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Rerouting The Battlefield

Rerouting The BattlefieldWhen Texas passed House Bill 711, commonly dubbed the "Tier & Steer Bill", the reaction in parts of the benefits world was predictable. In all honesty, most probably ignored it. But some hailed it as a long-overdue check on hospital power. Others quietly hoped it ...

Visibility Isn’t Reform. Execution Is.

Visibility Isn’t Reform. Execution Is.Healthcare is experiencing a surge of transparency. Prices are published, machine-readable files are released, data is scraped, mined, indexed, and sold. On paper, it looks like progress.But it isn’t.......at least not yet.Transparency makes ...

How a Stable Health Plan Became a Shock Event

AISD: What Happened To The Health PlanOver the past few years, employees in many public-sector health plans, as well as private plans, have been told a familiar story:  healthcare costs are rising, prescription drug costs are rising, nothing can be done, and difficult changes were ...

If Doctors Were Angels: What James Madison Would Say About Prior Authorization

Josh Butler - President Butler Benefits & High Plains Health PlanIn Federalist No. 51, James Madison famously wrote:"If men were angels, no government would be necessary. If angels were to govern men, neither external nor internal controls on government would be necessary."Of course, he ...

What Lies Beneath: Discovering Treasure

What Lies Beneath: Discovering TreasureDeeper and deeper into the water the diver went.  Down past a goldfish, some aquatic vegetation, straight down to the sandy bottom.  The diver knew treasure was near, as he plunged his hands into the sand.  And he was right!  There ...

The Hidden Truth Behind 2024 Anti-Obesity Medication Prices

Ozempic Cost Comparison Chart body { font-family: Arial, sans-serif; background-color: #f9f9f9; margin: 0; padding: 20px; } .chart-container { width: 80%; margin: auto; ...

Health Insurance Math: $25 Copay for a $.37 Drug

Amlodipine is one of the most common generic medications in America.  It is most commonly used to treat high blood pressure, coronary artery disease, and angina, a type of chest pain.  Amlodipine relaxes your blood vessels so that blood can move through them more easily so that the heart ...