Archive for April 2nd, 2018

Walmart-Humana – Next Disruptor in Health Care?

Monday, April 2nd, 2018

It has been a busy few months tracking all the merger/acquisition/partnership announcements in the health care market…………………………

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Direct Primary Care Legislation Rolls Across the Country

Monday, April 2nd, 2018

Direct Primary Care (DPC) is an innovative alternative payment model improving access to high functioning healthcare with a simple, flat, affordable membership fee……………………

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PPO Escalator Clause Directly Attributable to Medical Trend Factor

Monday, April 2nd, 2018

Employer-sponsored medical plan costs expected to rise 8.4 percent…………..Cost of health care is essentially static but the cost of health insurance is not thanks to escalator clauses (Escalator Clauses, Rising Prices, And Why We Should Care) found in all managed care contracts guaranteeing pay raises  every year for most medical caregivers…………..

Why on earth do plan sponsors continue to rely on managed care contracts they cannot see nor audit yet continue to complain about rising health insurance costs? Their answer –  Blame consumers, cost shift to plan members and continue to use PPO networks………………..

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Well Managed Health Plans Outperform Status Quo Plans

Monday, April 2nd, 2018

Best performers stand out from their high-cost peers in the rate at which they adopt new means of delivering health care………………..

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