We need to bring sanity back to health care financing. We need to stop the intimidation………
That begins by identifying certain truths:
- Charge based reimbursement bears no relationship to cost
- Third party intermediaries drive up costs by as much as 50%
- Health care costs have remained essentially static for the past 15+ years but health insurance has not
- Cost shifting does not work
- Plan sponsors routinely violate their fiduciary duties
- PPO managed care contracts drive prices up, not down
- 99% of insurance brokers know nothing about health care financing
- Changing the logo on one’s health insurance I.D. card does not lower costs
- +90% of hospital bills contain errors at the expense of the plan sponsor
- Employers don’t pay a dime towards health insurance, employees do in lower wages
- 50% of medical caregivers are not as good as the other 50% of medical caregivers
- Price has nothing to do with quality of care
- Fee for service means more fees for more services
- Physicians hate managed care contracts
- Knowledgeable plan sponsors hate managed care contracts
- Hospital administrators are not nice people
- There is a Dr. Hodad in every community (Hands of Death & Destruction)
- Medical trend is directly tied to managed care contracts
- As much as 50% of surgeries are unnecessary
- Rx “rebates” are commissions
- 40% of any given population will not seek medical care in a year
- Specialty drugs will bankrupt a health plan fast
We have a solution and need a few plan sponsors willing to try it. We are looking for an employer who willing to try something new employing common sense, reason, and logic. Our suggested approach will reduce health care spend by more than 50% and improve benefits at the same time while remaining ACA compliant.
Here are some of the secret ingredients (please request and execute our NDA first before reading further – because we trust you):
- Medical care reimbursement based on 115% of Medicare (100% to provider, 15% to legal fund)
- No deductibles or co-pays (silly and account for 1% -2% of total plan spend so why bother unless you’re worried about pent up utilization – you shouldn’t be, its a good thing)
- Members maintain complete freedom of choice (including, if they don’t like the plan they don’t have to take it)
Plan sponsors interested in this approach must share our philosophy towards fixing health care. These include:
- Willing to try something new
- Not afraid of employee push back & commitment to empower them through education
- Not easily intimidated by anyone
- Mad As Hell and Not Taking It Anymore
There are approximately 150 insurance consultants located throughout the United States positioned to assist, plus more if you look hard enough. Some may not be as out-of-the-box as we are, but that’s OK. Different flavors for different folks transcends reason and logic at times.
RiskMangers.us is a specialty company in the benefits market that, while not an insurance company, works directly with health entities, medical providers, and businesses to identify and develop cost effective benefits packages, emphasizing transparency and fairness in direct reimbursement compensation methods.
