Protection Money In Health Care


Paying protection money (PPO access fees) for the promise of no balance billing against egregious, arbitrary sticker pricing that has no relationship to costs whatsoever, and agreeing to provider reimbursement levels based upon secretive contracts you cannot see or audit, violates fiduciary duties and is contrary to basic, common American business practices.

I am positive we will one day see plan participants sue their plan for breach of fiduciary duties. We are seeing this trend among retirement plans, health plans will be next.

Bill Rusteberg

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