Understanding the guts of the insurance system: Ron Peck

Filed Under: Costs

Understanding the guts of the insurance system: Ron Peck

Summary: Understanding the guts of the system — arcana  such as plan documents, stop-loss, self-insurance, ERISA commitments, balance billing, subrogation and generally chasing down the money — may not seem like fun stuff. But it actually is, when you get to talk about these things with Ron Peck, senior vice president and general counsel at […]

Cash prices stay level, while overall costs continue to rise

Cash prices stay level, while overall costs continue to rise

Summary: A curious thing has happened in health care pricing in this country. While insurance premiums and insured people’s prices for common procedures consistently go up and up and up, cash prices for many common, “shoppable” procedures vary little from year to year. We first started to notice this pattern when we were replicating our […]

A wave of change in insurance payment models: Cost-plus, not bills

Filed Under: Costs, Health plans, Patients

A wave of change in insurance payment models: Cost-plus, not bills

Mike Dendy, Woody Waters, Jeff McPeters and Bill Rusteberg may be the biggest looming nightmare of the insurance industry and the hospital billing department. But they don’t see it that way: They see themselves as a solution to a problem. The three are among the growing ecosystem of practitioners of “cost plus” or “Medicare plus” […]