AMPS Webinar: New cost containment strategies on the horizon that will enhance the services offered to your clients………………….

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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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AMPS, a rapidly growing healthcare cost containment and risk mitigation company, is expanding its Sales Team. If you are a seasoned sales executive in either the Northeast or Mountain region of the U.S., this is a great opportunity to join a talented team and help achieve our mission of making customers’ healthcare dollars go further.

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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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“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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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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When I asked what the total billed charge for the procedure was going to be, that completely flummoxed them………………….

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

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

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

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

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GROUP HEALTH, DENTAL & EMPLOYEE BENEFITS INSURANCE CONSULTING SERVICES

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

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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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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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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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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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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.

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

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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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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