Archive for September, 2019

Blue Cross Ripped Us Off!

Saturday, September 14th, 2019

“They are using our money, so overpaying there is no consequence to them………So it is easier for them to pay the bills as they come in, whether they are appropriate or not……………..”

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Why Most Public School Districts Get An “F” In Health Care Management

Friday, September 13th, 2019

By Bill Rusteberg

School districts are entitlement based bastions whose decision making processes heavily weight social considerations at the expense of prudent business practices.

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How Hospitals Drive Up Health Costs

Thursday, September 12th, 2019

Every senator, virtually every congressman and every mayor of every large city has a powerful hospital system in his or her district. And those hospitals are as politically untouchable as soybean growers in Iowa or oil producers in Texas.

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ERISA Health Plan Fiduciaries Defeat DOL’s Excessive Fee Claims

Thursday, September 12th, 2019

Recent court decision is a reminder that health plan fees must be monitored and that a good fiduciary process is always the principal defense to claims of fiduciary imprudence.

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Why Would I Hire You?

Thursday, September 12th, 2019

The job pays $65,000 per year plus benefits. By the time we add up all the benefits including health insurance, workers compensation, FICA, etc., your job is worth $85,000.

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Changing Logos

Thursday, September 12th, 2019

By Bill Rusteberg

A favorite strategy to lower health care costs by plan sponsors is to change the logo on one’s I.D. card.  Everything else remains essentially the same.

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American Health Care is Broken, Especially in South Texas

Wednesday, September 11th, 2019

Brownsville and Harlingen in deep South Texas leads the country in the highest health care costs with a markup rate of 940% of Medicare, followed by three other nearby cities of McAllen, Edinburgh and Mission……………..

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The World Is Flat

Wednesday, September 11th, 2019

In the real market, healthcare costs are flat.” – Dave Chase.

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The Payer You Never Heard Of

Sunday, September 8th, 2019

You won’t see recognizable logos or insurance company names on their health insurance I.D. cards. You may wonder “what kind of insurance is this?”

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A Week In The Worst Health Care System In The World

Sunday, September 8th, 2019

By MATTHEW HAHN, MD | POLICY |

What happens when you place an entire nation’s health care in the hands of an overly-controlling, ineffective government bureaucracy and huge corporations whose mission it is to squeeze as much money from the system, no matter the cost, including people’s lives? You get the carnage that is the American health care system.

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Healthcare Cost Trends Not Looking Good

Saturday, September 7th, 2019

Medical trend continues to outpace general inflation. Those plan sponsors who abide by the law of civil obedience continue to fund the health care beast’s insatiable appetite while others are taking a different approach. The later have solved health care……….they have stopped feeding the beast…………

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How To Control Specialty Drug Costs

Friday, September 6th, 2019

By Molly Mulebriar

There is only one proven method to control specialty drug costs……… 

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The Balance Billing Myth

Tuesday, September 3rd, 2019

A seemingly valid concern about Reference Based Pricing strategies on the part of consumers is the possibility of balance billing leading to personal debt, lawsuits and ruined credit. Balance billing occurs when you don’t ask the price……………

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Texas Files Suit Against Aliera Healthcare

Sunday, September 1st, 2019

The State of Texas has filed a lawsuit seeking to stop Aliera Healthcare from selling health insurance in Texas and engaging in the business of insurance without a state license.

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