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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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Secret Provider Agreements -- Where They Came From. Why They Must Go. (Webinar) 

Thursday, September 26, 2013 3:13:00 PM Categories: Prior Presentations
Every national PPO now relies on secret agreements with providers to maintain their networks. Because they are secret, employers and the self-funded plans they sponsor cannot review these agreements even though these same self-funded plans are... read more
 

Employee Benefit News Says 90% of Employees Still Have ACA Questions 

Monday, September 23, 2013 10:19:00 AM Categories: News and Views
This article points to a growing problem. Employees are confused about ACA/Obamacare and their employers are silent. We have found that communicating about ACA is not difficult. Not communicating is what creates the problems. read more
 

What Happens After Open Enrollment (And Before Obamacare)? (Webinar) 

Thursday, September 5, 2013 3:57:00 PM Categories: Prior Presentations
Open enrollment is a hassle you survive. Or at least that’s the view of most benefits staff. However, a growing number of savvy benefits professionals see open enrollment as the beginning of a management process to control health benefit costs... read more
 

Health Decisions Helps Employers Manage Enrollment, Eligibility 

Friday, August 23, 2013 9:44:00 AM Categories: News and Views
How to handle working spouses is front and center for more and more employers, as seen in this recent article. This along with common-law marriages, domestic partners, same-sex marriages, and multi-generational families are all part of the... read more
 

A New Era of Secrecy Between Group Health Payers and Providers 

Monday, August 19, 2013 1:26:00 PM Categories: News and Views
In the last ten years, secret agreements between providers and payers have become the norm with most PPO networks. These agreements specifically exclude employers and self-funded health plans from seeing what is agreed to, even though those same... read more
 

"Employers Unhappy with their Brokers" -- How We Can Help 

Tuesday, July 30, 2013 11:07:00 AM Categories: News and Views
This recent Employer Benefit Adviser story underscores the challenges brokers face – providing more service in a time of diminishing compensation. Health Decisions bridges this dilemma. Our services give brokers an on-going, year-round role in... read more
 

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
 
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