To simply change TPA’s to continue to manage claims under secretive managed care contracts which the district can’t see nor audit will not produce different results by lowering costs. The definition of insanity can be applied here.
The Brownsville Independent School District, the largest employer south of San Antonio, voted yesterday to terminate TPA services through BCBS and enter into a TPA agreement with United Healthcare.
Citing continuing escalating medical costs of $2-3 million per year, the Board of Trustees expressed frustration in controlling health care costs.
“We are hiring a manager to help us control claim costs” said one trustee. “We will hold them accountable.”
See 24 minute segment starting at 5:06:30: https://www.youtube.com/watch?v=7u_vygkwy4k
Editor’s Note: BISD will not be successful in controlling health care costs until they realize that the best method to reign in and lower costs is to enter into direct provider contracts that provide for fair and transparent reimbursement.
Local health care providers will compete for business if given the opportunity.
To simply change TPA’s to continue to manage claims under secretive managed care contracts which the district can’t see nor audit will not produce different results by lowering costs. The definition of insanity can be applied here.
The Fallacy of Bidding Out Self-Funded Health Plans To Save Money
Do You Still Believe That Network Discounts Are Saving You Money?
Excerpt:
“This is the same Blue Cross plan that has had suit filed against it by the U.S. Department of Justice for paying hospitals higher prices in exchange for bigger discounts.”
