Claims Have Doubled But Blue Cross Is Free

“We do not pay Blue Cross to administer our plan at all.”

(WARNING: Excessive head scratching leads to baldness. Reader beware).

Hoodwinked School District Believes They Get Free TPA Claim Administration

The Edinburg Independent School District awarded their self-funded group medical plan to Blue Cross in 2018. Plan spend has since increased from $20,000,000 to +$40,000,000 in five years.

But, they believe, Blue Cross is costing them nothing. (Read on, it gets better)

The believe their BCBS admin fee is a negative $70.82. In other words they believe Blue Cross is paying Edinburg Independent School District for the privilege of providing free administration.

That’s got to look good on a Request for Proposals spreadsheet.

“This charade is the equivalent to a car dealer giving a trade-in value off an inflated, arbitrary number, while selling the new car above factory invoice. The customer thinks it is a good deal. The car dealer ends up with a free used car and earns a profit off the new car.” Hoodwinking – A Popular & Proven Sales Strategy

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