Insurance companies create vast networks, referred to as PPOs (Preferred Provider Organizations). The only thing that is preferred is the deal the insurance company cuts itself. About a full one third of the total medical spend by an employer can be eliminated by removing in-network pricing variation for commodity care alone.
Employers need to realize that when they pay for PPO access, they are paying to access a network designed to maximize the insurance company’s revenue – not to save the employer money on medical care.
Continue reading America’s Healthcare Secret Pricing Scandal Exposed