Archive for September, 2021

Chinese Flu Crib Sheet

Thursday, September 23rd, 2021

The survival rate of “Covid” is over 99%. Government medical experts went out of their way to underline, from the beginning of the pandemic, that the vast majority of the population are not in any danger from Covid.

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HMS

Thursday, September 23rd, 2021

We make healthcare work better for everyone. By reducing costs and improving health outcomes, HMS advances the healthcare system.

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340b Benefits Who?

Thursday, September 23rd, 2021

The 340b program has become a huge revenue generator for health systems, PBM’s, and other intermediaries.

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Grab Your Share of $345,000,000 Today!

Wednesday, September 22nd, 2021

“We getting a refund Bruno? That’s cool!”

There is a class action lawsuit settlement of $345m reached between the plaintiffs (Pfizer & King Pharma) and any person or entity that purchased brand or authorized generic Epipens between 8/4/2011 and 11/1/2020.

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2022 Onsite Employee Health Clinics Summit

Wednesday, September 22nd, 2021

Onsite employee health clinics have proven to be an effective way to significantly reduce healthcare costs, and ultimately, have a positive impact on the company’s bottom line.

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Direct Primary Care Rocks

Wednesday, September 22nd, 2021

Primary care physicians can treat 90% of what ails you. Direct primary care is a model that makes sense and saves money, provides better personal service grounded upon a holistic health care approach.

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Mike Dendy on Reference Based Pricing

Wednesday, September 22nd, 2021

By Mike Dendy

Reference based reimbursement (RBR or RBP) has evolved over the past 10 years and there are now many more players in the space.

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Doctor Arrested For Prescribing Ivermectin

Tuesday, September 21st, 2021

Dr. Jean-Paul Theron was arrested for prescribing Ivermectin from his home. He was targeted by a complaint from the Council of the Order of Physicians……..                                           (more…)

Dentists Chip Away at Uninsured Problem by Offering Patients Membership Plans

Friday, September 17th, 2021

“Patients on membership plans act like insured patients and come in as much as insured patients, but they pay less for coverage while dentists get paid more,” said CEO Dave Monahan. “All we are doing is cutting out the middleman,” he said.

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Sex Sells – Winning Sales Quota by Banging Doctors?

Friday, September 17th, 2021

In 2012, Insys hired a new sales executive: Sunrise Lee, a Florida escort service manager and former strip club dancer with no academic degree, according to Guzman’s complaint. Burlakoff allegedly defended the decision, claiming, “Doctors really enjoyed spending time with her and found Sunrise to be a great listener.” He added, “She’s more of a closer.”

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Dallas Risk Management

Friday, September 17th, 2021

Dallas Risk Management (DRM) is a Managing General Underwriter, or MGU, for health insurance policies.

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Key House Democrats Block Biden Drug Price Controls

Friday, September 17th, 2021

Key House Democrats Block Biden Drug Price Controls – Lunch Alert! – DickMorris.com at DickMorris.com

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Embodiment of Corruption: Your Health Insurance Network

Thursday, September 16th, 2021

Secret network pricing helps render patients defenseless against price gouging. It’s as absurd as grocers being permitted to keep the price of milk secret……………..

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Texas Hospital Faces Closure Over COVID-19 Vaccine Mandate: CEO

Wednesday, September 15th, 2021

“What happens to individual choice and medical decisions between the patient and their doctor, which is all of the things that we’re trying to support.”

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TRS ActiveCare Will Remain The Choice of +90% of Texas School Districts

Wednesday, September 15th, 2021

For the first time in 20 years TRS ActiveCare member districts will be allowed to opt out of the program effective September 1, 2022. In our opinion most member districts will remain in TRS ActiveCare.

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Why Most Public School Districts Get An “F” In Health Care Management

Monday, September 13th, 2021

By Bill Rusteberg

School districts are entitlement based bastions whose decision making processes heavily weight social considerations at the expense of prudent business practices.

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Fellow Health Care Disruptor Shares Personal Experience

Sunday, September 12th, 2021

A friend,  fellow health care disruptor and collaborator shared his personal experience navigating the American Health Care System in an email sent us this afternoon.

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U.S. v. Teva Pharmaceuticals USA Inc et al

Sunday, September 12th, 2021

Lawsuit alleges the company illegally paid two purportedly independent charitable foundations $328 million from 2006 to 2015 to cover co-payments of Copaxone patients, while Copaxone’s price quadrupled to $73,326 a year.

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Paul Keckley – Trusted Advisor

Sunday, September 12th, 2021

Paul Keckley is an intense observer of that change, diving deep into the trends, tipping points, intended and unintended consequences to bring clients and opinion leaders the unvarnished truth.

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Customers Get Fired Too…………

Saturday, September 11th, 2021

By Dan Meylan

“In 5 decades of operating agencies and other businesses….we always looked for ways to remove unprofitable clients….”

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Pissed Off Plan Sponsor Has Had Enough!

Saturday, September 11th, 2021

Pissed off plan sponsor has had enough! Their TPA has not lived up to expectations and a warning shot has been fired across the TPA’s bow……………

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American Health Care System Drives Man To Drink

Friday, September 10th, 2021

Called for an appointment……………………

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Employee Benefits International

Thursday, September 9th, 2021

Employee Benefits International is headquartered in Phoenix, Arizona, and covers the entire United States with health insurance and employee benefits programs for businesses – large and small. EBI has experts in-house that have worked with most business sectors including: healthcare, law firms, construction, manufacturers, nonprofits, auto dealerships, Realtors, and many others.

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Legendary Insurance Agents You Never Heard Of

Thursday, September 9th, 2021

“Rosengard is known for putting together what was for a long time the world’s largest life insurance policy, still recorded by Guinness Book of Records.”

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CPO Centric Health Plan

Thursday, September 9th, 2021

By Bill Rusteberg

A CPO (Cash Pay Option) centric health plan removes all financial barriers to health care while saving money at the same time. Cash beats insurance everytime.

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Selecting a Third Party Administrator

Wednesday, September 8th, 2021

By William Rusteberg

With the growing suggestion that the BUCAs are inflexible third party administrators unwilling and unable to administer Reference Based Pricing plans and other strategies in the market today, more brokers are seeking new partnerships with independent third party administrators (TPA). An independent TPA can offer much more than a traditional carrier model.

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La Joya ISD Shit Show Continues………………..

Monday, September 6th, 2021

FBI agent and a law enforcement officer from the Texas Department of Insurance watched quietly from the gallery as the the never ending La Joya Shit Show Continues…………….

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Politicians Begin Watering Down Efforts To Lower Drug Pricing

Monday, September 6th, 2021

Senate drug pricing bill may not apply to those with job-based insurance

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Rx Rebates 101

Monday, September 6th, 2021

The role of rebates in drug coverage decisions and insurer finances…………

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What Ever Happened To………………………?

Friday, September 3rd, 2021

Apr 12, 2018 · An insurance broker who admitted paying bribes to land lucrative health insurance contracts at area school districts and the now-defunct water utility was sentenced to 37 months in prison.

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Medicare Is Running Out of Money

Thursday, September 2nd, 2021

Medicare is running out of money. That’s not news to plan sponsors. They too are running out of money to fund the American health care beast. Some propose “Medicare for All” as the solution. Others say “Let the free market handle the problem!” The problem is there is no free market in health care and Medicare is running out of money because government doesn’t know how to solve health care either. Meanwhile, a few plan sponsors have solved health care the old fashion way using traditional American business practices based on common sense, reason and logic.

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