BROWNSVILLE, Texas – The former vice president of the Brownsville Independent School District (BISD) Board of Trustees has been ordered to federal prison following her convictions of conspiracy and corruption, announced Acting U.S. Attorney Jennifer B. Lowery.
Something that has been a long time coming for us at Verikai is almost here! In just a few short weeks the Marketplace will be live, but you can sign up for free TODAY!
TRS ActiveCare will eventually become a de facto high risk pool unless officials incorporate fundamental changes.
Some districts are back in the Wiggle Room while others are standing in government holding cells waiting to serve a mandatory 5 year sentence without the possibility of parole…..
Lt. Col. E. Rusteberg – West Point 1934 – Two Silver Stars, One Bronze Star, Presidential Unit Citation (Battle of Hatten), Purple Heart.
The battalion began the battle of Hatten with 33 officers and 748 en- listed men. Fifty-two hours later it had an effective strength of 11 officers and 253 enlisted men. All others were either killed, wounded or missing in action.
Purpose
A comprehensive employer sponsored medical plan removing most financial barriers to health care at unit costs significantly lower that traditional health care plans.
Benefits
No member financial responsibility if Plan rules are followed. Members who do not follow the rules are subject to $3,000 front end Plan year deductible, 50% co-insurance up to the maximum allowable under the Affordable Care Act (ACA).
Structure
DPC, Cash Pay Centric, Reference Based Pricing wrap, Specific Stop Loss (in-patient charges only), Specialty Drug risk transfer, Self-funded, Excess Cover, Catastrophic condition risk transfer.
Beginning Dec 27, 2021, brokers and consultants to group health plans will be required to disclose their compensation…………….
It’s now or never and it’s only you………………………..
Step inside and be cured. No appointment necessary. The waiting room may be somewhat crowded so don’t forget to wear a mask.
“More employers are seeing the value of adding a little bit of inconvenience to their health plans these days.”
The problem I see with most health insurance consultants is almost all pre-determine a client’s tolerance for risk before determining where the risk tolerance actually lies.
AMA states one goal as “ensuring just representation” of persons of color in medical school admissions, medical schools, and hospital leadership.
Imagine next time you board a flight to Muleshoe Wyoming. You settle in comfortably, the plane takes off and all is good.
Making things simple can save a whole lot of time for everyone. Cost, as always, is a factor in any purchase.
In its lawsuit, the NAPAA and several former agents allege that Allstate interfered with potential sales of agents’ book of business, which collectively cost them millions…….
Calling all P&C and Surplus Lines licensed producers! We insure vessels across the Caribbean Sea, Europe, Mexico, certain U.S. states and Latin America.
“As Congress and states consider ways to address affordability, they should consider policies that address the underlying cost problem—the high prices being charged by providers—and extend those to the employer market. One possible approach is capping prices based on a percentage of Medicare rates.”
Why do we need government to mandate price controls? Plan sponsors can simply pay whatever they deem appropriate and providers can accept or reject the offer. That’s called free market and it works. More and more employers are doing this with good success. The rest remain on the managed care plantation – Bill Rusteberg
More than 800,000 employers and 11 million employees are projected to participate in an ICHRA over the next few years………………….
Goodbye, complex health benefits. Hello, simple!
Austin legislators say they support competition to allow TRS ActiveCare member districts to obtain their claim experience from the state in order to seek competitive commercial alternatives. At the same time they vote to end the District of Innovation loophole that allows member districts to seek and obtain competitive commercial alternatives. Then they add a Poison Pill making it almost impossible for member districts to leave the TRS government health plan.
Lowering Medicare eligibility to age 55 will have a significant impact of health care financing in this country. Turbocharged cost shifting to commercial health plans will spur into action those employers still sitting on the managed care fence and give Reference Based Pricing strategies new life…………..
In a blow to commercial health insurance plan providers, it appears likely SB 1444 will pass giving the TRS ActiveCare government health plan a virtual monopoly.
Mary, a 56 year old working mother has a bad back. Her doctor recommended surgery. As she lay unconscious on the operating table little did Mary know the man in a mask lurking behind the surgeon was dreaming of a big payday.
“It’s Elementary My Dear Watson”
Employers who fully insure their dental plans should consider a self-funded approach instead. Savings in premium taxes, insurance company retention charges, agent commissions can be as high as 25% and more. The following will give the reader a good understanding of underwriting pricing.
Insurance Broker Hard At Work
Selling insurance has never been easier…………………..at least that’s the message in an unsolicited email we received today (we get lots of these kinds of emails).
The common antiparasitic ivermectin is being touted as a miracle cure for COVID-19 by doctors and campaigners the world over…………….
“The CARES Act requires insurers to pay the full billed charge to the provider. Unless they’ve negotiated, their hands are tied.”
Self-funded employers can now offer an affordable health plan to their employees with no deductible, no coinsurance, free primary care……………
Brian Klepper
America should resist solutions that require even more money to pay for the current system. Instead, it should establish a process that methodically gets U.S. healthcare back to a system that serves rather than preys on its people.
Accurately evaluating groups looking to transition from fully insured to self-funded benefit plans can be a financially risky endeavor, particularly with little, or no, recent claims data to evaluate………………
Student Ponders Fate – Teachers Demand School Closure
“Precisely 54 children in the Land of the Free have died from COVID (according to CDC data through April 28)”. However “Diarrhea kills around 525,000 children under five every year.” Yet did anyone ever close the schools to prevent the spread of the diarrhea-causing rotavirus? Children Are Far More Likely To Die From Diarrhea Than COVID-19.
I read the latest version of SB1444 this morning (which I suspect will pass) and noticed a change: Regional Education Service Centers to be required to oversee a survey of districts in their service area. Section C is interesting:
The following story is an amazing story of a fourth grader who was lucky to get an exceptional teacher at a pivotal time in his life.
Joe is from deep South Texas. He started a small company a few years back with only a handful of employees. Through his leadership he grew the business into what it is today. But it’s not the company brand that drives recognition, it’s what Joe has done to control health care costs for his valued employees that catches the spotlight.
Networks “could” be a solution to rising healthcare costs, but at this current moment, they are the problem.
Delaware’s Supreme Court rejected without elaboration on Monday Cigna Corp.’s bid for a $1.85 billion deal termination fee tied to the collapse of its $54 billion merger with Anthem Inc. in 2017.
If you are uninsured because health coverage seemed too expensive the last time you looked, it’s time to look again.
Batman Slaps Down Status Quo Broker
Dramatic changes to the status quo are necessary in order to create a health care system that is universally high in quality, affordable and egalitarian.
| Relating to participation in and rates for coverage provided under the uniform group coverage program for active school employees. HEARING SET FOR MAY 5 |
CFO: Boss, what should our self-funded health plan pay hospitals?
CEO: “Authoritative research shows that Medicare plus 25 percent is the reasonable amount for hospitals to charge….”
