Archive for October, 2020

Chase Announces Third and Latest Book Release

Friday, October 16th, 2020

I wrote this book to empower every individual — and to help everyone recognize that despite yet another season of campaign promises, we do not need to wait on our legislators in Washington D.C. to change health care……………………

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A Picture Is Worth 1,000 Words

Tuesday, October 13th, 2020

This graph represents the dynamics characteristic of traditional managed care plans (PPO). PPO contracts are tied to the billed charges, not costs. As billed charges go up each year, so do premiums, even though costs may have not gone up at all. Employers mitigate their increasing costs by reducing benefits. It’s a vicious never ending cycle.

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Shoot Out At The OK Corral

Saturday, October 10th, 2020

The Shoot Out At The OK Corral is an entertaining novella worth watching. Three insurance consultants vie for the business, each giving a 15 minute presentation to the Board of Trustees at the Kingsville Independent School District last week.

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Dinosaurs Are Alive & Well

Saturday, October 10th, 2020

“I’ll Never Retire………………………………………”

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West Texas School District Who Refused To Be Bullied

Friday, October 9th, 2020

“The intent of this notice is to make you aware that we don’t recognize in any of these programs and Baptist Health will not agree to accept unilateral rates established by these reference based pricing plans…………..plan participants may be held financially responsible for up to 100% of billed charges”

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Dennis Burkholder & Box 13

Tuesday, October 6th, 2020

Dennis was a witness to Texas history that few know about……………….

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Hard To Argue Against Common Sense, Reason & Logic

Tuesday, October 6th, 2020

“Flu season is coming up! Many people every year, sometimes over 100,000, and despite the Vaccine, die from the flu.

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How Insurance Brokers Are Augmenting Their Value Proposition

Tuesday, October 6th, 2020

“We see a lot of brokers making significant efforts to pull in better loss information and better claims information so they can be partners in risk with their customers, in terms of explaining to them the patterns they see, benchmarking them against peers, and then being able to say: ‘If you do this, this, and this, your total cost of risk might in fact go down, and could go down significantly.”

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Butler Says It’s Not The Doctors Fault

Monday, October 5th, 2020

“It’s not the doctors, or the nurses, or the people that actually work,” said Butler. “It’s the system. It’s the billing system that they all operate under.” – Josh Butler

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Show Down At The OK Corral

Sunday, October 4th, 2020

Kingsville ISD went to bid for an insurance consultant to assist the district in managing their self-funded health plan. Staff made a recommendation to award the bid but the board decided to table action pending a public workshop. Three insurance consultants are bidding for the job.

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Stop Loss Market Update

Sunday, October 4th, 2020

Specialty drug approvals, emerging gene therapies, less relevant PPO discounts, double digit higher charge master rates in 2021, more aggressive billing practices and COBRA provisions related to the pandemic will impact rates well into the coming year.

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Christus Health Plan

Saturday, October 3rd, 2020

Open enrollment is November 1, 2020, and ends December 15, 2020.

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TDI Commissioner Resigns

Saturday, October 3rd, 2020

Kent Sullivan has notified Governor Abbott that he will resign as Texas Insurance Commissioner in September to return to the private sector.

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Texas Governor Announces Agreement With Health Insurers

Saturday, October 3rd, 2020

Governor Greg Abbott today announced that Texas’ major health insurers have agreed to continue reimbursing network health care providers for telehealth appointments at the same rate which they pay for office visits through the end of 2020………………..

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Low Bid Gets The Business

Friday, October 2nd, 2020

A recent post on this blog, Low Bid Gets The Business, described the Kingsville ISD’s search for an insurance consultant.

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Insurance Provider Announces Preferred Partner Compensation

Thursday, October 1st, 2020

Holy Smoke! Insurance brokers can do much better with this compensation schedule ……………up to +3.5% better than current average commission levels……………………………

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Innovative Solutions Are Changing Health Care

Thursday, October 1st, 2020
Only when the pain of higher costs exceeds the fears of change will common sense, reason and logic guide healthcare strategies………………..

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