House Bill 1490 would require Texas hospitals to post cash prices for their services……….

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In order to protect TRS ActiveCare, the Committee on Pensions, Investments, & Financial Services recommended in their interim charges that the 87th Texas Legislature take action to “explicitly prohibit independent school districts from using District of Innovation status (as) a method for opting out of TRS-ActiveCare.”
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“He who has data wins. He who has good date wins a lot. He who has real time data wins all the time.” – Author Unknown

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As  some of you in our space may be aware we have recently noticed Tenent is aggressively going after RBP accounts across the country seeking the difference between billed charges and plan allowable despite accepting RBP patients, taking an Assignment of Benefits, and cashing benefit checks.

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Amazon knows robots don’t need health insurance but people do. A robot can be programed to do what people do while people can’t ever be programed to perform flawlessly time and time again. Robots are never late for work, never complain, don’t steal, and work tirelessly 24/7.

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The Texas legislature meets biannually and is now in session. Here are three bills worth watching……

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 Simone Gold, M.D.

Simone speaks the truth about the Wuhan virus (politically correct term is Covid-19 – we don’t want to offend the Chinese do we?)

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Texas school district saves $530,457 by replacing their health insurance Agent of Record after previously awarding her $1.8 million plus an 8 year contract worth +$60,000 per month.

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The Bang Bang Health Plan

An Arizona county employee benefit plan has found a way to effectively turn a $3,500 employee health benefit into a $25,000 equivalent by crossing a manmade line in the desert………………. (more…)

It’s been less than 24 hours from yesterday and noise from Washington suggests changes in the way American healthcare is financed and delivered may be imminent………..

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The price of diabetes related medicines should be an American embarrassment……………

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Texas insurance agent stands to gain $68,375.00 per month for the remainder of the original term of the agreement if her eight year  consulting / brokerage agreement with a Texas public school district is canceled for “any reason.” 

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If passed, this could make ICHRA’s even more attractive to employers who are tired and fed up with all the hassles of providing group health insurance for their employees along with the ever present threat of punishing government sanctions. 

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If Texas House Bill 573 passes this legislative session Health Care Sharing Ministries will be prohibited from certain advertising such as touting their financial strength and past performance to provide health care benefits for their members…………… even if its true!

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TEXAS HEALTH INSURANCE BROKER

Texas health insurance brokers who find themselves in the unemployment line by way of passage of HB 602 will be able to retrain for other careers through state provided funding. 

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Medical discounts are a scheme used by health insurance companies, service providers, hospitals, and others in the medical supply chain to show “value” to their customers. “Look at how much we saved you! Aren’t you happy you choose us as your partner! Just imagine what you would have paid without us!”

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MultiPlan Corporation to Acquire HST

• Accelerates Growth by Adding a Next-Generation Reference-Based Pricing Program to the MultiPlan Solution Suite
• Acquisition is the First Under MultiPlan’s Enhance-Extend-Expand Strategy
• Increases Value for Customers by Adding New and Complementary Services to Better Manage Cost
• Deepens MultiPlan’s Penetration in the TPA/Broker Segment

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All across the nation, cities big and small are having their pockets picked and their communities decimated by their local nonprofit hospitals.

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Fear of public toilets is nothing new and surprisingly common. But is COVID by toilet really a thing?

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By Molly Mulebriar

Third party administrators (TPAs)  have always enjoyed the power of incumbency and it has never been greater than now.

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The Mark Cuban Cost Plus Drug Company is dedicated to producing low-cost versions of high-cost generic drugs. We pledge to provide radical transparency in how we price our drugs.

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China’s Communist party rolls out pilot tax benefit plan in hopes to expand private health insurance because the government’s plan is not good enough…………….

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Organized in 2019, Roger Moczygemba, MD and Shankar Poncelet came together with other thought leaders in the San Antonio community with the goal to lower the cost of healthcare in San Antonio through price transparency, reference-based pricing, and local connection.

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Cameron County is seeking a qualified fee based insurance consultant to assist the county in a competitive RFP process for group health insurance for county employees. 

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Wanna hear about the broker who was making $614,000 on a South Texas 2,500 life school district while the clueless Board of Trustees thought the compensation was $128,000?.

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Politicians Chase Dollars To Remain In Power

Blue Cross, punching down, has announced they will no longer share member’s premium dollars with lawmakers except for those who pledged allegiance to Joe Biden…………….

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Healthcare isn’t expensive. It’s price-gouging and profiteering that is expensive and straightforward to eliminate………………..

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If hospitals are required to publish their prices and they have patients sign agreements wherein the patient agrees to pay “in accordance with the regular rates and terms of the hospital” which are public for the world to see, what defense does the patient, who assigned benefits, have in disputing full billed charges when the average reimbursement accepted through the hospital’s payer mix is substantially less?

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An adhesion contract (also called a “standard form contract” or a “boilerplate contract“) is a contract that heavily restricts one party while leaving the other free (as some standard form printed contracts); implies inequality in bargaining power

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The Gang Disbands

Haven, the Amazon-Berkshire-JPMorgan venture to disrupt health care, is disbanding after 3 years

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All health care is local, or at least it ought to be………………….So why do most plan sponsors hire out-of -state plan management firms like UHC, Humana and the rest? They just get in the way…………………..

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This is one of Dr. Bricker’s best videos. In 7 minutes he puts the current economic status of healthcare in historical perspective.

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