“And the verdict is…………….”
This case is instructive for employers who use reference pricing. It is a good reminder that employers who use reference pricing should confirm that they fall within the guidance for establishing a network and confirm that their administrators are correctly explaining the plan terms to providers who call to determine coverage.
Continue reading A New Twist in Reference Based Pricing Lawsuits?
Editor: Another interesting observation by Mel Schlesinger: Lower your health care costs by enrolling for a 3 credit hour course at your local college………………………………
Continue reading Health Care Expert Poses Interesting Question
The following article is another example of a broken health care system and the lengths some take to find affordable health care…………………..
An Illinois benefits administrator is suing the telemedicine company Teladoc for $450,000 in overcharges, claiming the company tried to restructure a refund to avoid a negative outlook on its financial statements.
