A Fairy Tale By Molly Mulebriar
Once Upon A Time a health insurance agent presented an ICHRA proposal to the wicked witch of HR, a bald headed spinster known as Ms. No Never…………..
Continue reading Baskin-Robbins Disproves HR Myth But The Salesman Is Dungeoned
Every day, patients across America crack open envelopes with bad news. Yet another health insurer has decided not to pay for a treatment that their doctor has recommended. Sometimes it’s a no for an MRI for a high school wrestler with a strained back. Sometimes for a cancer procedure that will help a grandmother with a throat tumor. Sometimes for a heart scan for a truck driver feeling short of breath.
Continue reading Here’s The Company Who Decides Whether To Pay For Health Care for 100,000,000 Humans
Have the Texas Municipal League (TML), Texas Association of Counties (TAC) and the TRS ActiveCare (TRSAC) health plans become obsolete in today’s market?
Continue reading Are TML, TAC, and TRSAC Health Plans Obsolete?
Melody Learns The Truth After Getting What She Wished For
Ana Delian, an intensive care nurse, earns $18 a month . “They pay you little and you work loads.”
Continue reading Government Run Health Care Doesn’t Pay Squat
Send Lawyers, Guns and Money Part III
The American Medical Association recently oined the fray and sued Multiplan earlier this week in federal district court in Chicago. At issue is MultiPlan’s business model. Instead of determining their own out-of-network rates, insurers can outsource that function to MultiPlan, which promises to save them money on those claims. In many cases, MultiPlan uses an algorithm-based tool to recommend a payment level — and receives a portion of the difference between the recommendation and the original out-of-network bill, giving the company a financial incentive to recommend lower rates. The majority of U.S. insurers, including the 15 largest in the country, use MultiPlan to determine out-of-network payments.
Continue reading Aldeen’s Sunday Morning Bathroom Read