Chris Larson’s Post

I am so grateful to have left most of traditional in-network rehabilitation because the ‘cattle-farm’ of working with clients was not going to get most people to reach their goals & it further waters-down the ability to have helpful outcomes by many rehabilitation providers who are stuck in a payment system. But even so, some out of network claims are supposed to be paid as dictated by the plans details & we get these requests from Multi-Plan to reduce the fees & take less than what the client has already paid us for their past services. The requests try to make it sound as if it will be a benefit to the patient & they will get some money back. I’ve been asked by others who I’ve helped get aspects of their practice running, or in online owner groups about whether they should accept these “Multi-Plan” requests. We definitely ignore these when they are sent to us, & this article gives even more light as to what’s actually going on in the background; “In some instances, insurers and MultiPlan have collected more for *processing* a claim than the provider received for *treating* the patient.”

Hear me out, folks. If I could build you a plan that’s BETTER than what you have now, and help you cut costs by HALF, all while setting you up on a major PPO, you’d be crazy NOT to take my call! 📲 Just click the link in my bio, and we’ll take it from there. 😎 #healthinsurance #openenrollment #ppo #majorppo #affordableinsurance #simplifyinghealthinsurance #perrylunsford #healthyinsurancedude

Did you know that 66% of bankruptcies are due to medical expenses? Making it the leading cause of bankruptcy in the U.S! It’s better to have and not need then need and not have. Let me help you finding affordable options for you, your family, or your business. #Healthcare #InsuranceExperts #UNHC #adviceforlife #advisor #insurance https://lnkd.in/ezujuNFC

CVS Health is looking for a private equity Sugar Daddy. This is today’s healthcare business. Cash is king. Healthcare is barely an afterthought. Best quote from this gated article: “They wouldn’t be looking for external capital if they felt that they could justify putting more of their own money into it. That the question that investors are going to ask ‘How do I get my money back?’” #healthcare #PrivateEquity #CVSHealth #afterthought https://lnkd.in/eFTyiq3p

It’s that time again!!! Elevance Earnings Call.... Elevance Health's recent 4th quarter earnings report casts Carelon in the starring role of revenue generator and growth driver. It is a narrative that, I believe warrants, scrutiny. Acquisitions like Paragon Healthcare, expanded Carelon's footprint in the arena of infusible and injectable therapies. On the surface, this could be seen as a strategic move to bolster whole-person health care, I see a need for deeper examination of the motives and potential conflicts inherent in Elevance's business model. The aggressive expansion of Carelon, particularly its increasing entanglement with Elevance's commercial business and access to other Blues, raises significant ethical concerns. As Carelon broadens its services to cater more to commercial health clients, particularly self-funded ones, the waters of impartiality become murky. The intertwined relationship between insurer and service provider blurs the lines of competition, potentially stifling the very essence of fair market practices. My question: with Carelon serving both roles, is there an incentive to negotiate in good faith, or does this symbiosis lead to a softening of the bargaining stance that could otherwise benefit consumers through more competitive pricing? Financial figures from the report show a rosy picture for Carelon, with operating revenue in the segments reaching $12.4 billion in the fourth quarter of 2023, marking a 14 percent increase from the previous year. This growth, however, only tells half the story. "Operating gain in the Carelon segments was $592 million in the fourth quarter of 2023, an increase of $78 million, or 15 percent from fourth quarter 2022," the report states, highlighting improved performance in Carelon Services businesses. These numbers are impressive. As Carelon's capabilities grow, so does its market power with Elevance commercial clients and other Blues, potentially edging out competition and leading to a less diverse healthcare ecosystem where one entity holds disproportionate sway. While Elevance's 4th quarter earnings showcase Carelon's success, they also highlight the need for a critical examination of the broader implications of its business strategy, which is not unique to Elevance. Julia PosackiAsha GeorgeStephen CarrabbaDawn CornelisJustin LeaderLeon WisniewskiJeffrey HoganDarren FogartyMarilyn BartlettVerSan Consulting, LLCDeb AultDavid ContornoEmma Fox, CHVA 🎙Spencer Smith, CSFS®Dave Chase, Health Rosetta-discovering archaeologist

