Escalator clauses examined as an underlying factor: Risk Managers

Filed Under: Costs

Summary: “Are escalator clauses, common to most Managed Care Contracts, the driving force behind trend factors?” Bill Rusteberg writes over at, his blog. Bill’s a broker in Texas, and a man with an encyclopedic knowledge of health care. “An actuary’s primer I stumbled upon while reading incredibly boring stuff (my answer to sleeping pills) […]

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

Filed Under: Costs, Health plans, Patients

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” […]