Modern Healthcare recently reported that a new survey shows health system executives’ and physicians’ trust in health insurers has sunk to an all-time low. The annual survey measures trust based on how honest, reliable, and fair health system executives, physicians, and consumers consider health insurers. What effect will this lack of trust have on employers who … Read more
Interviewer: Randy King is the president of Healthcare Horizons Consulting Group. Randy, what is Healthcare Horizons and why do organizations choose your firm to help them? Randy King: At Healthcare Horizons, we focus exclusively on providing healthcare claim audits for self-insured employers. Self-insured employers are directly at risk for their medical dollars. For example, when … Read more
Healthcare Horizons’ President Randy King offered Employee Benefit News his thoughts on how to control the out-of-control costs associated with air ambulances and planes. Four cost-saving suggestions are provided in the February article, including tips on how to negotiate better rates for emergency air travel support. Click here to read the full article on Employee … Read more
Here is a link to a story about how one hospital charged a woman nearly $40 to hold her baby after it was delivered. https://www.vox.com/2016/10/4/13160624/medical-bills-birth-delivery And here is a link to Steven Brill’s article, “Bitter Pill: Why Medical Bills are Killing Us” from TIME magazine. This article, “The $21,000 Heartburn Bill,” discusses other outrageous charges. … Read more
Recently in the news… Approximately $900 Million in False Billing https://www.justice.gov/opa/pr/national-health-care-fraud-takedown-results-charges-against-301-individuals-approximately-900
April News Wrap Up SIAA Announces National Conference and Expo http://www.siia.org/i4a/pages/index.cfm?pageID=6336 Medicare to Cut Payments to Employer Sponsored Advantage Plans http://www.modernhealthcare.com/article/20160222/NEWS/160229986/medicare-to-cut-payments-to-employer-sponsored-advantage-plans Will the Anthem Express Scripts Battle Change the PBM Landscape? http://www.modernhealthcare.com/article/20160321/NEWS/160329976/will-the-anthem-express-scripts-battle-change-the-pbm-landscape
At Healthcare Horizons, we’re pleased to provide a wrap-up of news of interest to self-insured employers: Does Google Really Plan to be a Payer? Biggest healthcare frauds: Running list Two Mexican Doctors Accused in $5M Claims Fraud As Medical Provider Fraud Evolves so Should the Investigation