The Great PPO Deception

“We have the best discounts! We will save you a lot of money! And you can’t do it without us because we have the buying power, you don’t! We are gonna gift you a 50% discount!” says the insurance company.

Meanwhile back at the ranch………………

“We need a 50% discount!” says the insurance company to the hospital. “Can you please help us do that?”

“Why sure” says the hospital. “And we’ll go a step further. How about we pay you for the privilege of reducing our prices by 50%?

“Awesome!” says the insurance company. “But how are you gonna do that?”

“Easy peasy” says the hospital. “We’ll give you a 50% discount off double the price. Then we will add back in 20% of the discount, 10% for you and 10% for us disguised as a claim cost. You win, we win and plan sponsors will think they are winning too!”

“Cool” says the insurance company, Let’s roll!”

Feeling foolish yet?

HOMEWORK READING ASSIGNMENT FOR TODAY:

Have PPO Networks Perpetrated The Greatest Heist In American History?