Change management is hard for businesses when it comes to #employeebenefits, regardless of their size. Admittedly, #ICHRA seems to be a larger change (anything newer is always perceived as such), but what if... - The change allowed the employer to step away from choosing their employee's plans for them, and allocate dollar savings to other places in their budget - In turn allowing their employee's to have full control to pick a plan that fits them best where they live while also giving them an organic pay raise... Makes change a little less 'hard' some would say! See a perfect example of this from my friend Nikhil below. This of course isn't the case for all groups, but getting an ICHRA analysis of some sort needs to be on the table. If you have questions, shoot me a message and let's chat.

Who will get the rose, HCSC or Elevance Health? Tomorrow is reportedly bid deadline day as two Blues plans vie for Cigna's Medicare Advantage book of business. How badly does Cigna want a deal now? Who is the more likely buyer? Who is the ideal buyer? And what does it all mean as some predict the end of the Medicare Advantage Gold Rush? It's all in my latest for HealthLeaders. https://lnkd.in/egMP2AvQ #payers #mergersandacquisitions HealthLeaders Exchange

Navigating FEHB Premium Savings: Insights for Individuals Shouldering 100% of Health Plan Costs. Learn about enrollment options, restrictions, and how certain groups, like former spouses and temporary employees, can make the most of their FEHB program participation. #FEHB #HealthcareSavings https://lnkd.in/eASRAJzi

The most important financial product you need to have today is HEALTHCARE. We all know that... 👉 PhilHealth is not enough. 👉 Short-term healthcare is not enough. We all know that... 👉 VUL is not a healthcare plan. 👉 Hospital Income is not a healthcare plan. 👉 Critical Illness is not a healthcare plan. We all know that... 👉 Asking for help on Facebook is not enough. 👉 Soliciting is not enough. You might end up selling your properties, withdrawing all your money, acquire a lot of debt just to pay the hospital bills. That's why it's very important to start building up your long-term healthcare savings starting today. Kaiser Long Term Care A 3in1 savings program that has healthcare, life insurance and investment. You only need to save for 7 years and you're lifetime covered with healthcare. ✅ If you think healthcare is expensive, try getting sick without it. ✅ Iba pa rin kapag may peace of mind... And you don't want to become a burden to your family and friends, right? Time is our greatest ally in building wealth ⌚💹 A lot of older people are playing catch up saying "bakit ngayon ko lang nalaman ang tungkol dito, andami ko nang pera na nasayang." Start today, while you still can. 💯 Ask me how 🤔 #hmo #HSA #healthcare #Kaiser #insurance

Once you meet Avidia Bank, it becomes crystal clear that all Health Savings Accounts (HSA) are not created equal. Avidia prioritizes members' needs, benefiting both individuals and employers. With the lowest cash reserve threshold we’ve seen, no fees for digital statements, and no administrative fees for employers, Avidia makes it significantly easier for members to grow their HSAs. Their member-centric approach sets a benchmark for best practices in the industry, urging other financial institutions offering HSAs to follow suit.   At ful.Health, we take pride in our partnership with Avidia Bank, united by our shared mission to help people and plans navigate the complexities of healthcare spending. ful.Health CEO, Bernie Saks MD, was featured in a recent news story, echoing the importance of understanding the nuances of HSAs. https://lnkd.in/ek9erMbb   This collaboration isn't just about financial services; it's about empowering individuals and organizations to make informed decisions about their healthcare finances. Together, we're revolutionizing the way people manage their healthcare spend.   #Partnership #HealthcareFinance #AvidiaBank #FulHealth #HSA #FinancialEmpowerment #HealthcareSavings #MemberCentricity