The Joy Associated With A Primary Care Visit Cannot Be Understated

To see a traditional fee-for-service doctor these days you may have to wait 1 month for an appointment or longer, and then wait an hour or more while sitting in the reception area along with sneezing, drooling, belching, coughing patients in order to see the doctor for 5, or if you’re lucky, 10 minutes.

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San Antonio Independent School District Seeks Insurance Consultant

The San Antonio Independent School District (SAISD) requests interested parties to submit proposals for “Employee Benefits Consulting Services”. This award is contingent upon funding and no guarantee of a minimum amount of work is implied or expressed by this Request for Proposals. Services required shall be determined solely by the needs of the District.

San Antonio Independent School District – 24-006 (LC) Employee Benefits Consulting Services

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Your Honor! ‘Motion To Kiss My Ass’

Article Referred By Doug Aldeen Which Somehow Has Something To Do With The American Healthcare Delivery System (although we don’t know what)

On April 5, 1996, this Court ordered Plaintiff to show cause why this Court should not impose Rule 11 sanctions upon him for filing a motion for improper purposes. The motion which Plaintiff filed was entitled “Motion to Kiss My Ass” (Doc. 107) in which he moved “all Americans at large and one corrupt Judge Smith [to] kiss my got [sic] damn ass………………………..”

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Recent Lawsuit Implies Thinking Outside The Network Box Is A Fiduciary Duty

By Kevin Weinstein – Chief Executive Officer at Renalogic

February 6, 2024

If you haven’t already, everyone involved with employer-sponsored healthcare should read and understand this lawsuit (Lewandowski v. Johnson and Johnson) filed by an employee against Johnson & Johnson’s health plan.  The key allegation is that the J&J health plan failed in its fiduciary responsibility to design and oversee a health plan that benefits members and pays reasonable rates for services. 

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Sunday Morning Bathroom Read (“Send Lawyers, Guns and Money” Edition)

By Doug Aldeen

The Great Aldeeni is on to something! – Open an Aldeen Miracle Grow Bank Account today and receive a bag of carrots and a free trip to Disney Land! – The H&R Block of IRC 501r? Take it public – The IPO has got to be a record breaker – Will the Great Aldeeni offer franchise opportunities? Count me in………..

“I would set up a booth in every grocery store across the US (much like H&R Block and its ubiquitous “tax refund” stands) and charge a flat fee to process the charity care application……….. “Honey, make sure to pick up a loaf of bread and while you are it, get our charity care application submitted. We should get back enough to take the entire family to Disney this year.” – Doug Aldeen

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What’s The Final Tally On What Could Be The Biggest Health Insurance Reinsurance Loss In History?

TSHBP: The Biggest Reinsurance Loss In Health Insurance History?

The 12/18 contract is over ending 31 December 2023. What are the underwriting losses? No one’s talking, the stop loss brokerage community is tight lipped. Rumors abound lawsuits are flying, attorneys are busy. Who knows the truth? No one is talking.

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Hospital Pricing Increases A Staggering 244% in 3 Years


By Justin Leader
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The attached graph, sourced from the Bureau of Labor Statistics, reveals a worrying trend that should be a wake-up call for all plan sponsors. Between January 2000 and December 2023, hospital services experienced a staggering 243.7% increase in prices, significantly outstripping the overall inflation rate of 82.4% during the same period. This isn’t just an anomaly – it’s a red flag.

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When The Boss Promotes The Wrong People

I’ve seen this first hand years ago when I worked for a large health insurance company. A toxic little man with a big ego and a drive to get to the top over dead bodies drove away the best producers leaving only sedated order takers to make quota. Before their mediocre performance became overwhelming evident to upper management Little Napoleon moved on to another company securing a position of even greater responsibility and authority. He repeated the process, going from company to company until he could go no further as President of a BUCA. – Bill Rusteb

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Health Care Pricing Estimates Are Bullshit

SOURCE: Mitigate Partners, LLC | Employee Benefits Consulting

Somehow, hospitals and insurers continue to get away with only providing estimates and not actual prices for their services and procedures. This allows our healthcare system to remain rigged for their profit and to the detriment and demise of patients, families, communities, tax payers, unions, employers, and municipalities across the country.

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How to Fix Rural Healthcare: LEAVE US ALONE.

“I left our CAH almost 8 years ago and started a Direct Primary Care clinic. It operates purely in the free-market economy and is thriving. Small regional hospitals are now coming around to my way of thinking and are now beginning to bundle things like radiology studies, and surgery, etc. to compete with each other for cash business, and it’s making them money and saving patients money.  These hospitals have to find loopholes in the bureaucracy to do this (the government and the trillion-dollar insurance companies who control the elected officials in the shadows love the status quo and want prices to stay high).

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Dallas Based Charitable Pharmacy Expands To San Antonio

St. Vincent de Paul (SVdP) is a Dallas-based charitable pharmacy that fills prescriptions and provides free medication for those who otherwise could not afford it. Now, the organization is expanding across Texas and providing medication to those who are homeless or in transitional housing recovering from homelessness through Haven for Hope.

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Government Pays $100,000,000 In Obamacare Commissions During Open Enrollment

CMS highlighted how four in five Healthcare.gov customers were able to find coverage for $10 or less per month for the 2024 plan year after subsidies. The agency also credited the Biden Administration for giving out nearly $100 million in Navigator awards, which lets organizations hire staff to help consumers, according to the press release.

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CrowdHealth Isn’t Health Insurance… and Why That’s a Good Thing!

“Did you know that the United States government limits the amount of profit health insurance plans can receive from your premiums? That sounds great in theory, but think about it this way: if a health plan can only make profits on up to 15% of your premium, and you have a $1000 premium per month, their profits are limited to $150 per month on that price. So then, what’s a major way health plans can grow their profits? By increasing your monthly premiums! If they boost your premium by 10% to $1100, they can now profit $165 per month. This means health plans are now incentivized to make your prices go up, not go down.”Did you know that the United States government limits the amount of profit health insurance plans can receive from your premiums? That sounds great in theory, but think about it this way: if a health plan can only make profits on up to 15% of your premium, and you have a $1000 premium per month, their profits are limited to $150 per month on that price. So then, what’s a major way health plans can grow their profits? By increasing your monthly premiums! If they boost your premium by 10% to $1100, they can now profit $165 per month. This means health plans are now incentivized to make your prices go up, not go down.”

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