
Sunday Morning Bathroom Read (1st Gag Clause Violation of 2024 Edition)
Continue reading Aldeen’s Sunday Morning Bathroom ReadSunday Morning Bathroom Read (1st Gag Clause Violation of 2024 Edition)
Continue reading Aldeen’s Sunday Morning Bathroom ReadFor the Second Time, Capital Rx Makes the Inc. 5000, With Three-Year Revenue Growth of 903% Percent
Continue reading The Purple Cow PBM“The company quietly loaned $600,000 to James on the condition that his political connections would bring the company funding from the Middle East.”
“Biden told me there’s not a single door in the country that we can’t open. So if I wanted to meet, you know, the head of Google, it’s a phone call” – Grant White, CEO
Continue reading Americore Health[12/21/2023] FDA continues to investigate counterfeit Ozempic (semaglutide) injection 1 milligram (mg) in the legitimate U.S. drug supply chain and has seized thousands of units of the product.
Continue reading FDA Says Beware of Fake OzempicJohnny talks about his visit to Dr. Kirby, an Eye, Ear, Wallet doctor……….
Continue reading Dr. Mandrake KirbyFor less than $10 pepm (as low as $6) a national law firm offers Reference Based Pricing plans protection services against balance billing and full legal representation in case of a lawsuit.
Continue reading Law Firm Offers RBP Plans Competitive All Inclusive PEPM Fee2024 Individual Health Insurance Enrollment Sets Record.
A record 19 million Americans are expected to purchase individual coverage with other people’s money for 2024 effective dates.
Continue reading Free Or Near Free Health Insurance Sets Sales RecordThe move demonstrates continued strategic growth and strengthens its position as a leading consolidator in the industry
Continue reading MILLENNIUM TRUST ACQUIRES MAESTRO HEALTH’S CONSUMER DIRECTED BENEFITS BUSINESSThese rates will save Killeen Independent School District $10,000,000 in 2024
“The proposed rates for Killeen ISD are higher than the region’s rates but are still going to save Killeen ISD about $10 million off of the projected spend if they had stayed with their current provider.“
Continue reading Leaving Money On The Table While Facing 114% Loss Ratio?“Clear Point defies the constraints of the current market by offering an attachment point equal to the expected claim amount.”
Continue reading Attachment Point Set At Expected Claims?“Now I have almost $2,500 more to go! I could have come closer to meeting my deductible, earning 100% coverage for the rest of the year, but NO, you had to introduce me to Chris Barakat!!” screamed the patient.
Continue reading Barakat Blamed For Saving Patient $1,000Costa Rica is a country in Central America between Nicaragua and Panama. Central America is a harsh place, right? Refugees seeking asylum from Central America have created a border crisis in our own country with thousands fleeing horrible conditions and coming into the United States daily. Here is a shocking fact. Citizens of Costa Rica live longer than we do! Can that possibly be true?
Continue reading People in Costa Rica Live Longer Than We Do“Medical practice that rely to heavily on insurance based payments will at some point find themselves underwater.”
Continue reading Screw Health Insurance!” Children can be a little rough so it gets tugged and pulled a lot, and then there is the soot and the danger of being singed when I head down the chimneys” – SANTA CLAUS
Continue reading Santa’s Beard Insured By Lloyds of LondonCancer stricken undocumented woman receives life saving medical care through an unregulated, no deductible, no network medical sharing program.
Continue reading Unregulated Medical Sharing Program Assists Undocumented Alien In NeedHarbor Health expands to serve the entire Austin metro area. See us for primary and specialty care.
Continue reading Harbor Health Provides Same Day Primary Care Access In Austin, Texas“A podiatrist in New York City elected to use an assistant surgeon for a bunionectomy and two hammertoe procedures, both common surgeries. That assistant alone billed $169,410. Fair compensation as determined by our classification, edits, and review process was $632, or 0.37% of the assistant’s bill.”
Continue reading Hammer-Toe Doc Hammers PatientFrom the critically acclaimed and historically accurate 2004 film recounting Hitler’s last days comes the perfect dramatic platform to rant about U.S. Health Insurance Industry.
