Looking Back: 10th Anniversary
I’m going to deviate from our typical Industry Perspective and get personal by sharing more details about our company and myself than I’m typically comfortable…
Resources
Purchasing Power: The Economics of Caring about Employees
With 2022 coming to a close, we continue to watch the economic winds affecting our customers with concern for 2023. While inflation seems to be…
Medicare Reductions from a Lame-Duck Congress? Not likely!
On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final rule cutting Medicare payments by 4.5% for physicians (including physicians,…
The Art of Persuasion – RBP is Bad for Members
Human Resources Teams are tasked with developing benefit solutions that meet many needs. They recruit new employees with competitive offerings and retain employees by meeting…
Chicken Little and PHCS
I was asked to write an article expressing our position on the recent news that PHCS would only be allowed alongside HST on RBP business.
Stop Paying More for Less
There is an abundance of non-fiduciary reference based pricing (RBP) vendors who charge a fixed cost per employee per month (PEPM), aka “repricers.” Repricers have…
RBP Strategic Partners, the Key to Long-Term Group Medical Success
The ClaimDOC Sales Team frequently runs across brokers and consultants who have been told very black and white versions of building out a referenced based…
Historic $1 Million Fine – What to Know
What is the best way to enforce regulations in an already heavily regulated industry like healthcare? Is it the carrot a la non-profit tax breaks…
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,…
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…