San Benito CISD Fires Insurance Consultant

fired

Instead of saving the district money, the company increased the amount of money the district would have spent, he said, adding that the consulting firm was not providing the services outlined in the contract.  “I think it is time to move forward,” he said. “I would like to get a service without having to pay $50,000 for it.”

(See Insurance Consultant Steals Food From Children – Will San Benito replace consultant with this one?)

Keith Smith, M.D., Opines About PPO Networks

smith

While the big carriers who often are administrators of self-funded plans claim to have their client’s interests at heart, they shun from their network the highest quality and lowest priced players in the market, my facility being a classic example.  Part of the reason for this is the massive revenue generated by selling their “discounts” or repricing of claims, the carriers claiming as their own, a percentage of the “savings” they have generated for their clients.

(See Hospitals Dismiss Significance Of Chargemaster Prices?)

With this arrangement the last thing the carriers want is to seek out reasonably priced care, particularly from a transparently priced facility, as the absence of any claims adjudication eliminates their repricing opportunity and revenue.

Continue reading Keith Smith, M.D., Opines About PPO Networks