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This room contains pieces drawn from my experiences at Health Decisions. It offers practical advice for anyone involved in managing group health plan expenses.
From the present, this room contains articles and reports by others that I wanted to share. Reasons for sharing will vary, so expect a potpourri.
This room provides reference points and norms I have observed or documented that can be used by persons trying to get their bearings in the often confusing world of group health.
This room contains my views on the future of the US health care system. My intent is not to convince anyone, but to broaden the discussion beyond the political debate that passes for health reform in America.
This room contains recordings and trasncripts of conversations I've had with interesting people I have had the privilege of meeting. Some are friends, some professional acquantances; all have interesting perspectives worth sharing.
From the past, this room contains some of the talks and articles I have done that I thought were worth sharing.

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The Claims You Should be Auditing, But Aren't (Webinar) 

Thursday, July 25, 2013 9:30:00 PM Categories: Prior Presentations
For many self-funded plans, prescription claim costs approach or exceed medical claim costs. A modern claim audit needs to include a review of prescription claims. In this webinar, Health Decisions was pleased to present Don Champoux, Senior VP... read more

A Trend Toward Fee-based Consulting 

Friday, July 19, 2013 12:50:00 PM Categories: News and Views
This video highlights a growing trend – brokers moving from commission to fee-based consulting. I don’t know the gentleman featured here but I know a lot of brokers like him. We provide the healthcare claims and enrollment data and IT support... read more

Changes in Provider Payment Practices Impact Self-Funded Plans 

Friday, July 12, 2013 11:01:00 AM Categories: News and Views
The url below links to an article on how changes in provider payment practices impact payers and self-funded plans. This illustrates why provider payment error never stops or is “fixed.” As long as providers keep changing how they bill (which... read more

Obamacare Compliance Delay and Self-funded Plans 

Wednesday, July 3, 2013 2:04:00 PM Categories: News and Views
What Happened? What to Do? Welcome to the regulatory roller coaster. The announcement of the one-year delay in implementing the employer "Pay-or-Play" reporting provisions under the Affordable Care Act (ACA) is here. The delay relates to what ... read more

Obamacare Compliance: How it Helps Self-funded Plans (Webinar) 

Thursday, June 27, 2013 10:24:00 AM Categories: Prior Presentations
Here’s the “dirty little secret” about the new “pay-or-play” requirements: Most plans will pass easily and few plans will have any problems with penalties. Here’s the less obvious part of compliance: The steps called for by the new... read more

Recent NY Times Article on ObamaCare and Consumer Opinions 

Tuesday, June 25, 2013 10:35:00 AM Categories: News and Views
Million-Anecdote Baby Si thought this article held some interesting views. The fate of ObamaCare will be determined by consumer reactions. We explore the employer's role in this new reality at our June 27 webinar. read more

Employer Mandate Calculations Explained (Webinar) 

Thursday, June 13, 2013 9:30:00 PM Categories: Prior Presentations
This is the second in our three-part webinar series on health reform support around the employer mandate regulations. This webinar focuses on the four levels of calculations associated with Pay-or-Play decisions every plan must make. How to count ... read more

Article: Act soon to determine compliance under Obamacare 

Tuesday, June 11, 2013 10:37:00 AM Categories: News and Views This article has some very practical advice with a local Michigan perspective. But the advice applies to employers in all 50 states. Our webinar on Thursday will... read more

Pay or Play: A Bigger Challenge for TPAs than for Plans (Webinar) 

Thursday, May 30, 2013 4:41:00 PM Categories: Prior Presentations
This is the first in our three-part webinar series on health reform support around the employer mandate regulations. This webinar explores how new regulations completely change the way health plans handle cost sharing. No plan currently meets the ... read more

Healthcare Discounts Meaningless  

Friday, May 10, 2013 2:54:00 PM Categories: News and Views

For years we have been telling people that “discounts” are meaningless because the charges used to calculate those discounts are not valid or reliable measures of anything. Now, you don’t have to take our word for it. Medicare has proven it.

... read more
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