News & Articles
More and more businesses that I speak with are now beginning to hear of Reference Based Pricing (RBP) but really don’t know much about it. RBP simply means that a Reference point (R) is used (typically Medicare and/or Cost) is used to determine the Basis (B) for...read more
Have you ever noticed that insurance companies sometimes seem to operate under the cloak of mystery and lack of transparency? Or perhaps while they may not have told you something that is inaccurate, they simply may not have told you the entire story - and then all of...read more
I recently received a phone call from a friend asking if I had an explanation of something that happened to one of their employees. I had to admit that I had never heard of it before, but considering that they were with a BUCA (Blue Cross, United, CIGNA, Anthem)...read more
Great article about insurance companies, PPOs, and hospital markups, Written by attorney and former hospital CEO Steven Weissman Embodiment of corruption: Your health insurance network By Steven Weissman January 02, 2018 Center for Health Journalism As 2018 dawns...read more
A long time ago I learned that you cannot be an expert about everything in the benefits world. Back then, I wanted to appear to be knowledgeable about everything in front of my clients and prospects and after all, I only had to know more than them. Early in my career...read more
Wow, what a year! Many employers are now taking the necessary steps to finally lower their healthcare costs, and getting away from insurance companies, PPO networks, and the same old, traditional programs that they look at year after year. I thought it might be...read more
I've commented numerous times in previous articles about the high cost of healthcare in this country. Specifically: facility charges and prescription drugs. I am not, and never will be a fan or proponent of government regulation, and certainly don’t want to see the...read more
When it comes to group health plans, employers, brokers, and consultants have come to expect that competitive change will come from within the insurance company marketplace. The expectation is that insurance companies will create a new plan, a new process, a new...read more
This past Sunday afternoon, I was watching The Northern Trust Golf Tournament, which by the way was a fantastic finish and playoff between Dustin Johnson and Jordan Spieth, I noticed a relatively new automobile being advertised - a Hyundai Genesis. I don't typically...read more
Have you heard of a hospital charge master? Most people are not familiar with, or have heard of a hospital charge master. Every hospital has one - big hospitals and little hospitals. It is a voluminous file of everything a hospital offers to its patients when they...read more
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