue reading Implementing RBR “Done Right”…Begin with Diligence

 

While we have been focusing on Senate Bill 789 we failed to notice the introduction of House Bill 1998 introduced back in February by the same representative who tried and failed to open the gates of freedom for school districts wanting out of TRS ActiveCare two years ago.

Continue reading Dark Horse TRS ActiveCare Bill Gains Traction?

In 2017 you CAN get paid for telehealth (non-face-to-face) services by both Medicare and Private Payers………….32 states now have laws requiring private payers to pay for telehealth services…………

Continue reading Telemedicine Payment