Reference Based Pricing plans are rejoicing over the news. Plan members will no longer have to worry about having their credit ruined by arbitrary turbocharged hospital chargemaster rates and the threats that follow when plan sponsors move away from managed care contracts.
Continue reading Hospitals Lose Their Hammer
“Removing that HR layer, where someone doesn’t have to report to their boss or let their colleagues know what’s happening, lowers the barrier for people who really need money to come and get it because they remain anonymous.”
Continue reading Canary’s Emergency Grants Help Employees Stay Financially Afloat
“Dr. Robert Bredt was a relatively obscure figure until the Texas Medical Board announced that it sought to use him as an expert witness in its case against COVID crusader and Houston ENT Dr. Mary Talley Bowden. The case concerns whether Bowden had the right to attempt to treat Jason Jones with ivermectin while the COVID-19-infected deputy sheriff was hospitalized at Huguely Hospital in Fort Worth.”
Continue reading Texas Medical Board Battle: Who Is Dr. Robert Bredt?HEALTH AND SAFETY CODE
TITLE 4. HEALTH FACILITIES
SUBTITLE D. HOSPITAL DISTRICTS
CHAPTER 286. HOSPITAL DISTRICTS CREATED BY VOTER APPROVAL
“Any facility that is organized consistent with this statute must first determine ability to pay first and then dependent on the conclusion is only entitled to collect the cost of providing the care. Patients are also entitled to a hearing in the local courthouse if no mutual arrangement can be made.”
Continue reading Texas Hospital Districts
75% of claims paid within 24 hours, 95% within one week. Rated best pet insurance on the market.
Continue reading Pet-USAFascinating interview – Chemo, Ozempic…………………..
Continue reading Big Pharma Knows How to Prevent Cancer, But Chemotherapy Makes Them Billions
San Patricio County has concluded a Request for Qualifications (RFQ) process in search of a fee-based insurance consultant, The RFQ was released in September 2024.
Continue reading San Patricio County Awards Insurance Consulting Agreement
“The jewelry store, a family-owned operation, was built with years of hard work and sacrifice. Cuenca’s mother started the business with a $3,000 loan, working tirelessly, often putting in 80 hours a week. Tragically, the jewelry stolen was uninsured, leaving the family with a huge financial void….”
Continue reading Family Business Had No Insurance On $600,000 Asset
More and more plan sponsors are singing Freddy Fender’s Wasted Days, Wasted Nights these days. “We spend hundreds of thousands of dollars on medication that didn’t need to be!” can be heard in board rooms across the Fruited Plains.
Continue reading Waisted Money, Waisted Days
Try this when negotiating a direct hospital contract and see the reaction from across the table: “We will remove all prior-authorization requirements.”
Continue reading This Seven Word Sentence Will Lower Your Hospital Reimbursement Rates By 5-10%
“While many patients can shed up to 20% of their body weight using the injectables, the cost of the drugs and side effects like nausea and vomiting lead many to qui within one year of withdrawal, the participants in a 2022 study]regained two-thirds of their prior weight loss, with corresponding changes in risks for conditions like heart disease and Type 2 diabetes.”
Continue reading GLP-1 Withdrawal Can Have Lasting Health Effects
Lilly’s Obesity Drug Zepbound To Be Key 2025 Health Cost Driver
Bruce Japsen – Senior Contributor – Bruce Japsen writes about healthcare business and policy.
Jan 1, 2025
The anti-obesity drug Zepbound made by Eli Lilly & Co. could be one of the biggest cost drivers for health insurers, employers and government health programs that cover it this year.
Continue reading Zepbound Could Become Biggest Single Cost Driver For Employer Sponsored Health Plans
In a 2007 meeting with a large Texas employer I recommended they walk away from PPO networks and pay claims based on certain pre-defined metrics. Immediately the TPA account manager chimed in “It won’t work! Hospital and doctors will not take the insurance, members will be denied care. Don’t do it!” she said.
We did it anyway. And it worked. And it started a revolution…………
Continue reading It Takes A Rebel To Start A Revolution