Catherine Field

Michael Combs, CorVel’s President and CEO, discusses the workforce shift in the industry and how leveraging technology can help mitigate labor challenges and equip the future generation of claims professionals. Read it here!

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This year is shaping up to be an interesting one for California and the nation, with significant network negotiations underway among the largest payers and hospital facilities post-COVID. The backdrop of inflation and labor shortages adds complexity to the discussions - which most of us are seeing on a daily basis. There is no universal solution for each client for the benefits plan. However, exploring the various levers in a self-funded can lead to enhanced data transparency, innovative cost containment strategies, and the reduction of unnecessary margins, fraud and waste. #CaliforniaHealthcare #HealthInsurance #CostContainment #DataTransparency #Negotiations #HealthcareSpending #stoploss #selffunding #Captive #RBP #Benefits

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The 12th edition of the America’s Health Rankings 2024 Senior Report provides a comprehensive overview of the state of health care for our senior population in the United States. As a geriatrician committed to the quality of care and well-being of our seniors, I find the data compelling to celebrate areas where progress has been made, and identify areas where challenges exist. Together, we can be united in helping our seniors live happier and healthier lives! Read the full report: https://lnkd.in/gEVCxSac

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Really good article on the state of primary care from a physician and if you read it, please comment below whether you agree or disagree with his conclusions.

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REGISTER FOR OUR BenefitMall JUNE 12th Compliance Webinar. Gain a comprehensive overview of the Patient-Centered Outcomes Research Institute Fee (PCORI), covering who pays the fees, how they're calculated, and essential filing deadlines. We'll also delve into the intricacies of 5500 requirements, including recent changes and best practices. https://lnkd.in/d_PyutpE

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If you haven't already, check out one of my more recent articles on "Renal Replacement Therapies Beyond Dialysis"! What are your thoughts on the future of CKD treatments?

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With the healthcare delivery system in the US facing various challenges, the evaluation of healthcare consolidation on Capitol Hill is crucial. The scrutiny reflects good intentions, but there are concerns about whether the underlying issues will be addressed thoughtfully. Partisan politics could impact care delivery and healthcare professionals. It's essential to monitor this trend closely as its implications may be more far-reaching than anticipated. #healthcare #healthcareconsolidation #enterpriseriskmanagement

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Do you want to know what exactly is an IOP? Read our latest Blog Post below.

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Taking the Hassle Out of #Healthcare - Greater #Sacramento area health insurance company offering the best health insurance benefits for your company. It’s Simple by Design. -----See how we advocate for you with health insurers and providers. www.simplysummit.com #simplysummit #employeebenefits

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https://lnkd.in/ehEuEF-6 A new study reports that employer-based insurance rose from 55% of the market in 2015 to 60% in 2021. As #employers continue to shoulder rising #healthcare costs, health innovators have the opportunity to create solutions that benefit both employers and the greater health system. For some, value-based care #benefits show great promise as a sustainable solution. Learn more at:  https://lnkd.in/gzxVD4uK

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The new health insurance rules for senior citizens are a step in the right direction, aiming to provide better health coverage and make insurance more accessible and affordable for the elderly #2050healthcare #eldercare

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The difference between a managed GLP-1 strategy versus Fee for Service is profound. This article provides great insights into a managed approach with the patients best interest in the first position. https://lnkd.in/gruBK2de

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One of the major factors in what is driving up the cost of health insurance is the escalating cost of prescription drugs. An article titled, “Drug Prices and Shortages Jeopardize Patient Access to Quality Hospital Care” was written by Bharath Krishnamurthy. It is an eye-opening description of a very serious problem facing our overall health system and as potential patients, our access to the necessary protocols for treatment. The article points out that these shortages are stretching already stretched resources of hospitals to cope. Related to this, the article mentioned that in 2023, drug companies continued to bring new drugs to market at very high prices and at the same time raising prices on existing drugs at very high prices. Unbelievably, the article reported that the annual median price for new drugs was $300,000. That is $25,000/mo. Which when covered by group insurance is paid for with collective premiums from a respective group who has a member who is prescribed one of these drugs. How is this sustainable? Regardless of who pays, private insurance or government insurance, we all pay either through higher premiums or higher taxes. What is mentioned is that generic drugs make up 83% of these shortages because they have low margins and the drug manufacturers don’t focus on producing low margin medications. Is there a solution immediately at hand? Probably not! Is there a solution or strategy that could be on the horizon? That remains to be seen. Di this happen overnight? Probably not! An ongoing contributing factor however, in my view, is an overall consumers of health care; the actual individual consumer continues to be oblivious to real cost; blind to this germinating Armageddon, and continues to exist in a bubble of “insurance” pays for it. One thought is we as consumers need to be more involved and aware. Maybe one day that will evolve. However, at the present time, I don’t think that will occur in my lifetime. What do you think? Article: https://lnkd.in/gqYrxKMC

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If passing universal health coverage is “a matter of political will,” Oregon has more of it, and their efforts will be interesting to watch! This article explains the two states’ bills and how the healthcare systems, payers, and governments view them…oh, and how business owners and individuals view them too ;-) #universalhealthcare #medicareforall

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#Medicare Advantage plans have historically provided value for hospitals.But that trend could be changing as profitability for insurers is on the decline. This article explains what this could mean for #healthcare.

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