“If you want the business I need $5 per script” wrote the consultant for a +7,000 life Texas school district.
Average # if scripts PEPM is 1.15. A group the size of this district can expect about 100,000 scripts per year. At $5 per script the consultant would gain to make an additional $500,000 on top of his disclosed consulting fees. It’s easy to hide fees on the claim side of the ledger,
The new federal transparency rules do not apply to non-ERISA groups. Public school districts are non-ERISA groups and not subject to the rules. It’s business as usual for continued age long shenanigans practiced by greed driven insurance agents and consultants.
Emails are forever……….
MORE BLOG POSTINGS:
Lawsuit Exposes How Health Insurance Brokers Can Earn Enormous Commissions – Risk Managers
The Biggest Con In History – Risk Managers
Tyler Man Connected To PBM Kickback Scheme – Risk Managers
Quit Hiding Your Fees In The Fixed Costs! – Risk Managers
You’re Making How Much! – Risk Managers
Fuzzy Math & Missing Dollars – Risk Managers
Beware of Health Care Consultants’ Partnerships – Risk Managers
