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Using An Old Opening Joke Line To Illustrate Costs In Healthcare

by | Sep 14, 2016 | Employer Issues, General Health, General Insurance Issues, Healthcare Costs, Healthcare Issues, Medicare Medicaid, Pharmacy Costs, Pharmacy, PBMs and Pharma Costs

We have all heard jokes that begin with “Three guys walk into a bar….” I thought it might make sense to use that model to explain why “referenced-based pricing” and general consumer awareness in healthcare are important to consider. Here...

The HHS Move to Curtail the Availability of Short Term Health Coverage Will Hurt Consumers In Need of an Affordable Bridge To Other Coverage……

by | Jun 10, 2016 | Health Policy, Healthcare Issues, Healthcare Reform, Medicare Medicaid, National News, News and Events

………Like Medicare or Other Employer-Sponsored Coverage. Yesterday the Obama Administration and HHS announced they were significantly curtailing the availability and use of short-term health insurance. Their reasons? Not exactly sure. Maybe it’s due to the myriad of...

“Dear Employer” Letter from Medicare (Part 2) – Compliance Overview

by | May 11, 2016 | Employer Issues, General Health, General Insurance Issues, Health Policy, Healthcare Issues, Healthcare Reform, Medicare Medicaid, Uncategorized

The CMS Data Match program determines whether an employer-sponsored group health plan has the responsibility for paying health care claims before Medicare. As discussed in last week’s post, with the number of workers age 65 and over steadily increasing, many...

Letters From CMS (Medicare) to Employers Regarding Group Health Plan Reporting Are Causing Some Confusion

by | May 6, 2016 | Employer Issues, General Health, General Insurance Issues, Health Policy, Healthcare Issues, Healthcare Reform, Medicare Medicaid, Providers

Many employers are receiving letters from CMS (Medicare) requesting information and it’s causing some confusion. The actual title of the letter reads “Requirement to Submit the Group Health Plan Report for the IRS/SSA/CMS Data Project”. Here’s an overview that may...