May 14, 2024 – Risk Managers

Leveraging Risk Transfer Through The Federal Risk Adjustment / High Risk Pool Program

Self-funded health plans have traditionally ceded large and unexpected losses through insurance policies naming the plan sponsor as the insured. Under these policies plan sponsors are reimbursed for losses. Many have now discovered they can duplicate this risk transfer strategy through a more efficient and economical method by naming the plan member as the insured.

Government Mandates Reference Based Pricing For Indians

“Tonto That Hospital Charged Me 4 Times More Than They Charged You!”

Dear Tonto,

“I am pleased to announce that on June 4 the Indian Health Service (IHS) and the Centers for Medicare & Medicaid Services (CMS) published the much anticipated final rule implementing “Medicare-like” payment rates. The “Medicare-like” payinent rate will constitute payment in fill1 to Medicare-participating hospitals that deliver services to American Indians and Alaska Natives…..” SOURCE: Tribal Leader Letter

2024 ACA Broker Commissions

Ever wonder what health insurance brokers earn in commissions selling individual health insurance policies these days? Would it surprise you that with bonus commissions a broker for one of the carriers can earn up to a maximum of $500,000 in a year?

Iron Sky Advisors

Podcast Referred By Brent Evans

In today’s episode, Dr. Ben interviews Jeff Borglin with Iron Sky Advisors

Jeff and his team help corporate businesses find the real data of what they are spending on insurance. This is not always an easy task. They also discuss how the insurance model got to where it is, and why it keeps rising year over year. Is there a solution?

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