Archive for November, 2021

A Cure for Type 1 Diabetes? For One Man, It Seems to Have Worked

Saturday, November 27th, 2021

Frederick Banting Discovered Insulin in 1923

A new treatment that cures diabetes 1? That’s gonna be one hell of an expensive drug! Unless the spirit of Frederick Banting rises from the laboratory once again.

Frederick Banting was the man who discovered insulin – and gave it away for free (diabetescommunity.com)

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NOW YOU’S CAN’T LEAVE! Starring TRS ActiveCare

Saturday, November 27th, 2021

This (TASB LEGAL – see link below) seems to be contrary to the general understanding many districts have that a TRS ActiveCare member district which opts to continue participation effective Sept.1 2022 may exit the program any year they choose after that. Instead, according to the document below, it appears they are locked in for five years.

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How Nonprofit Hospitals Get Away With The Biggest Rip Off In America

Saturday, November 27th, 2021

SOURCE: www.medicaleconomics.com

“Nearly two-thirds of our nation’s 5,000 hospitals, or around 3,900, call themselves nonprofit, a designation that allows them to avoid paying taxes.”

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Three Risk Transfer Strategies No One Talks About

Friday, November 19th, 2021

With their financial backs to the wall what are plan sponsors to do these days in maintaining an affordable and usable health plan for their employees?

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How Drug Money From Sick People Really Works

Friday, November 19th, 2021

Rebates are commissions.

So Joe Sixpak goes to the pharmacy to fill his diabetes prescription drug. Between Joe and his insurance plan the pharmacy is paid $408. The pharmacy keeps $69. Where does the rest of it go? (more…)

New York Times Columnist Responsible For Spike in Cardiac Related Medical Encounters

Friday, November 19th, 2021

WARNING TO HEART PATIENTS!

A New York Times columnist issues proclamations leading to a significant spike in cardiac related medical encounters among it’s broad base of readers. Reader discretion is advised.

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The TRS ActiveCare Dating Game

Thursday, November 18th, 2021

Who will she pick? Blue Cross #1, Blue Cross #2, or Blue Cross #3?

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RiskManagers.us Fees Increased Due To Rapid Inflation

Wednesday, November 17th, 2021

RiskManagers.us, a fee based insurance consultant, is raising fees upon contract renewal due to robust inflationary pressures. Cost increases include E&O policy premium increases, travel expenses and continued taxation amounting to +40% of revenue. Additional expenses include legal, accounting, and outside specialty consulting retainers paid to special practice experts.

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You Can Lead A Horse To Water…………………

Tuesday, November 16th, 2021

A Texas City Gone Politically Tone-Deaf

By Josh Butler

“Your attempts to raise taxes …..have been rejected, twice.  Turn your attention to your health plan.  It is the single most significant area of opportunity, but you are not taking advantage of it currently.  What will it take?”

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Prediction Comes True

Monday, November 15th, 2021

Prediction that COVID Has “Small Impact” in Health Insurance Carriers Becomes Reality

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Why Do We Continue Feeding The Beast?

Monday, November 15th, 2021

Source: Linkedin, Author Unknown

Stunning Graph. There’s no question this trend will continue. 20 of 20 years have an increase… We’re up 400% in that time frame.

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Meanwhile South of The Border – The Mexican Healthcare Solution

Friday, November 12th, 2021

The American solution to solving the uninsured problem was the Affordable Care Act. The Mexican solution is different.

Seguro Popular is Mexico’s solution to protect their uninsured population. It’s benefit structure is disease based. It’s cost basis is income based. No one is forced to participate and no one is penalized if they don’t.

Maybe we could learn something here as this seems to be a practical, common sense approach to universal healthcare.

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Veterans Day 2021

Thursday, November 11th, 2021

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.

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Ha! It’s None of Your Business!

Wednesday, November 10th, 2021

New broker disclosure rules taking effect 27 December 2021 have most health insurance brokers and consultants running scared. But reptiles earning undisclosed compensation off non-ERISA plans are resting easy. They believe the new disclosure rules don’t apply to them. Or do they?

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David vs Goliath

Friday, November 5th, 2021

How can a small school district get better benefits and lower costs than TRS ActiveCare with over 450,000 members?

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Texas SOL Law Limits Runout Liability

Thursday, November 4th, 2021

Texas has a law requiring that health care service providers bill a patient no later than the first day of the 11th month after services were provided.

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Leveraging Behavioral Economics To Solve Health Care

Thursday, November 4th, 2021

Free cash flow is created by attracting a disproportionate number of high claimants (the Super Utilisers) to enroll (spin-out) in alternate group coverage by offering them 100% medical coverage with zero out-of-pocket expenses. They voluntarily elect coverage*.

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New Broker / Consultant Compensation Disclosure Rule To Take Effect

Wednesday, November 3rd, 2021

The days on “Don’t Ask, Don’t Tell” is coming to an end 59 days from now…….

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