The survival rate of “Covid” is over 99%. Government medical experts went out of their way to underline, from the beginning of the pandemic, that the vast majority of the population are not in any danger from Covid.

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We make healthcare work better for everyone. By reducing costs and improving health outcomes, HMS advances the healthcare system.

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The 340b program has become a huge revenue generator for health systems, PBM’s, and other intermediaries.

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“We getting a refund Bruno? That’s cool!”

There is a class action lawsuit settlement of $345m reached between the plaintiffs (Pfizer & King Pharma) and any person or entity that purchased brand or authorized generic Epipens between 8/4/2011 and 11/1/2020.

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Onsite employee health clinics have proven to be an effective way to significantly reduce healthcare costs, and ultimately, have a positive impact on the company’s bottom line.

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Primary care physicians can treat 90% of what ails you. Direct primary care is a model that makes sense and saves money, provides better personal service grounded upon a holistic health care approach.

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By Mike Dendy

Reference based reimbursement (RBR or RBP) has evolved over the past 10 years and there are now many more players in the space.

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Dr. Jean-Paul Theron was arrested for prescribing Ivermectin from his home. He was targeted by a complaint from the Council of the Order of Physicians……..                                           (more…)

“Patients on membership plans act like insured patients and come in as much as insured patients, but they pay less for coverage while dentists get paid more,” said CEO Dave Monahan. “All we are doing is cutting out the middleman,” he said.

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Dallas Risk Management (DRM) is a Managing General Underwriter, or MGU, for health insurance policies.

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Key House Democrats Block Biden Drug Price Controls – Lunch Alert! – DickMorris.com at DickMorris.com

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“What happens to individual choice and medical decisions between the patient and their doctor, which is all of the things that we’re trying to support.”

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For the first time in 20 years TRS ActiveCare member districts will be allowed to opt out of the program effective September 1, 2022. In our opinion most member districts will remain in TRS ActiveCare.

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A friend,  fellow health care disruptor and collaborator shared his personal experience navigating the American Health Care System in an email sent us this afternoon.

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Lawsuit alleges the company illegally paid two purportedly independent charitable foundations $328 million from 2006 to 2015 to cover co-payments of Copaxone patients, while Copaxone’s price quadrupled to $73,326 a year.

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Paul Keckley is an intense observer of that change, diving deep into the trends, tipping points, intended and unintended consequences to bring clients and opinion leaders the unvarnished truth.

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By Dan Meylan

“In 5 decades of operating agencies and other businesses….we always looked for ways to remove unprofitable clients….”

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Pissed off plan sponsor has had enough! Their TPA has not lived up to expectations and a warning shot has been fired across the TPA’s bow……………

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Called for an appointment……………………

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Employee Benefits International is headquartered in Phoenix, Arizona, and covers the entire United States with health insurance and employee benefits programs for businesses – large and small. EBI has experts in-house that have worked with most business sectors including: healthcare, law firms, construction, manufacturers, nonprofits, auto dealerships, Realtors, and many others.

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“Rosengard is known for putting together what was for a long time the world’s largest life insurance policy, still recorded by Guinness Book of Records.”

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By Bill Rusteberg

A CPO (Cash Pay Option) centric health plan removes all financial barriers to health care while saving money at the same time. Cash beats insurance everytime.

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FBI agent and a law enforcement officer from the Texas Department of Insurance watched quietly from the gallery as the the never ending La Joya Shit Show Continues…………….

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The role of rebates in drug coverage decisions and insurer finances…………

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Apr 12, 2018 · An insurance broker who admitted paying bribes to land lucrative health insurance contracts at area school districts and the now-defunct water utility was sentenced to 37 months in prison.

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Medicare is running out of money. That’s not news to plan sponsors. They too are running out of money to fund the American health care beast. Some propose “Medicare for All” as the solution. Others say “Let the free market handle the problem!” The problem is there is no free market in health care and Medicare is running out of money because government doesn’t know how to solve health care either. Meanwhile, a few plan sponsors have solved health care the old fashion way using traditional American business practices based on common sense, reason and logic.

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Trucking coverage is tough right now. Thanks to nuclear verdicts and low interest rates, premiums are climbing. This is happening to all companies, regardless of their loss experienc

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“Don’t bother doing something unless you’re radically different from the competition” – Richard Branson

By Bill Rusteberg

Mike Keogh was an extraordinary man. A former BCBSTX salesman in the 1950’s, he later built  an independent brokerage in San Antonio with great success. I met Mike in the early 80’s and did quite a bit of business with him.

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Does anyone with health insurance really care what health care costs? After all, with copays and deductible/s the same cost to the consumer no matter where they go for care because other people’s money pay most of the cost……………..

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The findings of this study suggest that research leading to public awareness can shift hospital billing practices. Translation: Hospitals don’t like sunlight……………

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A single photo persuaded bureaucrats to drop face mask mandates during the 1918 Spanish Flu pandemic…………Will a 2021 French picnic picture bring back bureaucratic sanity?

