Archive for November, 2020

Only in Texas

Friday, November 27th, 2020

Texas is the only state in the Union where the majority of Texas businesses can elect to non-subscribe. Thanks to our historical fore fathers, this option has been available since 1913.

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Patient Describes Experience At Methodist – San Antonio

Wednesday, November 25th, 2020
When I asked what the total billed charge for the procedure was going to be, that completely flummoxed them………………….

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Chapter 4: Health Care is Stealing Millennials’ Future, But They Will Take it Back

Tuesday, November 24th, 2020

“Most health plans have merely lipsticked pigs or paved cowpaths rather than rethought health plans for the modern era.” – Dave Chase

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South Texas Consultant Sentenced to Prison for $1M Fraud

Sunday, November 22nd, 2020

Beware of Insurance Consultants Dress In Orange…………………

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Brownsville Texas Native Makes Fortune In Insurance Business

Sunday, November 22nd, 2020

Former high school coach makes fortune in the insurance industry……………………….

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“How I Made Millions Off Texas Taxpayers” by Elijah Granger

Saturday, November 21st, 2020

Texas school superintendent’s $2.25 million buyout threatens district’s finances………………..(Pssst…file this under Poor Risk Managment)

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TRS ActiveCare Alternative Programs: Does it Make Sense for Your District?

Friday, November 20th, 2020

Rising Health Insurance Rates………..Cost Shifting To Plan Members……………Less Choice

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Insurance Consultant Wanted

Thursday, November 19th, 2020

GROUP HEALTH, DENTAL & EMPLOYEE BENEFITS INSURANCE CONSULTING SERVICES

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Let’s Screw 153,000 Young Healthy Workers

Thursday, November 19th, 2020

CalPERS approved steep rate hikes for its cheapest health insurance plans Tuesday in an effort to save its most expensive plans from collapse…………….price hikes of up to 51% for health plans favored by young, healthy workers

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Amazon Launches Rx Delivery Service

Thursday, November 19th, 2020

  Retail Pharmacist Reacts To The News

“Members could save up to 80 percent on generics and 40 percent on brand-name medications when paying without insurance, according to Amazon.”

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TRS ActiveCare Fights Back

Wednesday, November 18th, 2020

Is your school district considering offering self-funded health plans to your employees? This document outlines things to consider when making this decision.”

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Will Texas Finally Grow Some Cojones?

Wednesday, November 18th, 2020

The upcoming Texas legislative biennial session is fast approaching and lawmakers will have to address an historic $4.6 billion budget shortfall. “Tell all departments to be prepared to cut their budgets another 5%”  dominates the Austin rumor mill these days. 

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Sidecare Health – Health Insurance That Makes Sense

Tuesday, November 17th, 2020

An innovative and disruptive model designed to turn the industry on its head……….model has been shown to reduce health costs for their members by up to 40%…………members can customize the coverage to their individual needs…………..3 year rate guarantee in certain states…………Insured by

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Employers Eye ICHRA’s

Monday, November 16th, 2020

Individual coverage health reimbursement arrangements (ICHRAs), a new employer-sponsored health care benefit program for active employees that became available this year, are drawing the attention of U.S. employers, particularly wholesale and retail employers and those in education and the public sector.

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Is It Essential or Not Essential? It Can’t Be Both…………..

Thursday, November 12th, 2020

He saved the ACA in 2012 by declaring the individual mandate essential to the survival of Act and then may save the ACA again in 2020 by declaring that the individual mandate is not essential to the survival of the Act……………………….

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City Escapes PPO Cult – Abetted By Renegade Hospital

Thursday, November 12th, 2020

City terminates UHC and enters into direct contract with local hospital system for significant savings…..

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Veterans Day 2020

Wednesday, November 11th, 2020

Lt. Col. E. Rusteberg – West Point 1934 – Two Silver Stars, One Bronze Star, Presidential Unit Citation (Battle of Hatten), Purple Heart. 

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Full Legal Representation for RBP Plan Members For $4.55 PEPM

Monday, November 9th, 2020

TRADITIONAL REFERENCE BASED PRICING VENDOR REACTS TO NEWS

“Don’t bother doing something unless you’re radically different from the competition” – Richard Branson

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More Small Businesses Turn To Level Funded Plans

Monday, November 9th, 2020

Premiums can be 20% to 25% less for level funded plans than comparable community-rated plans………….An employer’s savings depend on the health of its employees and their families because an LFP plan is underwritten only for the specific employer’s employee population and not for a broader community.

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WebTPA to Join GuideWell’s Family of Companies

Sunday, November 8th, 2020

MyHealthGuide Source: GuideWell Mutual Holding Corporation via PRNewswire, 11/6/2020

JACKSONVILLE, FL — GuideWell Mutual Holding Corporation (GuideWell), the parent to a family of forward-thinking companies focused on transforming health care, announced that they have signed a definitive agreement to acquire WebTPA, an innovative and market leading administrator of self-funded employer health plans.

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Bennett School District Reduces Health Care Cost by 50% With Better Benefits

Tuesday, November 3rd, 2020

SOURCE: Excerpt from Dave Chase ( Chapter 1: The Future of Health Will Be Local, Open and Independent – Relocalizing Health)

Bryan Perry, and direct primary care veteran, Clint Flanagan, have teamed up to serve employers such as the Bennett School District to reduce spending by ~50% while improving benefits.

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Free Market Medical Association

Tuesday, November 3rd, 2020
Austin Chapter • November Meeting
We hope you are keeping well, and keeping your distance.
Please join us for a virtual chapter meeting…
Wednesday, November 11 11:30am-1:00pm
The Zoom invitation is below. You can open this invitation in a browser window, or directly from the Zoom app on your computer or device.
We will discuss updates on meetings and general information about the free market.
We are graciously requesting each member invite at least one person, either a Provider or Purchaser you think would benefit from FMMA membership.
Examples would be:
  • employer you know, especially self-insured
  • interested provider
  • broker/consultant
  • local govt HR purchaser or even politician/policy maker
It is mutually beneficial for all of us to share in growing the chapter and the movement.
We look forward to seeing you … Thank you.
FMMA is inviting you to a scheduled Zoom meeting.
Topic: FMMA November Meeting
Join Zoom Meeting
https://zoom.us/j/3760214824?pwd=elpMRnBMbDMxVUpiZFJ1VFNTZlhGZz09
Meeting ID: 376 021 4824
Passcode: 5T7kH2
One tap mobile
+13462487799,,3760214824#,,,,,,0#,,414684# US (Houston)
+12532158782,,3760214824#,,,,,,0#,,414684# US (Tacoma)
Dial by your location
    +1 346 248 7799 US (Houston)
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Meeting ID: 376 021 4824
Passcode: 414684
Find your local number: https://zoom.us/u/abKr4oWCeA
Cheers…
FMMA Austin

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Medicare-For-All May Gain Legs Today

Tuesday, November 3rd, 2020

Today’s election is historic…………………..and may fundamentally change health care financing…………… (more…)

Transparency Rule Mandates Employers Provide Internet Based Cost Information

Monday, November 2nd, 2020

SOURCE: HR Policy Association

“The final rule requires employers to have their third-party administrators publicly disclose detailed health care pricing data. It also mandates that employers make available to health plan participants an internet-based self-service tool that provides price and personalized out-of-pocket cost information.

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Hospitals Claim Pricing Transparency Will Increase HealthCare Costs

Monday, November 2nd, 2020

SOURCE: Health Affairs Blog

“Insurer stakeholders quickly panned the new rule, arguing that it is unnecessary and will lead to higher (not lower) health care prices.

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