By CJ Jordan
Your high stop loss renewal is a function of a bad math problem. The math doesn’t math. Let me explain.
Continue reading The Math Behind Stop Loss RenewalsThe Math Behind Stop Loss Renewals
Day: October 1, 2026
Brownsville ISD To Renew with UnitedHealth
Long drawn-out proposal process is finally over after endless meetings and vendor presentations……………….
At their upcoming October 6, 2026 regular Board meeting district trustees will consider an action item to renew third party administrative services for their self-funded health plan with United Healthcare of Houston, TX.
Continue reading Brownsville ISD To Renew with UnitedHealthBlue Cross Blue Shield: AI-Assisted Medical Coding Added $1 Billion in Hospital Costs
Hospitals’ growing use of AI to assign medical billing codes contributed close to $1 billion in extra costs for Blue Cross Blue Shield health plans between 2023 and 2025, according to a new analysis from the insurer’s trade association. 70 percent of the additional cost involved additional diagnoses that did not change patients’ actual care, according to the insurer, which describes the situation as a “clear disconnect between coding and treatment.”
Continue reading Blue Cross Blue Shield: AI-Assisted Medical Coding Added $1 Billion in Hospital CostsThe Stop-Loss Market is Hung Over
By Craig Gottwals – Attorney & RBP Expert – October 1, 2026
Higher claim severity, tighter underwriting, and strained carrier economics are driving 2027 renewals.
In 23 years of installing self-funded health plans, I cannot remember a medical stop-loss market quite as constipated as this one.
Continue reading The Stop-Loss Market is Hung OverThe Neighbors Came First: What a Century of European Health Cooperatives Teaches American Policymakers and Investors
By Dave Chase – September 28, 2026
In 1899, sixty members of the Catholic Workers’ Association in Switzerland promised to help carry each other’s costs when illness or accident struck. That promise became CSS, which now insures about 1.7 million people, almost one in five Swiss, and still belongs to the association that grew from its founders.
Continue reading The Neighbors Came First: What a Century of European Health Cooperatives Teaches American Policymakers and InvestorsMark Cuban: Why US Hospitals ‘Don’t Know Their Costs’
By: Alan Condon – September 1, 2026
Mark Cuban argues the fundamental problem in U.S. healthcare is not whether the system is run by the public sector or the private sector. It is that hospitals do not know what their own services cost.
Continue reading Mark Cuban: Why US Hospitals ‘Don’t Know Their Costs’Dr. Oz Pitches CHOICE Health Plans
Choice Is An Everyday Event…………………………..
“For too long, employers and workers have been stuck with a one-size-fits-all approach to health benefits,” Dr. Oz said in a news release. “CHOICE changes that by giving businesses greater flexibility and giving employees more control over the coverage that works for them.”
Continue reading Dr. Oz Pitches CHOICE Health PlansTexas System Sets World Record As Largest Medical Center
By: Paige Twenter – September 21, 2026
Houston’s Texas Medical Center has been formally recognized as the world’s largest medical complex, a title the 1,345-acre campus has long claimed for itself.
Continue reading Texas System Sets World Record As Largest Medical CenterInvertebrates Are Status Quo’s Best Friend
“Demonstrated reluctance to consider suggested strategies indicates a growing tendency towards static risk management which is contrary to proper oversight. We bring no value in exchange for the fees you pay us when the status quo isn’t continuously challenged with evolving strategies and a wiliness to act when it’s in the best interests of the plan and plan members no matter how hard change may be.”
Continue reading Invertebrates Are Status Quo’s Best Friend