Month: June 2024

“Drag co-efficiencies are used to measure an object’s resistance to movement………..”

The Affordable Care Act (ACA) does not require self-funded health plans to have stop loss insurance. So what happens when a plan sponsor runs out of money to pay health claims?

By Molly Mulebriar

“Give me the money and I’ll buy my own health insurance!” is being heard by more employers these days. Others are saying “I don’t want your plan! I can get better and cheaper insurance on the outside!“

SOURCE: Connecting YOU with the Largest Cash Pay Medical Marketplace – Savvos Health

Savvos created the nation’s largest marketplace of affordable cash prices for shoppable medical care, including imaging, outpatient surgery, labs, and more.

The exploding demand for affordable cash prices from alternative payors includes health sharing ministries, self-funded employer groups, creative insurance products, self-pay patients, and more.

Carlos Cascos

Carlos Cascos, former Cameron County judge, secretary of state, dies.

Curative Health (in the blue trunks) has KO’d 30 of the TSHBP districts – 14 with USI and 16 with Higginbotham/FBS.

NSA negotiation fees are all over the board: Vendor “A” charges $5,850. Vendor “B” charges $900. Vendor “C” charges $50.

Insuring worker’s paychecks has never been easier. Field quoting rate estimation is not rocket science.

By Dave Chase

That giant sucking sound you’ve been hearing has been validated by new research from Yale, Univ Wisconsin & Univ Chicago confirms what I’ve been saying for years: rising hospital prices have a devastating impact on local economies and job markets. Not only are hyperinflating, turbocharged hospital prices sucking up the American Dream from the working middle class, they are also being extracted out of local economies for a fundamentally local service.

Continue reading Do You Hear That GIANT Sucking Sound?

SOURCE: MyNewMarkets

Workers’ compensation line remains the most profitable property/casualty segment, with a combined ratio well under 100.

Ponte Vedra, Fla., June 6, 2024—Revive, a leading innovator in integrated whole-person care, is proud to announce the addition of Nurse-1-1 to its comprehensive healthcare ecosystem. This strategic expansion introduces a national network of nurse practitioners, enabling Revive members to connect with a licensed nurse in their state within seconds via live chat, further revolutionizing patient care.

“If something cannot go on forever, it will stop.” – Herb Stein

German soldiers executed for following orders

When you’re in the military you are told to follow orders or face discipline. This is the sad story of an American soldier who followed orders and is now suffering the consequences of government overreach.

Hospitals win +75% of the time. The median settlement is 370% of Medicare.

By LAUREN BERRYMAN 

“Oscar Health, which plans to roll out its ICHRA plans next year, estimates the market could be as large as 96 million people if all small and mid-sized employers offered them.”

“By switching to an ICHRA, my client went from facing a 20% increase on premiums to realizing an 8% decrease, but we never would’ve done it without SureCo’s technology or support. The platform makes it so easy for employees to navigate and find their own plans, and it didn’t create an additional administration burden for the HR team.”  

—Scott Ripley, SVP of Employee Benefits, Gallagher Benefits

“We’re gonna put down you make $18,000. You win, I win, and the insurance company wins! – Insurance Broker

BROWNSVILLE DOCTORS LORENZO PELLY AND CARLOS BARBA DISCIPLINED FOR INAPPROPRIATE TOUCHING, SEXUAL MISCONDUCT AND OTHER ISSUES BY TEXAS MEDICAL BOARD

Clinic overflow, thousands arrive for primary care appointment……………

Government mandated universal health care is a foregone conclusion. Purveyors of commercial health plans and medical caregivers are living in a bubble, milking the system for all it’s worth for as long as they can.

In a competitive market where ICHRA is gaining market share TASB has been wise to partner with an ICHRA vendor as a preemptive move based on “If you can’t beat them join them.”

Seth Wheeler’s invention touches our lives every day……………..

“Walter, is that you…………………!

Government’s “See A Doctor Now” Program Is Gaining Popularity……………

Don’t have time to make an appointment to see a doctor that’s made days and weeks ahead of time? Worried about balance billing in case your plan doesn’t pay enough? Worried your insurance won’t be accepted?

By Bill Hennessee, M.D. on Linkedin

HCA Houston Medical Center sets ICU per day personal high charge at $124,721 per day

So last week I posted that ICU charges by hospitals are $15,000 to $50,000 per day with the actual cost being $1,150 per day and the common payment being $3,000 to $4,000 per day by large health insurance companies. Now as soon as I did that, I get the big whopper – $124,721 per day ICU stay. It’s Hospital Corporation of America, or HCA.

Making Little Boys Into Little Girls and Little Girls Into Little Boys

“This is a story of fanaticism, hubris, and the murky business of transgender medicine. It would have remained hidden, except for the courage of two people inside the hospital, a surgeon named Eithan Haim and a nurse who has now decided to come forward. Both have risked much to alert the public to the barbarism that is occurring at the nation’s largest, and arguably most prestigious, children’s hospital.”

