Connect with colleagues from across the state and gain insights from industry experts! at South Padre Island Convention Center.
Continue reading Region I Education Service Center 3rd Annual Conference on South Padre Island
“Before we go further Mr. Prospect, let’s determine if you are a half pregnant flower lover with a passion for tulips or a cliff diver looking for adventure.”
Continue reading Cliff Dwellers or Half Pregnant Tulip Lovers?
The next time you hand over your Rx card and pay your $10 copay do you really care what the price is? Do you really want to know who gets paid what? That’s the beauty of todays managed care world. Middlemen are earning billions.
Continue reading I Want To Be A PBM When I Grow Up
This illustration is on a 465 life case that has been on a Reference Based Pricing plan for over a decade. They have never had a rate increase.
The illustration breaks down the various cost components.
In this instance the plan is a Cash Pay Centric Plan with a Reference Based Pricing wrap.
Plan contributions are a sum of all costs distributed across participation tiers.
Plan contributions shown include a margin over expected claims. A plan sponsor may decided to fund less than the suggested funding rates especially if there are adequate booked reserves from the prior year.
Continue reading Proactive Risk Management Is Key To Managing Rising Health Care Costs