October 3, 2022 – Risk Managers

Why Do The BUCAs Need Brokers?

Why do the big health insurance carriers need brokers? There are only four majors left in the market, Aetna, Blue Cross, Cigna and United Healthcare. All have fully operational account reps. eager to service business. Each has in-house sales reps to solicit new business. So why are independent brokers necessary? What value do they bring?

Reference Based Pricing – A Cash Cow for Hospitals?

Reference Based Pricing plans are increasingly becoming targets of hospitals seeking “found money” in desperate attempts at solvency instead of efficiency. RBP plan sponsors can expect a slew of demand letters for claims going back three to five years of “uncompensated care” to the tune of millions of dollars.

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