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Carl Schuessler, Inventor of The Schuessler Stick™

Mitigate Partners with 30 independent offices across the United States act as the problem-solvers, consulting with businesses on employee benefits……………..

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Insured members pay for health care with cash provided by insurance plan funds and paid directly to medical caregivers at the point of service. No patient responsibility and no balance billing. Everyone wins, the plan, plan members and medical caregivers…………Meanwhile under traditional status quo health plans……………

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Hospital Administrator Reacts To News

Montana’s state employee plan went from a projected $9 million deficit to $112 million in reserves by the end of 2017.

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A +4,000 life Texas school district self-funds their medical plan using a BUCA as plan administrator and PPO network provider. How has their plan performed in the last seven years?

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“If we increase the spend on primary care so that primary care doctors can holistically manage their patient’s health, quarterbacking to specialists and coordinating care as needed, we can achieve lower overall spend on healthcare.”

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After years of refusing to provide member districts their own claim experience, TRS officials now are eager to provide it. Why?

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Plaintiffs Chamber of Commerce of the United States of America (“U.S. Chamber”) and Tyler Area Chamber of Commerce (“Tyler Chamber”) (collectively, “Plaintiffs”), bring this action for declaratory and injunctive relief against the Department of Health and Human Services, the Centers for Medicare & Medicaid Services, the Department of Labor, the Employee Benefits Security Administration, the Department of the Treasury, the Internal Revenue Service, and the current heads of those agencies in their official capacities (collectively, “Defendants”), alleging as follows:

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Transplant patient taken off list for refusing to take the Chinese Flu vaccination……

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Coach Joe Sixpack and his pals are planning to get vaccinated at least ten times just to be sure. “We’re gonna use the money to help pay for our TRS ActiveCare we can’t afford to use” said Coach Sixpack.

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The Healthcare Industry is Filled with Commission Relationships Where Money Is Paid, But It Is Not Always Obvious.

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Senate Bill 1444 brings districts to a fork in the road. One takes them out of the health insurance business and the other puts them smack dab into it…..

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Dear Plan Sponsor, do you think you control your Rx plan? Think again…………..

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Dead people have been known to vote, now we learn they get health care while dead too…..Next thing you know we’ll elect dead people to Congress………….

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Babies cost $59.95 back in the 1950’s. I was almost free in the decade before that. Babies are worth a lot more these days………….

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You’ve got the body now you want my soul………….Ill do almost anything you want me to do but I cant do that, no, no, no………………Ain’t accepting any balance billing baby!

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“Because the state not only funds the charter schools but also approves their establishment and continued existence, it is not appropriate to treat them as private institutions subject to public regulation.”

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Yesterday’s meeting with a prospect was memorable. The group’s in-house risk manager listened politely, then towards the end of the meeting got up and started drawing a diagram on the board, while narrating at the same time.

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Welcome to Global Health Management, Canada or as we refer to ourselves: GHM Canada.

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We believe in the power of the public sector…………………….

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Healthcare spending is expected to return to pre-pandemic baselines with some adjustments to account for the pandemic’s persistent effects.

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Can an employer access claims data to compare TRS-ActiveCare to other options for employee health benefits?

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Political winds threaten the stability of MultiPlan’s core business……..

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Plans have been known to exclude coverage for “risky” behavior………

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To protect against potential effects of adverse selection and help stabilize premiums in the individual and small group markets, the (Robin Hood) risk adjustment program transfers  funds from plans with relatively low-risk enrollees to plans with relatively high-risk enrollees.

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National Ambulance Service reach all over the country within 15 minutes…………

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Government bureaucrats consider upping punishment for non-compliant hospitals…….

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Blame Game In Health Care

Whatever happened to individual responsibility?

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Transparency has revealed just how absurd the current contracting process is, and has in many ways caused more confusion and obfuscation……………….Costs could very likely rise in many markets as systems learn about higher prices being charged by their competitors – the definition of ‘unintended consequence………….

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By David Hoffman

This is a clip from my first documentary feature film called King Murray. It won the Cannes Film Festival Critics Prize in 1970. Murray King was a most amazing character and ended up selling me life insurance….. at 27 years old!

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AFLAC facing distribution pressures due to the Chinese Flu………..

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The author’s message is clear. And it’s real. But there is something else within the article that’s a condemnation of our current health care system of finance in this country – If You Can’t Pay Your Gonna die.

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Insurance Agents Cheech & Chong Out Making Cold Calls

Cheech & Chong, in their best dreams of years gone by, would have never thought possible mainstream insurance brokerage would ever promote a canabis benefits captive. Their idea of “captive” was that it was really bad and something to avoid.

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With the magical stroke of a bureaucratic pen a list of the procedure codes may be removed from the ASC payable list, including several heart and spine procedures…………….

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