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This is the latest example of how employers (even large, public sector employers like Miami-Dade County) are being kept in the dark about what providers are actually getting paid (with public dollars, no less!). This “pay but don’t ask” approach is out of control. Employers are kept in the dark while providers cut deals with payers.
Make you nervous? It should.
What if your accountant told you all your invoices were paid but refused to tell you what was actually paid for any invoice? How long would they stay your accountant? What if they went a step further and said, “Not only won’t I tell you what the invoice payment was, but you don’t even have the right to ask because I have another agreement with the vendors that prevents me from telling you what they were paid?”
Sound crazy? That is exactly what the large national payers (AKA the "BUCA") are doing to self-funded employers across America.
Fed up? Me too. Let’s talk: firstname.lastname@example.org.