January 2023 – Page 2 – Risk Managers

Texas Mutual Announces Meredith Duncan As CEO of New Health Insurance Subsidiary

Article Referred By Doug Aldeen, Esq. Attorney At Law (www.dougaldeen.com)

Texas Mutual has hired Meredith Duncan as the president and chief executive officer of the company’s new health-focused subsidiary. Subject to regulatory approval, the subsidiary will seek to offer additional health insurance options to small businesses.

Good News For RBP Plans

VantageScore® is removing medical debt from its credit-scoring model…………..

Beginning January 2023, VantageScore® 3.0—which is monitored by CreditWise—will no longer include medical debt in credit score calculations.

Texas Educators Are Not Happy People

77% Of Texas Educators Are Considering Quitting. Low pay and benefits drives exodus from teaching profession.

Could one solution be to remove all financial barriers to health care while lowering costs at the same time and sharing the savings in the form of higher wages? Several Texas school districts have found that to be entirely possible.

Sometimes we overlook obvious solutions. A South Texas school superintendent didn’t because he believes there is no such thing as an unsolved problem. Morale is high, health benefits are unbelievably good (100% coverage, no financial barriers) and teachers from surrounding districts want in.

Non-Profit Hospitals Required To Publish “Community Needs Assessment” Report

“The Patient Protection and Affordable Care Act, signed into law on March 23, 2010, and subsequent guidance impose additional requirements on hospitals seeking to obtain or maintain charitable tax-exempt status as defined under Section 501 of the Internal Revenue Code of 1986.”

“One of the new requirements is the completion of a Community Health Needs Assessment (CHNA). Impacted hospitals must complete and document this assessment in a written report, including several key elements.”

Hospital Debt Dismissal

Helping Hospitals Fulfill Their Charitable Mission

IRC 501r risk transfer strategy allowing hospitals to achieve their charitable mission. Over 60% of Americans qualify for free hospital care but few employers are taking advantage of that.

Amazing Stats On Office Visits

The Texas Department of Insurance offers a link to consumer information on health care pricing. So we checked what the average cost allowed by insurance companies for a routine office visit in the Lower Rio Grande Valley of Texas.

Pictorial Proof Managed Care Doesn’t Work

Using Fake Money To Lower Health Insurance Costs

Learn how to offset health insurance costs using employee retention credits…….

Tirzepatide Brings Hope To Fat, Rich People

A new weight loss drug could become the best-selling drug of all time. Who can afford it?

Aldeen’s Sunday Morning Bathroom Read

The best method for fee based insurance consultants to maximize revenue is to duplicate status quo brokerage fees. When a prospect says “Your fees are too high!” simply respond “Mr. Prospect, you’re may be right! Why don’t we just duplicate your current broker fees!

Let’s Play The % Of Savings Game (But I Make Up The Rules)

Lawsuit accuses administrator of underpaying benefits for out-of-network care for self-funded plans

Reference Based Pricing Spreads Happiness Across The USA

Average PPO allowed amount is 250% of Medicare. Hospitals cash PPO checks and are happy.

Average Reference Based Pricing (RBP) allowed amount is 150% of Medicare. Hospitals cash RBP checks and are not happy.

RBP + CPO + DPC + HFAP + SDRD + CR = Affordable & Better Health Care

Reference-based pricing is a different way of doing healthcare. Here’s how to get it right

By Christian YantornoDecember 28, 2022, 9:00 a.m. EST3 Min Read

Reference-based pricing entered the conversation a few years ago as a solution and response to unsustainable healthcare price increases, and the model is still gaining traction among self-funded organizations. It is becoming increasingly popular as employers embrace an alternative solution that will help them cut costs.

Amarillo Gunslinger: “Have Gun, Will Travel”

Retail vs Wholesale

If your plan is a PPO you are overpaying for health care by 100% and more. Of course you have no idea if that’s true because you’ve been lied to for years on end. And, you have little ability to find the truth because PPO contracts are proprietary, secret contracts of adhesion.

M	T	W	T	F	S	S
						1
2	3	4	5	6	7	8
9	10	11	12	13	14	15
16	17	18	19	20	21	22
23	24	25	26	27	28	29
30	31

Month: January 2023