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» John Hansbrough

How to Respond to the UC Health & Anthem Contract Dispute

September 25, 2023

In what is a regular occurrence between health systems and insurance carriers, Anthem, Inc. and UC Health, including UCLA Health, have yet to reach a contract agreement for 2024. As things stand today, Anthem members would lose UC Health Systems as in-network providers effective January 1, 2024, including health systems such as: UC Los Angeles UC San Diego …

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The US Healthcare System

September 18, 2023

The United States spends significantly more on healthcare per person than any other country in the world, according to data from the World Economic Forum:   Healthcare Costs in 2021 (Per Person): – United States: $12,318 – Germany: $7,383 (40% lower than the U.S.) – France, Canada, the United Kingdom, Australia, and Japan (average): Approximately …

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The Value of Culturally Sensitive Healthcare: How Employers Can Enhance Outcomes for People of Color and Black Communities

September 13, 2023

In recent years, the healthcare industry has made significant strides toward providing more equitable care for all individuals. However, disparities in healthcare outcomes still persist, particularly for people of color and black communities. Just look at recent news about a difficult pregnancy for Serena Williams and the prepartum death of Torie Bowie for proof. “Black …

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Gene Therapy Drug Updates

September 4, 2023

Gene therapy drugs are pharmaceutical products designed to treat or alleviate genetic disorders by modifying or correcting the underlying genetic mutations that cause these conditions. Gene therapy involves introducing, altering, or repairing genetic material within a patient’s cells to address the root cause of a disease. There are different approaches and technologies used in gene …

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The Value of Benchmarking Your Employee Benefits

August 28, 2023

Leadership and HR teams can take their benefits to the next level when they begin strategically planning their benefits rather than just buying insurance every renewal cycle. And in order to think strategically with benefits, companies need to review an Employee Benefits Benchmark for their organization. What is an Employee Benefits Benchmark? An Employee Benefits …

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Update on the PBM Market

August 21, 2023

Last week, Blue Shield of California announced the end of a 15-year partnership with CVS Health’s pharmacy benefits manager Caremark, in favor of new partnerships to provide access to affordable prescription drugs. For now, Blue Shield is betting on a predicted $500M in annual savings by switching to Mark Cuban Cost Plus Drugs Company (MCCPDC) …

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Health Insurance and Benefits Strategies for Investors, Entrepreneurs, and Private Equity Firms

August 15, 2023

Health insurance and benefits are often an untapped source of value creation for entrepreneurs, private equity professionals, and investors. Entrepreneurs and private equity companies are in the business of creating value. This generally means they manage their companies in a way to increase revenue, decrease costs, and generally increase their value. Since a business increases …

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The Value of Customized Plan Designs

August 8, 2023

The first question we usually get when we discuss customized plan designs is why we can not currently do this with our fully insured plan. In a fully insured medical plan, the insurance company assumes the financial risk associated with providing healthcare coverage to the insured individuals. The lack of customization in benefit packages in …

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How Self-Funded Health Insurance Can Be Your Competitive Advantage

August 1, 2023

Companies offer employee benefits to retain and recruit their workforce. Benefits reflect your values as an organization and company, and more and more employees today value what their company stands for, not just what they are paid. Poor benefits can result in higher attrition, a waste of business cash flow, and hurt the company in …

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The Impending Future of Long-Term Care

July 25, 2023

The Current Status In September 2021, Washington State had indeed taken the lead in establishing a state-run Long-Term Care (LTC) program funded by a payroll tax. The program is known as the Washington Cares Fund.   The Washington Cares Fund was signed into law in May 2021 and is intended to provide a benefit to …

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