Day: September 30, 2025

“Pfizer is agreeing to provide some of their most popular current medications to all consumers at heavily discounted prices of anywhere between 50% and even 100%”

Drugs will be available for direct purchase online at a website run by the federal government. 

By Donavan Pyle

Commissions create the most obvious misalignment.

Paying a benefits broker a percentage of your premium is like paying your GC a percentage of total project cost—it creates a powerful incentive to drive up your expenses, not control them.

By Cristin Dickerson M.D.

I was reviewing my 87 year old mother’s medications yesterday, thryoid and trazodone and supplements, and had her call in her renewal for the thyroid while I was there. She was a few days early and the pharmacist told her insurance would not cover it yet.

I told her to ask for the cash rate and she was quoted $940. I said that is for the 3 month supply, ask for 2 weeks worth. She was quoted $127.

I said ask for the GoodRX price, she was quoted $14 for the “coupon price”.

My mom is super smart, was a National Merit Scholar, but could not have navigated this on her own, she would likely have just gone without the medication a while.

This is where Stacey Richter‘s recent theme of profiteering over trust kicks in. The pharmacist obviously could not offer the coupon price until she was asked to do so.

Are these over-expenditures by the Medicare population factored into fraud and abuse? I think they qualify as such.

Dentist wants to see a wholesale increase in the maximum payable by dental plans. Costs have gone up but most dental plan have limited annual maximums averaging $1,000. What does TRS Care dental plan offer compared to this one?

FY 2025 TRS ActiveCare report shows a 114.5% loss ratio (page 41).

Half of Your Health Insurance Premium is Wasted.

How to Get It Back Without affecting payment amounts to facilities or providers at all. …………Healthcare is broken, and we are going to show you how we have fixed it.