By Bill Rusteberg
A random sampling of hospital / facility claims incurred in the Lower Rio Grande Valley, Texas (The Valley) illustrates the crazy world of health care pricing strategies.
Continue reading Billed Charges vs PPO Allowed Charges vs Cost Plus Insurance
“The penalties for this type of fraud should be severe. All benefits leaders and their consultants should be overhauling how they manage care and cost, or risk the consequences. It’s particularly notable that the Department of Labor is now arguing that fiduciary dereliction in health benefits is rampant.” – Brian Klepper
Continue reading Dereliction of Fiduciary Duties Triggering DOL Investigations
As health care costs escalate, Cost Plus / Reference Based Pricing plans gain traction within the employer community…………….
Continue reading Annual Healthcare Costs For Families Hit $25,000
