self-insured
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America’s Healthcare Secret Pricing Scandal Exposed
For everyone who is literally sick and tired of being held ransom by a corrupt healthcare system where insurance companies, their lobbyists, hospital networks, and pharmaceutical companies have had the upper hand by keeping us in the pricing dark, Pratter believes it is time for the unsustainability and unfairness of secret pricing and crippling “surprise” medical bills to stop. This article exposes America’s secret pricing scandal like never before and how it is carefully and purposefully crafted. A review of several self-insured companies’ medical bills has led to the following conclusions. They call their pricing proprietary. We call it secret and unethical. Take your secretly priced anti-nausea medicine and keep reading.
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CEOs/HR Execs Facing Personal Liability: Dereliction of Fiduciary Duties Triggering Labor Dept Investigations
The first shots across the bow have been fired highlighting how benefits leaders need to pay as close attention to health benefits as they have been paying to retirement plans. The most recent lawsuits name the HR leaders in the companies involved (GAP and CB&I) as defendants since they are listed as the plan administrator (sometimes CFOs are the plan administrators). It’s clear that there is going to be the increased scrutiny for health benefits that has been commonplace for retirement benefits. For example, you can Google “ERISA class action” to find the many cases surrounding retirement benefits going after plan administrators for failing in their fiduciary duties. Similar cases in healthcare could have as far-reaching implications as Obamacare in driving employers to health benefits that deliver value...
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Healthcare's Biggest Lie: Employers Can't Do Anything About Massive Pricing Failure
Astute observers have stated controlling healthcare costs is almost impossible. TIME magazine devoted their longest story in their history to this topic in The Bitter Pill by Steven Brill that was turned into a book. The solution to the problem that is outlined below addresses the massive pricing failure present in healthcare. That is, in most markets higher prices equates to higher quality. In healthcare, frequently the opposite is true. For example, it stands to reason that surgeons who do a procedure frequently are far more efficient and have far fewer complications than those who perform surgeries more infrequently...
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