This is a Cash Pay Health Plan I.D. card. It works better than yours………………
Continue reading Cash Pay Health Plan I.D. CardCash Pay Health Plan I.D. Card
Day: February 13, 2025
Lawmakers seek ‘innovative’ health options as Texas leads nation for most uninsured residents
For three years in a row, Texas health insurance premiums have increased by over 5% annually, according to the Texas Association of Health Plans. Advocates are calling on the Texas Legislature to cut certain insurance regulations and expand Medicaid eligibility to help close coverage gaps. (Courtesy Adobe Stock)
Article Referred By Jody Bright
About 5 million Texans, or 16.4% of the state population, did not have health insurance in 2023, according to data from the U.S. Census Bureau. Texas’ uninsured rate was higher than any other state and more than twice the national rate of 7.9%.
Continue reading Lawmakers seek ‘innovative’ health options as Texas leads nation for most uninsured residentsDoes Mary’s ASO Contract Contain Impermissible Gag Clauses?
“Who Me? I Didn’t Approve The Agreement! Our Consultant Did!”
Mary is in hot water. She denies she signed the Blue Cross ASO Agreement. Meanwhile her insurance consultant is at home reading his E&O policy…………..
Plan sponsors should be aware that Gag Clauses by statue prohibits any restriction on accessing data. “Any limitation on the scope, scale, or frequency of electronic access to de-identified claims and encounter information or data is considered a [prohibited] restriction. Electronic access for plans and business associates is required to be available on request.”
Continue reading Does Mary’s ASO Contract Contain Impermissible Gag Clauses?Eyeing Cost and Flexibility, More Employers Opt for Alternatives to Traditional Health Plans
“One option gaining traction is the Individual Coverage Health Reimbursement Arrangement (ICHRA), which saw adoption surge by 29% among small employers and 84% among large employers from 2023 to 2024[.]”
Continue reading Eyeing Cost and Flexibility, More Employers Opt for Alternatives to Traditional Health PlansKennedy Wins, Medical Industrial Complex Loses
Laughter Is The Best Medicine
Comedian spots former high school football team member in the audience.
Continue reading Laughter Is The Best MedicineDoctors & Libertarians Wanted To Be Left Alone
By Dutch Rojas
Doctors and Libertarians Wanted to Be Left Alone,
But the Activist Judges, Bureaucrats, and MBAs Had Other Plans
Why The Health Care Industry Is Letting RFK Jr. Cruise To Confirmation
Robert F. Kennedy Jr. campaigned for Donald Trump after dropping his own presidential bid in August. | Anna Moneymaker/Getty Images
By Daniel Payne
From drugmakers to doctors, few health care groups are asking senators to block Robert F. Kennedy Jr. from becoming HHS secretary.
Robert F. Kennedy Jr.’s expected Senate confirmation on Thursday to lead the nation’s health agencies threatens upheaval for America’s $4 trillion health care industry.
Continue reading Why The Health Care Industry Is Letting RFK Jr. Cruise To ConfirmationThe DPC Menu
Look, Up In The Sky! It’s A Bird, It’s a plane, It’s a……DPC Physician!
Direct Primary Care (DPC) centered health plans are growing in number for a lot of reasons. Primary care physicians, under the thumb of insurance companies, want their freedom back. Patients want easier, quicker, unlimited access and more time with their doctor. Plan sponsors see direct primary care physicians as their “In-House” risk manager tasked with managing all upstream care towards best-in-class specialty care with lower cash-like pricing. The article below is a great read for all these stakeholders.
Continue reading The DPC Menu