Archive for October, 2019

Teacher Retirement System Considering Big Changes

Monday, October 14th, 2019

Formerly sleepy TRS trustees are considering “big changes” to TRS ActiveCare because member districts are threatening to leave to establish their own health plans. Competition, for the first time, is clearly at play here (Texas School District Challenges TRS ActiveCare Plan Mandates).

The TRS solution? Eliminate community rating so some districts can pay more and utilize narrow networks so all districts have less choice……………………..

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What’s at Stake in the Current Court Challenge to the ACA?

Monday, October 14th, 2019

Lord Roberts -Protector & Defender of ObamaCare

“In court in July, only two of the three judges … asked questions. ‘Oral argument in front of the circuit went about as badly for the defenders of the [ACA] as it could have gone,’ says Nicholas Bagley, a professor of law at the University of Michigan.

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Specialty Drugs, Fiduciary Duties & The Hot Potato Method

Sunday, October 13th, 2019

Specialty drugs can cost hundreds of thousands of dollars per member per year, or more. One new specialty drug approved this year costs +$2,000,000 for an annual treatment………

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Schuessler To Speak at The Texas Public Policy Foundation

Saturday, October 12th, 2019

Carl Schuessler is set to speak at the upcoming Texas Public Policy Foundation event in January, 2020 in Austin, Texas. The panel discussion is on “The Way Out of America’s Broken Health Insurance System.” Knowing Carl as we do, his message may be “Grow Cojones For (a) Change.

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The Mother of All Health Care Battles Looms

Friday, October 11th, 2019

We have reached a tipping point in the battle against high cost health care. Employers have run out of money to pay for it. Employees can’t afford to use their health insurance anymore. Meanwhile hospitals continue to game the system with egregious charge-master pricing and their disco-discount game with their carrier partners. They have effectively dug their grave and are about to be pushed into it……………..

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Colorado Proposing To Adopt Reference Based Pricing Strategies

Wednesday, October 9th, 2019

Proposal will take Colorado down several relatively untraveled roads, potentially creating a health insurance market like no other in the country that could become a national model — or a cautionary tale……………..

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Introductions Are Worth Big Bucks In The Insurance Industry

Sunday, October 6th, 2019

Earning commissions forever by simply making an introduction beats working for a living………….

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The Betalin Cure

Sunday, October 6th, 2019

A team of Jerusalem-based researchers and entrepreneurs claim they have a cure for diabetes that could hit the market as early as within the next few years…………..The patient should never have to inject insulin into his body again………………

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AMPS Reports Record Growth In 2019

Sunday, October 6th, 2019

AMPS saw significant growth in its large customer portfolio this year, including customers with upwards of 150,000 members. The growth from small to midsize to large customers reflects broad embrace by employers and health systems……………..

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Risk Tolerance & Reference Based Pricing Strategies

Thursday, October 3rd, 2019

The problem I see with most health insurance consultants is almost all pre-determine a client’s tolerance for risk before determining where the risk tolerance actually lies.

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Renting Medicare’s Provider Network

Thursday, October 3rd, 2019

 An idea with bi-partisan support?

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Everyone Is Paying For Mary’s Deductible Because Mary Isn’t

Thursday, October 3rd, 2019

Lucky Mary. She has a $1,500 deductible through her employers health plan but everyone else is paying for it because she’s not…………….

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Dead Peasant Insurance

Wednesday, October 2nd, 2019

According to one source, Hartford Life Insurance estimated that one-quarter of all Fortune 500 companies have COLI policies, which cover the lives of about 5 million employees.

Can proceeds go to reduce GASB 45 ?

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Individual Coverage HRA – The Good, Bad & Ugly

Wednesday, October 2nd, 2019

SOURCE: Trucker Huss

“The chief advantage of offering an ICHRA as opposed to traditional employer-sponsored group health plan coverage is that it transfers much of the financial risk from the employer to the individual marketplace, thus allowing for more predictable costs for the employer from year to year…….

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