Archive for August, 2017

Texas Balance Billing Law To Take Effect September 1

Thursday, August 17th, 2017

The bill expands a patient’s ability to mediate their claims with the insurance companies and sets new guidelines for mediation………………….

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Bernhard Opines on Fake News – PPO Discount Game

Thursday, August 17th, 2017

Jeff Bernhard – President of Continental Benefits

Does everyone realize that a discount guarantee is really useless/ineffective for a self-funded offer/RFP? When does a discount ever lead to lower spend? How silly!

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Medicaid Overpaid Texas $18.9 Million For School Based Health Services

Thursday, August 17th, 2017

Texas received $18.9 million from Medicaid for school-based health services that were billed improperly, and the federal government is seeking to get the money back.

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Blue Cross Michigan Hit With Flurry of ERISA Lawsuits

Thursday, August 17th, 2017

A Shell Game Common To Health Care Financial Transactions

As a plan sponsor are you paying undisclosed fees that don’t show up on the fixed cost side of the ledger but rather on the claim cost side? There are numerous lawsuits that have exposed this industry practice and is not limited to BCBS………………….

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Texas Permanently Bans Taxpayer Funding of Abortion

Wednesday, August 16th, 2017

Bill prohibits insurance providers from forcing Texas policy holders to subsidize elective abortions

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Freedom Plan

Tuesday, August 15th, 2017

A Man Before His Times – Martin Luther announcing “Free at Last” Reference Based Pricing Plan

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Nixon Went to China. Can Trump Go to Single Payer?

Tuesday, August 8th, 2017

Only Trump can make single-payer health care happen in this country…………..

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Why A Pennsylvania Insurer’s Collapse Could Whack Californians In the Wallet

Monday, August 7th, 2017

Penn Treaty’s liquidation poses a “potential shock to the health marketplace” as the losses pile up, according to the A.M. Best credit rating firm. Industry analysts estimate the parent company has long-term claims liabilities approaching $4 billion, but only about $700 million in assets.

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Your Network Discount Analyses Are Useless

Saturday, August 5th, 2017

Throw it in the trash. Seriously…………………. 

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Smoke & Mirrors – Comparing PPO “Discounts”

Saturday, August 5th, 2017

Many independent fee based insurance consultants are sucked into the PPO “discount” vortex……………..

The carriers are very good at playing this game and my belief is that most consultants don’t get it or pretend not to get it, thus doing a great dis-service to their client.”   – PHO Sales Representative

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Cigna, Other Health Insurers’ Profits Surge, Ignoring ACA Chaos

Friday, August 4th, 2017

U.S. health plans stocks up 26%, outperforming S&P 500…………….

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Institute For Supply Management Announces September Seminar

Wednesday, August 2nd, 2017

 

This program is applicable to all areas of the public education sector, including school districts, junior colleges, and colleges.

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What Employers Need To Know To Manage Health Costs

Tuesday, August 1st, 2017

Employers can immediately reduce the cost of health insurance by 20% by simply shifting their focus to proven strategies…..

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Why Most Health Plans Strive To Make Healthcare Cost More

Tuesday, August 1st, 2017

 Brian Klepper

“The truth is that group health plans typically earn a percentage of total expenditures, and it is in their interest for healthcare to cost as much as possible.”

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