These are the tools of the trade a 72 year old industry dinosaur uses to underwrite group medical plans, projecting future costs, rate setting, reserve requirements, quantifying IBNR, etc.

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Xerox, Eastman Kodak And Cost Plus Insurance

“The challenge facing successful business ventures is to understand the necessity to continuously respond to market forces in a proactive manner since competition will certainly become a factor to consider at some point. To ignore this basic business premise by remaining complacent is business suicide.” – Bill Rusteberg

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Works on Brass But Not on Walnuts

When asked recently during a question and answer period at a symposium I attended, a member of the audience asked “What do you tell employers who voice concern about some of your strategies to reign in health care costs?”

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Pssst, God Father, Justin’s At It Again!

Cartels: “an association of manufacturers or suppliers with the purpose of maintaining prices at a high level and restricting competition………………

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Let the Sun Shine In…………………………………………………………

This will be the end of PPO networks and will turbocharge the explosive growth of Reference Based Pricing strategies…………………..

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Dr. Belk gives a talk to One Payer States, a group advocating for a single payer system…………

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Authorities said Hickman and the others recruited public-sector employees who were paid to get prescriptions they didn’t need and hadn’t been prescribed. Among the more than two dozen people who have pleaded guilty was John Gaffney, a Margate-based doctor who admitted signing prescriptions for patients he never saw………………..

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Tom, Dick and Harry on the way to a conference decided to stop along the way and get a hotel room. It was late at night, but they saw in the distance ahead a hotel with a neon sign that said “Vacancy.”

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In the eighth annual Disruptor 50 list, CNBC identifies private companies whose breakthroughs are influencing business and market competition at an accelerated pace. They are poised to emerge from the coronavirus pandemic with tech platforms that have the power to dominate.

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The El Paso Independent School District was the second public school district to challenge TRS ActiveCare in 2019 by offering employees a commercial health plan option in direct violation of TRS ActiveCare mandate prohibiting Texas school districts from doing so. So how has the commercial plan option fared financially so far?

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Man Racked By Guilt Complex – Scientists determine post recovery symptoms may require lifetime counseling………………..

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99% of traditional health plans offer no incentives to shop for best prices and outcomes. Doesn’t matter where an insured goes, the same patient responsibilities apply. The same deductible, same co-pays, same maximum out-of-pocket costs.

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Giving employees daddy’s unlimited credit card and telling them they can go anywhere they want for treatment and their out-of-pocket expense will be the same no matter where they go or who they see, is the dumbest thing employers can do to their employees.

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Pay particular attention to #2,. ICHRAs make sense for employers who are tired of fighting health care costs every year, dealing pesky insurance salesman all while at risk of government punishment should they misstep along the way…………..ICHRA’s Shake Up Market

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The suits allege that Willis and its directors breached their fiduciary duties under U.S. securities laws by filing incomplete and misleading information with the Securities and Exchange Commission on the transaction.

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“Telemedicine has advanced ten years in only two months.” – Gilberto ‘Beto’ Garcia, Jr

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Telehealth claim lines increased more than 4,000% in the past year………………

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Remove third party barriers to care and guess what? Presto, you’ve just solved health care………..

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We believe it is important that our customers understand how these independent producers are compensated, so we offer this overview of our producer compensation programs.

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Earn a total bonus of up to $24,000 with the BCBSTX Grand Slam Bonus Program!

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We all knew how UHC vs Houston Methodist  cat fight would eventually turn out. This type of thing happens all the time, going all the way back to the previous century. No one knows what these cats have agreed to as far as what we all will end up paying for health care. Neither side wants you to know and therein lies the basis of their shared interests……………..

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Payer Compass’s reference based pricing plus direct primary care can reduce plan costs by up to 40%.

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