An Obvious Indication Of Why Health Care Costs Are High

By Julie Selesnick, Attorney

Seriously, all the handwringing over how complex our healthcare system is and why cost containment is so difficult is silly—the answers are pretty obvious. Here is reason Number #1: The #BUCA billions—this is what we are overpaying for—the billions raked in annually by UnitedHealth, CVS, Elevance, Cigna, Centene & all the other major carriers & PBMs.

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MexRx

The UNITED STATES and some other countries require a prescription on all medications sold from Mexico. They further require documentation in English and an invoice of all medicines sold for customs.  For these countries, Medicina Mexico is now delivering your medicines to Dr. Isaac Reyes, MD (Ced. Federal 644884) (Ced. Estatal 1537-02/05) along with the required documentation including documentation on each medication sold in English is from Wolters Kluwer.

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South Texas Work Ethic: 83 Year Old Insurance Broker Still Going Strong

Mission State Farm insurance agent celebrates 50 years

Jerry thus began his insurance career in 1974, his first office four blocks from the agency’s current location, where Sweets by Kacy sits. He and his wife furnished the building with two lawn chairs and a chestnut-colored desk and got to work.

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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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