Craig Gottwals Opines

Alleged Carrier Fraud, Direct Primary Care and Which Companies Best Reference-Base Price

“Bundling self-funded plans with a carrier as your TPA, network, and PBM? A recipe for disaster. If you’re large enough to self-fund, don’t bundle. Period.

Why do so many consultants recommend it anyway? The answer is a cocktail of laziness, greed, and institutional capture.” [Owens & Minor, Inc. v. Anthem Health Plans of Virginia, Inc., No. 24-0820 (E.D. Va. complaint filed Nov. 18, 2024)]  MORE >>