"A couple of acronyms like DEI and SDOH in work culture get tossed around thoughtlessly. I've said for a while that we're all equally getting mistreated by the healthcare industrial complex. But, I think I'm wrong about that. I think the most vulnerable in the workforce are worse off than we think." -- Cristy Gupton
Read More“There’s not one definition of a specialty drug…specialty drugs have a vague group of criteria that many times isn’t clear. You have to find out how your plan defines specialty drugs. If you find generic drugs on a specialty list, you need the right people by your side to fix that.” — Vinay Patel, founder of Mako-Rx
Read MorePatients who receive medical balance bills are ill-prepared to decipher what they’re being billed for and why. If there’s any chronic disease more prevalent than healthcare “pricing toxicity”, we don’t know what that might be. Plenty of us calling for transparency in healthcare throw the term “payment integrity” on the table as often as possible. If we stop talking about it, then the predatory billers win…and we just can’t have that.
Read MoreHospitals in America have become major corporate entities with the power to bankrupt you and your employees. But yet, they claim to be “not-for-profit”. What gives? Well, the devil is in the details and many hospitals have become masters at hiding the details. There’s an ace in your hand though. It’s section 501R of the Internal Revenue Code. Never heard of that? Well, you’re in luck if you’re a subscriber to Healthcare Solutions Podcast. Listen here and learn.
Read MoreRecently, the NC General Assembly voted to approve a bill that would allow the state’s largest healthcare services organization (notice I didn’t say “health insurance company”) to continue its vertical integration scheme while using policyholder contributions and taxpayer dollars to fund their expansion. What employers should be upset about with that is the favoritism those lawmakers are showing to BCBSNC. Did those same legislators pass a bill in your favor that would help your company grow? Nope. The message here is that there’s more than one health insurance option in this country and it doesn’t have to bear the logos of Blue Cross, UnitedHealthcare, Cigna or Aetna. Give another option a close look. You’ll probably find a partner more aligned with your interests than you realize.
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