Continue reading “What’s The Point Of Having Health Insurance!”Our greatest national asset is our children. Why aren’t we taking better care of them?
Continue reading Texas School District Places Children At RiskAbout time! From our experience in managing health care costs, CVS is one of the highest priced drug retailers on the planet. Most of our groups have eliminated CVS from their pharmacy network.
Continue reading CVS Plans to Overhaul How Much Drugs CostEver thought about investing in a TPA? If so now may be a time to invest in Marapai.
Continue reading TPA Investment OpportunityMore plan sponsors are adopting Cash Pay Centric Health Plans while others are Tip-Toeing-Through-The-Tulips with Cash Pay Bolt-On Models……………The coming demise of PPOs networks?
Continue reading Is A ‘Cash Pay Revolution’ Coming For Hospitals?Most Hospitals in America Use the Cost-to-Charge Ratio to Estimate Their Costs for Specific Services Such as an MRI, Surgery or Endoscopy. However, the Cost-to-Charge Ratio is Inaccurate.
Continue reading Fuzzy Math Cost AccountingSeating arrangements affect behavior, presetting the stage for human interaction, subconsciously intending to produce desired outcomes.
Continue reading Seating ArrangementsMethodist (Houston) quoted a Cigna insured patient today a price of $1,053.36 for CPT 76982. All of that goes to the patient’s Cigna deductible.
Continue reading How To Satisfy A Deductible Faster Than A Speeding BulletOzempic and other similar weight reducing drugs are expensive, threatening to bankrupt self-funded health plans due to high demand. A year’s supply of Ozemic costs more than $10,000.
Continue reading Ozempic For Less Than $300?Cook’s Children’s Health Care System considers Reference Based Pricing plan members as SELF PAY!
Continue reading Great News For DFW Cash Pay Health Plans!“Your margin is my opportunity” – Jeff Bezos
Reference Based Pricing vendors make millions off hospital Charge-Masters while at the same time throwing stones at the high cost of health care.
Continue reading Charge-Master Rates Enrich RBP VendorsThe City of McKinney Human Resources Department is seeking an Employee Benefits Consultant to provide professional services related to the overall design and administration of the City’s employee benefits program.
Continue reading City of McKinney Seeks Health Insurance ConsultantKatie “I’m So Excited” Hopkins earns coveted Prick Loyalty Card after receiving 45th vaccine booster……
Continue reading Katie Earns Coveted Prick Loyalty CardVictor Lustic Would Be Proud
“Here’s how drug diversion works: A patient fills a prescription for a medication that is worth several thousand dollars but is paid for by Medicare, Medicaid or insurance. The patient then sells it for a fraction of the list price in cash. The buyer, known as an aggregator, removes the patient information, alters the bottle and sells it to the wholesale distributor, who sells it back to the pharmacy.”
Continue reading Fraud In A Bottle‘Jimmy the Crow” belonged to Hollywood animal trainer Curly Twiford who stole the bird from a nest in the Mojave Desert in 1934 ……
Continue reading Jimmy The BirdThe company says they have hired nearly 20,000 doctors in 2023 alone, according to reports. It also counts an additional 40,000 advanced practice clinicians among its ranks.
Continue reading United HealthCare Hires 20,000 Doctors In 2023Winston’s Rx Two Hat Method – Place hat on corner bedpost. Take a shot every two minutes until you see two hats. Upon awakening if you still have symptoms and see one hat, repeat process.
Continue reading Winston’s RxWho cares! My copay is only $25.
Vertex Pharmaceuticals and CRISPR Therapeutics co-developed the one-time treatment that could cost around $2 million per patient.
Continue reading Casgevy – America’s New $2,000,000 Drug“PPO Discounts Are The Best”………………….I Don’t Agree.
Founder @ Altiqe | Turning Benefits Challenges into Strategic Success | Benefits Expert | Podcast Host | National Speaker
Continue reading PPO or Faux Pas? Decoding the Dollars in Healthcare“Compounded Semaglutide Prescribed Online. Semaglutide is the same active ingredient in Wegovy®* and Ozempic®* for only $297 per Month.”
