I had a quick visit with Armstrong & Getty this morning to discuss the UHC CEO murder, America’s reaction thereto, why so much of the ire on this topic is off base, Obamacare’s medical loss ratio mandate, the Medicare cost shift, and some super simple advice on purchasing insurance products.
Since 2009, I’ve been on air with Jack and Joe well over 100 times. It's always an honor to be on their show.
Exorbitant Hospital Pricing in the U.S. Undermines Morale, Employee Compensation, and Employer Profits — It Must Stop
As the sun dipped below the horizon on a brisk spring evening, a young mother crouched behind home plate, catching for her daughter. Already showing signs of a future softball superstar, Gisele unleashed a wicked rising fastball. It clipped the edge of the glove and smashed into her mother’s face, cracking bone and pushing her nose sharply to the left.
In a display of savage tenacity, Mom wiped the blood away, grimly reset her nose with a crackling snap, and resumed her catching duties for the evening. Despite her efforts, the misshapen lump and the nose’s noticeable leftward slant gave her the hardened appearance of a seasoned mob enforcer.
Doctors told her she’d almost certainly require surgery but wanted to let the swelling subside and see how her breathing progressed before they intervened.
Months later, she couldn’t breathe through her left nostril;
she wanted her beak fixed. Luckily, she found herself on a Mahoney Group plan
backed with Reference-Based Pricing and Cash-Pay options at recognized centers
of excellence.
At 140% of Medicare, we will pay $7,811 for this surgery. If circumstances such as geography, timing, or specialized surgeons demand a higher price, we can negotiate. But that is seldom required. In this case, Gisele’s Mom is getting her nose fixed up for a voluntary cash price of $7,750.
Plus, since Mom agreed to use the cash-steerage option, her employer is paying 100% of the cost of the procedure and waving all deductibles and coinsurance.
And from now on, Mom’s going to wear a catcher’s mask.
This ain't yo grandpappy's RBP! Five different ways employers are installing RBP to save millions on healthcare costs.
All Economic Stakeholders in American Healthcare Are Incentivized by Perpetual Sickness – Except One
News of this began about a year ago, and it is now a reality: Employers have a massive new tool to control healthcare costs.
With over 15 years of teaching benefits and human resources at the university level, coupled with exclusive experience in working alongside C-Suite executives to implement and manage highly efficient benefit plans, I have a crucial piece of advice for any HR professional looking to be seen, appreciated, and impactful in their career.
The insurance industry is massive, powerful, and 100% designed to win every single time. Commissions on some items you buy are more than 50%. YOU DON'T NEED ALL OF THAT!
Rx Costs have increased 500% since 2000; kickbacks now account for one-third of all spending on pharmaceuticals. What is an employer to do?
What are health insurer overrides? What do they mean for employers and employees? How do you know where they are most likely to lurk?
I've uncovered a new nugget of insider intel on this one - insurance brokerages are turning the volume up to 11 on their insatiable longing for these hidden payments.
I spent one morning this week chatting with Armstrong and Getty regarding the news that the federal government will finally begin negotiating the price of drugs. 10 of them. Two and a half years from now.
Well, it's a start...