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.
Month: August 2020
GoodRx Files To Go Public
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.”
Lisa Allen Invited To Join DOL ERISA Advisory Council
Allen is Only Expert Chosen to Represent the Insurance Industry…………
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MedSave Management LLC Announces New Program
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.
Continue reading MedSave Management LLC Announces New Program
Very Smart Risk Management Strategy for Texas School Districts
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?
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?
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?
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
Schuessler Stirs Up Florida!
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…………….
A Medical Plan Whose Time Has Come
Common 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
“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
- 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
Micro-Dot Image of Heretofore Secret Health Care Strategium
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Cigna Sued for RICO Violations
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 …………………
A Day in My Life as a Physician
So guys, this is what my typical day looks like now………………………….
What Does Simone and The Tyler Rose Have in Common?
https://youtu.be/ikoqBWBiUMU
“What medical school did Zuckerberg go to?”……………………………….
Continue reading What Does Simone and The Tyler Rose Have in Common?
Patient Thicket
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.’’
Podcast: Alternative Medical for Texas School Districts with Russ Edwards
Here are some highlights from the podcast:
Continue reading Podcast: Alternative Medical for Texas School Districts with Russ Edwards