Health Insurers Make It Easy for Scammers to Steal Millions

Health Insurers Make It Easy for Scammers to Steal Millions. Who Pays? You.

Health insurers are regarded as fierce defenders of health care dollars. But the case of David Williams shows one reason America’s health care costs continue to rise. The personal trainer spent years posing as a doctor and billing the nation’s top insurers, making off with millions.

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WithMe Health Partners With Centivo & Consociate Health

In addition to providing a full-service replacement for traditional PBMs, WithMe Health is launching a medication guidance service that complements plan sponsors’ existing PBM infrastructure by personalizing medication selection and member guidance. The service helps employers and health plans curb their costs while optimizing member experience and outcomes.

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The Hardening Stop Loss Market

“While it’s common to see 20%+ increases in reinsurance this year, both in the last renewal cycle and this one partly driven by leveraged trend, there appear to be fewer new entrants looking to scoop up that business at a loss. So, we have repeatedly found ourselves in situations requiring 30%, 50%, and in some rare cases, even larger increases. Also concerning is the fact that many carriers are curtailing the offer of “no new lasers” contracts.”

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WebTPA to Join GuideWell’s Family of Companies

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

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

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)
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Dial by your location
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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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Transparency Rule Mandates Employers Provide Internet Based Cost Information

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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