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.
Archive for August, 2020
Everything You Need To Know About GoodRX
Sunday, August 30th, 2020GoodRx Files To Go Public
Sunday, August 30th, 2020GoodRx, 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.”
Lisa Allen Invited To Join DOL ERISA Advisory Council
Friday, August 28th, 2020MedSave Management LLC Announces New Program
Friday, August 28th, 2020
Effective September 1, 2020 MEDSAVE will be improved to include a new plan option members may choose when seeking medical care.
All patient financial responsibility for covered medical expenses will be waived each time a member requests plan assistance in selecting high quality medical providers and services.
Very Smart Risk Management Strategy for Texas School Districts
Thursday, August 27th, 2020A Game Changer In Health Care Financing?
Sunday, August 23rd, 2020
Effective September 1, 2020 we are trying out something new which I believe could be the future in health care financing – A cash pay centric plan coupled with a PCP referral process to the highest quality providers with the best medical outcomes.
Will Texas Force Rebels Back To The Dungeon?
Saturday, August 22nd, 2020
Will the TRS ActiveCare trustees act to stop the TRS ActiveCare rebellion? They better think this through because it would be political suicide to take away competitive benefits and force members back to the TRS ActiveCare dungeon.
Managing Risk vs Servicing Risk – The End of Status Quo Brokers?
Saturday, August 22nd, 2020With little formal training, a majority of health insurance brokers back in the day were simply spreadsheet artists………………………….
Today’s Pharma News
Thursday, August 20th, 2020Drug 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?
Schuessler Stirs Up Florida!
Monday, August 17th, 2020Psst…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…………….
A Medical Plan Whose Time Has Come
Saturday, August 15th, 2020Common sense dictates that medical caregivers who accept Medicare pricing should have no problem accepting Reference Based Pricing plans that uses the same pricing.
Major Ruling Against Hospital Affiliated Clinics
Saturday, August 15th, 2020
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.”
Lisa’s Plan
Friday, August 14th, 2020- 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
Mulebriar Undercover Work Exposes Unusual Risk Management Strategy
Monday, August 10th, 2020Cigna Sued for RICO Violations
Saturday, August 8th, 2020Court 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 …………………
A Day in My Life as a Physician
Thursday, August 6th, 2020What Does Simone and The Tyler Rose Have in Common?
Thursday, August 6th, 2020“What medical school did Zuckerberg go to?”……………………………….
Patient Thicket
Monday, August 3rd, 2020Why 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.’’
Podcast: Alternative Medical for Texas School Districts with Russ Edwards
Saturday, August 1st, 2020Here are some highlights from the podcast: