Registration is now underway for Summer Session 2022, A Public Purchasing Seminar! Join ISM-RGV at South Padre Island, June 22, 23, 24, 2022……Learn about public purchasing laws affecting you and your entity.

(more…)

Doctor Working Under Pandemic Stress Pressures

“Experts” warn that the man-made Chinese Flu pandemic, now entering its third year, has pushed primary care workforce towards rapid extinction……..20% of primary care physicians intend to quit………..the rest are being swallowed up by the hospital industrial complex at a rapid rate…………

(more…)

Miracle Mike Before His Transformation

Most plan sponsors are chickens, too afraid to step away from status quo health care strategies that don’t work and never will. They all share common roots according to historians.

(more…)

When a self-insured plan sponsor doesn’t audit weekly claim check runs bad things can happen………….  

(more…)

By Bill Rusteberg

A Texas state government health plan established 20 years ago as a solution to rising health care costs incorporates a legacy, status quo managed care approach that hasn’t changed since it started.

(more…)

MAY 12-14, OMNI FORT WORTH HOTEL, FORT WORTH, TEXAS

JOIN US MAY 12-14 FOR THE EVENT DEDICATED TO DIRECT CARE STRATEGIES AND ADOPTING FREE MARKET PRINCIPLES IN HEALTHCARE.

(more…)

“After encountering pushback from insurers and claims administrators, out of network providers have sued to recover reimbursement for thousands of claims, primarily arguing that the CARES Act provides them with a private cause of action for reimbursement at the at ‘cash price’ they listed on their websites.

(more…)

Millions of dollars in questionable expenses, a generous administrative payroll, high executive turnover and rising health care prices……………Unlike health insurance companies, which are subject to regulation, the trust does not answer to the Department of Insurance. For years, there have been complaints of impropriety, and expenditures have been hidden from public scrutiny……

(more…)

Travel agents and stockbrokers are nearly gone the way of the dinosaurs and so will PPO networks and status quo benefits brokers………………….

(more…)

In a testament to the power of science, and beer — researchers in Switzerland outfitted a 36-year-old ALS patient with a chip in his brain, which allows him to spell out sentences one letter at a time, and he used it to order up a cold one.

(more…)

By Eric Bricker

Google Announced It is Creating a New Healthcare Stop-Loss Company Called Coefficient. Coefficient Will be a Part of the Verily Healthcare Subsidiary Within Google.

(more…)

“Double your pleasure, double your fun with double mint, double mint, double mint gun.”

NEWEST VERSION: Double your pleasure double your fun with the best double priced discounts found under the sun …………….Hurry buy our health insurance and get a 50% discount off double the price! Call now and talk to one of our licensed agents, plus get your free gift – only good for the first 25 callers! Hurry…………………….Call 867-5309 and ask for Jenny

(more…)

A leading provider of Reference Based Pricing…….oops, I mean Workers Compensation Insurance which is a Reference Based Pricing health care payment strategy…………..

(more…)

PBMs: The “Tapeworm” Revealed

How is it that the process of distributing a drug and tracking who buys it sucks up much more of the value chain than actually making it?

(more…)

By Bill Rusteberg

In 1982, after nine years of corporate servitude, I left the inner sanctums of a large health insurance company and the comfort of receiving a corporate paycheck every two weeks whether I earned it or not.

(more…)

By Bill Rusteberg

“Playing” health insurance brokers is the easiest sale ever. I was reminded of that today when a company rep. said “Bill, I never call on a prospect directly, I always work through the broker on the case. It’s the easiest sale ever. I don’t have to cultivate a relationship with the client. That can take years. It’s already been done by the current broker.”

(more…)

(more…)

Associate Superintendent of Human Capital and Operations Anthony Sorola and Medical Plan Consultant Eric Smith listen as Director of Benefits & Risk Management Yolanda Gordon talks about the newly opened ECISD Wellness Center. (Ruth Campbell | Odessa American)

(more…)

You Can Always Count On Aldeen’s Weekly Bathroom Read Series Which Has Never Missed A Deadline Even In The Hardest Of Times………We Can’t Wait For The Easter Edition…….

(more…)

“For 2021, the NET prices for brand-name drugs dropped – for the FOURTH consecutive year…….”  Lantus, an insulin drug, has fallen 62% since 2012 but costs for patients with health insurance who use Lantus have GONE UP by 60% over the same period.” 

(more…)

Global reinsurance giant Swiss Re has reportedly decided to cease taking on new business with clients in both Russia and Belarus amid the ongoing invasion of Ukraine, according to Reuters.

(more…)

How will each regional service center identify and analyze three alternative health care options within their region?

(more…)

A San Antonio brokerage firm touts their success in helping a San Antonio school district reduce their medical spend by 40% by implementing ……….Drum Roll Please………..A wellness plan. We find this hard to believe.

(more…)

“Pssst Godfather….We Need To Get In The Drug Business!” We can make a lot of money in rebates…….I mean kickbacks. And we can open specialty pharmacies and skim off the float too and call it spread pricing or shrinkage……………We can call ourselves Pharmacy Benefit Managers……..Has a nice ring to it……………..We can make some really serious money Godfather!”

(more…)

A hospital in Munich, Germany sent this letter where they announce that “from now on and until further notice, we will not treat Russian and Belarusian citizens.”

(more…)

By Bill Rusteberg

White Flag plan sponsors are those employers who cower to the Great American Health Care Industrial complex, willingly prostrating themselves to continued abuse at the hands of hospital administrators, insurance companies and a host of third party intermediaries.

(more…)

Dear Valued Employees, we are pleased to announce we have added medical expenses to your company provided expense account effective immediately………..

(more…)

Mark your calendar – Continue your education here…………………

(more…)

(more…)

(more…)

“I thought I had insurance!”

By Marissa Plescia

Five medical bills have made headlines in the last few months, including a $13,000 one for a kidney donation and a $847 “facility fee” for a telehealth visit.

1. (more…)

Self-funded plans need to check their administrative services agreements to see exactly how much responsibility they might bear for decision-making…. Who will make decisions and represent the plan when it comes to arbitration? Will it be Tom, Dick or Harry?

(more…)

“For 2022, many TPAs are subjecting NSA claims to their ‘shared savings’ and similar programs, which could result in unexpectedly large fees….

(more…)

C2C Choice Rx provides patient concierge and advocacy services………….. With our patient assistance program, you will typically get your medication for free.

(more…)

“I Call The Plan Fiduciary To The Stand!”

Whether they like it or not plan sponsors must now understand they are in the health insurance business……

(more…)

Yale University reached a nearly $1.3 million settlement with workers who say a rule requiring them to participate in a wellness program or pay a fee violated federal disability bias and genetic information laws, Connecticut federal court records show.
(more…)

This report briefly summarizes each kind of HRA, highlighting key aspects regarding eligibility and insurance coverage requirements, contributions, distributions, and the treatment of unused balances for each arrangement. It also provides a side- by-side comparison table of the different kinds of HRAs.

(more…)

(more…)

Dr. Joseph Fraiman: “Personally, I would like to apologize to the three other scientists sitting with me here on Zoom, the proponents of the Great Barrington Declaration…I’m sorry, because I believe now you guys were correct. And you were correct from the beginning.”

(more…)

“Eighteen-year-old high school student Edger Mulili says he would not be alive today if his father had not contributed $5 a month to a government health insurance scheme.”

(more…)

“Thank You Consolidated Appropriations Act, 2021!”

“The motherlode for the plaintiffs’ bar however is in the broker/consultant compensation disclosure rules. For starters, there is the obvious claim that the rule was not properly followed, thereby triggering a prohibited transaction. Equally obvious and even more worrisome, however, are claims that are right out of the 401(k) litigation playbook: the plan paid excessive fees and plan fiduciaries were not paying attention. Essentially, the statute’s focus on fee disclosure invites scrutiny of the underlying fees and the accompanying fiduciary engagement.”

(more…)

What if you could buy healthcare like you buy anything else? If you know you need a knee replacement, imagine going to a website, picking an operation, and seeing the price, just like you do on Amazon or McDonald’s……………………..

(more…)

Ever wonder why your provider asks if you have “other insurance……………”

(more…)

Thinking Outside The Box

“Hue builds health plans around the concept of advanced primary care as the center of all patient care coordination–a “healthcare quarterback.” Their highly scalable, value-based network approach enables providers to focus on practicing medicine how they see fit based on what their communities need, spending dramatically less time on billing and administrative services.”

(more…)

This is another great video by Eric Bricker. But he may have missed one other important quality in banging a deal together for the home office……………….

(more…)

Today, doctors and teachers are exiting entrenched institutions and building exciting, new models that offer greater freedom and flexibility for all.

(more…)

Dental assistant Atkins trained to calm uptight patients without slobbering………….

(more…)

The federal government pays the employer a set amount for each person in the plan……..

(more…)

Sold policies to more than 400,000 individuals across America over the phone…..

(more…)