The future is ICHRA, and it’s starting now…………

Within the nick of time action was taken before TSHBP’s arbitrary deadline of June 15.

A Fairy Tale By Molly Mulebriar

Once upon a time there was turmoil in serfdom. The serfs were restless but no one cared.

By OneBridge Benefits

More employers are considering the ICHRA (pronounced “ick-ruh”) as an alternative to their traditional group health plan offering. However, making the final decision to switch from the traditional model to a more modern solution can be difficult. Misinformation can lead to unnecessary and potentially costly second-guessing.

What are TSHBP member districts “in” if they don’t opt out? if you’re “in” what are you “in” when the “in” is out?

Humberto Zamora – Original Creator of The Hospital Lost & Found Department

Depending on who you believe, a whopping 30 – 35% of hospital revenue is supposed to come from patients these days. But it doesn’t.

MedWatch Simplifies Renewals with Comprehensive, Integrated Services

Source: MedWatch, 6/14/2024

Lake Mary, FL – During the 7/1 renewal season, MedWatch continues its commitment to streamline healthcare offerings for brokers, consultants, and administrators. Its proprietary technology and integrated solutions simplify service implementation and renewal processes, delivering tailored, high-quality care that maximizes clinical and financial outcomes for plans and plan members.

“The ICHRA model could serve as the backbone of an unofficial universal health care system, characterized by flexibility, choice and inclusivity.”

A niche preferred provider network appears out of thin air, providing significant discounts for unexpectant mothers.

The Individual Coverage Health Reimbursement Arrangement or ICHRA (pronounced ‘ik-rah’) allows employers to pay for their employees to buy health insurance coverage on the open market with pre-tax money.

Lesson on how to sell a rate increase as a rate decrease – Consultant tells city officials they saved because “Instead of having a 10% or a 15% increase, you only had a 5% increase.”

Armored columns from deep South, Central and North Texas disguised as ageing insurance brokers have executed a flawless lightning strike in the dead of night, attacking status quo defense forces protecting lucrative Texas public school health insurance business, crushing antiquated and failed strategic defenses in place over the past 40 years.

By Tiffany Ryder on Linkedin – NFL Cheerleader turned Emergency Medicine Physician Associate | Founding Partner & Medical Director – Direct Care Connect

Great example of healthcare costs ‘out of control,’ and why everyone should be paying close attention to their expenditures, instead of trusting that ‘the system’ is acting in your best interest…

Most employers have never heard of an ICHRA, Find out why brokers sell against it………….

Law Allows Districts to Take Advantage of Federal Dollars for Employee Healthcare………………..

Tamaar Kylon Corral Woodfork 

Tayvia Woodfork was having lunch at the Golden Corral when Tamaar Kylon Corral Woodfork decided to make his debut, saving his mother $18,865 in normal delivery hospital expenses.

Doctor Remains Silent – Resorts To Sign Language – He’s Eternally Hopeful The Medical Industrial Complex Understands Sign Language

Don’t rock the boat! Stay silent. Big Brother and the Medical Industrial Complex is watching you. Otherwise lose your reputation, family, friends, fortune, license and freedom. (Cheer up though, you can keep your children).

We need to bring sanity back to health care financing. We need to stop the intimidation………

The problem I see with most health insurance consultants is almost all pre-determine a client’s tolerance for risk before determining where the risk tolerance actually lies.

By John Bock

For those of you that have yet to watch the webinar on our Baseline Visit, I wanted to focus your attention to a great testimonial from our client, River Oaks Country Club in Houston.

How the hell can half the country afford a $1,000, $2,000 or $3,000 deductible when they can’t even scrape together $500? (Ask Mary, she knows). The other half, the poor and the rich, don’t share the same misery.

Taming Health Care Alligators Since 1998

The South Texas Health Cooperative (STHC) in deep South Texas provides affordable health insurance to member school districts since 1998. Through careful risk management and a lot of hard work the STHC risk pool has achieved remarkable success.

The Segal Report issued to the TRS ActiveCare Board of Trustees states medical trend since inception of the program has averaged 5% annually

GAFM was first founded by Ferdinand Meir, President; George Kuempel, Vice President; Peter Pfluger, Secretary; Henry Pfluger, Treasurer and Ernst W. Pfluger, Mathis Wuthrich, Fritz Sakewitz, Directors in 1891.

Ted Krause is AXA Equitable’s highest hitting insurance salesman. He also just turned 100 years old.

Do you have any tips for someone who wants to become and Insurance broker?

Plan Sponsor Buries Bankrupt Benefit Plan & Moves Factory To Mexico

Most plan sponsors use a PBM to manage their prescription drug program. PBM’s love open formularies because as new and expensive drugs hit the market their commissions go up.

40% of weight loss of people taking Ozempic (semaglutide) is bone and muscle.

Bronze Medal Winner Awarded The Gold Medal

Third string insurance broker picked to manage Hidalgo County’s second largest budget expense.