Archive for August, 2020

Everything You Need To Know About GoodRX

Sunday, August 30th, 2020

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.

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GoodRx Files To Go Public

Sunday, August 30th, 2020

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.”

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Lisa Allen Invited To Join DOL ERISA Advisory Council

Friday, August 28th, 2020

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

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MedSave 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.

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Very Smart Risk Management Strategy for Texas School Districts

Thursday, August 27th, 2020

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.

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A 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.

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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. 

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Managing Risk vs Servicing Risk – The End of Status Quo Brokers?

Saturday, August 22nd, 2020

With little formal training, a majority of health insurance brokers back in the day were simply spreadsheet artists………………………….

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Today’s Pharma News

Thursday, August 20th, 2020

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?

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Schuessler Stirs Up Florida!

Monday, August 17th, 2020

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…………….

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A Medical Plan Whose Time Has Come

Saturday, August 15th, 2020

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

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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.”

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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

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Mulebriar Undercover Work Exposes Unusual Risk Management Strategy

Monday, August 10th, 2020

Micro-Dot Image of Heretofore Secret Health Care Strategium 

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Cigna Sued for RICO Violations

Saturday, August 8th, 2020

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 …………………

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A Day in My Life as a Physician

Thursday, August 6th, 2020

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

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What Does Simone and The Tyler Rose Have in Common?

Thursday, August 6th, 2020

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

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Patient Thicket

Monday, August 3rd, 2020

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.’’

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Podcast: Alternative Medical for Texas School Districts with Russ Edwards

Saturday, August 1st, 2020

Here are some highlights from the podcast:

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