March 12, 2026 – Risk Managers

Benchmarking Claims Off Medicaid Fee Schedule

By Bill Rusteberg

There’s more than one way to skin a cat……………..

Reference Based Pricing plans typically benchmark claims against the Medicare fee schedule. Why not benchmark off the Medicaid fee schedule too?

Actuarial Warfare: How Seven Insurance Letters Closed the World’s Most Critical Chokepoint and Why Markets Are Mispricing Duration by 300%

London treaty reinsurers, confronting unlimited tail coverage, pull capacity………….

Allied National’s Solution For Tight Budgeted Employers Seeking Relief From Punishing Govt. Mandates

A Dental Plan That Beats A Poke In The Eye

Brownsville ISD Considers Early Termination of TPA Agreement

By Molly Mulebriar

The Brownsville ISD has a history of suing their TPA going back years. Pilot Life Insurance Company, Group & Pension Administrators, HealthSmart………….Will United HealthCare be next?

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