SOURCE: Semaglutide (Active Ingredient in Ozempic®), Prescribed Online (henrymeds.com)
Includes Provider & Medication and No Hidden Fees – No Insurance Needed
Continue reading Weygovy & Ozempic Only $297?There is more than one way to transfer risk. Most plan sponsors think insurance coverage is the only method. They are wrong.
Continue reading Transferring Risk Through A MERP“This is the dirty secret of healthcare benefits… the ‘network’ provider is supposed to negotiate favorable pricing for healthcare services. They don’t. This fallacy has been thoroughly debunked. It’s just that not everyone is yet aware of this.”
Continue reading Surge in Health-Insurance Costs Pose Next Challenge for Finance Chiefs“For average Danish citizens, Novo’s economic effect means a potentially better market for buying houses, cars and other big-ticket items.”
Continue reading Drug Trade Fuels Denmark’s EconomyIndependent agents compete against large national brokerage houses all the time. Marsh, Higginbotham, Gallagher, HUB, Willis and all the other Big Boys tout superiority over the little bitty guys in every community across the country. “We have internal resources your local broker doesn’t have” is their branded sales message.
Continue reading Independents Band Together – Strength In NumbersSOURCE: HRA Council – Home
In June, the HRA Council released its 2023 data report on the state of Health Reimbursement Arrangements, including Qualified Small Employer HRAs (QSEHRAs) and Individual Coverage HRAs (ICHRAs). The report shows that between 2022 and 2023, the number of American workers offered insurance through an ICHRA tripled; QSEHRA offerings, only available to small employers with less than 50 employees, doubled.
Continue reading 2023 HRA Council Data Report ReleasedThe Federal Food Drug and Cosmetic Act (FDCA) Section 804 permits importation of prescription drugs from Canada by a pharmacist or wholesaler, provided the drugs meet certain minimum standards, will pose no additional risk to the public’s health and safety, and results in a significant reduction in costs to consumers. HHS can approve a program if these conditions are met.
Continue reading Colorado Implements Canadian Prescription Drug Importation ProgramPR Newswire – November 13, 2023·10 min read
The Centers for Medicare & Medicaid Services’ (CMS’) Center for Consumer Information & Insurance Oversight (CCIIO) publishes the Individual Coverage Health Reimbursement Arrangement (ICHRA) Employer Lowest Cost Silver Plan (LCSP) Premium Look-up Table to help stakeholders access individual market Qualified Health Plans (QHPs) LCSP premium data by geographic location.
Continue reading CMS Publishes ICHRA Premium Look-up TableAn Affordable Care Act mechanism intended to help small companies support ACA health insurance for workers is now being used by large companies to satisfy their ACA obligation to provide insurance to employees, under a Trump-induced loophole. They’re saving money, and selling it as enhancing choice.
Continue reading Large Employers Turning To ICHRAsThe markup on drugs is phenomenal. Sensing a new business opportunity, RiskManagers has entered the pharmaceutical business as a self-declared Tylenol wholesale distributor serving hospitals across the Fruited Plains.
Continue reading RiskManagers Seeks Fortune In Drug TradePlan Sponsor – “I’m supposed to do what?
Its amazing how many plan sponsors I’ve met have no clue what’s coming their way in less than 30 days from now. That’s really good news for plaintiff attorneys…………
Continue reading Most Plan Sponsors Are Clueless Because Their Brokers Are TooYou’re sitting at home wondering if you have a STD. So you head to your mailbox to leave a specimen.
Continue reading At Home Lab Testing – Fast & Discreet ResultsCarlos Juan Finlay
National Doctor’s Day in Cuba – December 3, 2023
On December 3 every year, Cuban doctors celebrate their professional holiday. National Doctor’s Day in Cuba was established to commemorate the birthday of Carlos Juan Finlay, a Cuban physician and epidemiologist who was the first to discover the transmission vector of yellow fever.
Continue reading Cuba National Doctor’s DayATTN. PLAN MEMBERS – Carry In Your Wallet or Purse At All Times
“Plan members (and the Plan) are completely indemnified against balance billing…….AMI Indemnity, an indemnity captive completely protects the plan and participant from additional legal or financial risk associated with a balance bill.”
Continue reading Balance Billing GET OUT OF JAIL Card