Welcome to the Party
Transparency legislation has created a new wave of data-driven companies, resources, and information that have stakeholders in the industry drooling over access to this once-secretive,…
Resources
DPC & RBP- Because it works
For those in the benefits world, you know the acronyms. DPC – direct primary care and RBP – reference based pricing. The former is a…
Provider Relations Unicorn
Prior to joining ClaimDOC in May of 2021, I spent most of the last 25 years negotiating transactions on behalf of health systems, hospitals and…
RBP Takeovers
Reference based (RBP) pricing is making its way to the forefront of conversations between employers and their benefits consultant. Opinions vary drastically on whether or…
Looking Back and Going Forward
As I revisited my version of this article from the prior year it really struck me the consistent themes in our business: Pride in our…
ClaimDOC Credit Advocacy
Regulation helps the process, but our experience drives the solution. ClaimDOC has a unique situational awareness of and history with defending patients from…
The Illogic of Employer Health Plan Renewal Increases
Fourth-quarter has arrived, and brokers are once again negotiating with health insurance carriers on behalf of their clients to reduce renewal increases. Anyone who’s been…
RBP 2.0
Reference based pricing (RBP) tends to have a negative connotation in the benefits world. Most brokers and consultants are educated on it, understand the financial…
What About the Members?
SOURCE: Kaiser Family Foundation calculations using NHE data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health…
No Surprises Act
In a bipartisan effort to end balance billing, the No Surprises Act was written into the most recent coronavirus relief package. “Balance bills” are bills…