When you go to fill a prescription, do you present your health insurance card at the pharmacy and assume you’re getting the lowest price? You may be paying too much. The cash price for many prescription drugs — especially generics — is often less than insurance co-pays.

(more…)

GoodRx, a digital health startup that helps users track prescription drug prices, filed for an IPO on Friday. The company hasn’t yet priced its shares, but plans to be listed on Nasdaq as “GDRX.”

(more…)

Allen is Only Expert Chosen to Represent the Insurance Industry…………

(more…)

(more…)

TSHBP offers Texas school districts a TRS ActiveCare alternative for 2020-2021 school year. A careful review of benefits and rating structures indicates smart risk management strategies to control health care costs for members.

(more…)

(more…)

(more…)

(more…)

Drug prices keep going up, and up, and up with no end in sight. Isn’t it about time plan sponsors get away from open formularies and change the way they purchase drugs? Or do plan sponsors want to continue to spend and spend and spend,  more and more?

(more…)

Psst…GodFather, Carl’s At It Again!

We just received word that Florida Schuessler Stick (The Schuessler Stick™) sales have recently spiked straining manufacturing capacity at plants world wide. So staff set out to find out why. The following is their report…………….

(more…)

Common sense dictates that medical caregivers who accept Medicare pricing should have no problem accepting Reference Based Pricing plans that uses the same pricing.

(more…)

ANGRY HOSPITAL ADMINISTRATOR REACTS TO THE NEWS……………

“The goal of the rule is to reduce a disparity in Medicare payments where hospital-affiliated clinics get paid more than physician offices for the same services. Some critics have said the gap has helped fuel a race towards hospital-physician consolidation.”

(more…)

• Cash Pay Community Provider Network includes PCP office visits, Specialist Visits, Radiology, etc. Zero balance billing issues – Providers paid in full through electronic fund transfer at POS
• Centers of Excellence for Surgical Procedures. Zero balance billing issues
• Reference Based Pricing for all other services. Plan will attempt to resolve balance billing issues however there is no guarantee those efforts will always be successful

(more…)

Micro-Dot Image of Heretofore Secret Health Care Strategium 

(more…)

Court records allege Cigna uses four distinct schemes to embezzle and convert funds by defrauding patients, healthcare providers, and their own Self-Insured Health Plan clients …………………

(more…)

So guys, this is what my typical day looks like now………………………….

(more…)

“What medical school did Zuckerberg go to?”……………………………….

(more…)

Why price of Humira keeps rising despite FDA approval of generic competition

“Patent thicketing, and Humira is the poster child for this, builds a patent fortress around their product to protect their ability to continue their monopoly pricing.’’

(more…)

Here are some highlights from the podcast:

(more…)