Renewal season is upon us
If you think you will flatten renewals this year, you should reconsider. While it is true COVID-19 held utilization down to levels unseen for almost…
Resources
Full Network Replacement
Traditional program structure for reference-based pricing has included a physician-only network coupled with a vendor capable of auditing and applying revised pricing to facility claims.
A $41,212 surgery bill compounded a patient’s appendicitis pain
Just one of many instances of over-inflated healthcare charges and their complexities.
A how-to guide for reference based pricing
Get the skinny on how the RBP model can save you big bucks.
It’s time to choose: status quo or disruption
Sources agree: the employer’s only hope for controlling spiking health care costs is to opt for insurance industry disruptors.
Cigna sued for RICO violations, “Brazen Embezzlement and Conversion Scheme” -Health Plan Litigation Tsunami: Part 2
A major U.S. insurance carrier settled a $20M lawsuit for defrauding patients, providers and the healthcare industry.