When I was first hired as an OIG Agent, I was told by numerous people that fraud in the Medicare Advantage (MA) world was difficult to commit, and ever more difficult to prove. To put it into context, it was the mid-1990s, and MA plans were not where they are today. That being said, I always…
Thank you Scott Rosenbaum, Wine & Spirit Business Advisor, who is one of our most well read and insightful/thought provoking collaborator shared this New York Times article with us: Hospitals and Insurers Didn’t Want You to See These Prices. Here’s why. Scott is an experienced, process-driven strategist and educator working in the wine and spirits industry….
The fact is that not many patients shop for better pricing. This week I was ordered by my doctor to get 2 MRIs. Going to the closest place to my house, my appointment was moved 4 different times and the unprofessional front office kid with dirty nails couldn’t “do the math” to tell me what time…
In April, San Francisco-based primary care company One Medical revealed an eye-popping compensation package for its chief executive and chairman, Amir Dan Rubin. His $199 million payday, particularly noteworthy at a company that has yet to turn a profit, made Rubin the second-highest-paid CEO in the United States last year — but only on paper. About $197.5 million of…
The new head of the federal agency that oversees health benefits for nearly 150 million Americans and $1 trillion in federal spending said in one of her first interviews that her top priorities will be broadening insurance coverage and ensuring health equity. “We’ve seen through the pandemic what happens when people don’t have health insurance…
by Jenny Deam | This story was originally published by ProPublica In the spring of 2019, Cory Dowd suddenly found himself without health insurance for the first time. A self-employed event planner, he had just finished a Peace Corps stint that provided health benefits, but he was still more than a year away from starting…
When it comes to paying for healthcare, Sophie’s Choice becomes Everyman’s Choice. Would you rather feed your family or get that questionable mole biopsied? These are the types of questions otherwise well-adjusted families are forced to make on a regular basis. A recent Kaiser Family Foundation report revealed that the state of healthcare affordability is…
In a 2017 survey, the Centers for Disease Control reported that 88.1% of the American population has a primary care physician or a fixed provider for medical care. Despite these impressive numbers, the United States falls behind on significant healthcare measures. Nationwide statistics such as this are few and far in between for Americans, as…