Nathan Baar’s Post

💡 Medicare payments are fixed, regardless of the hospital's charges, yet employers and private businesses often face bills that are 400-600% higher. This disparity highlights the importance of controlling hospital costs to develop efficient and affordable healthcare plans. Find out how. To discover more game-changing strategies and insider techniques, watch the full video here: https://lnkd.in/gmh_UAma #Medicare #CostControl #Insurance

💡 Medicare payments are fixed, regardless of the hospital's charges, yet employers and private businesses often face bills that are 400-600% higher. This disparity highlights the importance of controlling hospital costs to develop efficient and affordable healthcare plans. Find out how. To discover more game-changing strategies and insider techniques, watch the full video here: https://lnkd.in/gzpQMrj9 #Medicare #CostControl #Insurance

Many look at this chart and don't realize the implications of it. In healthcare specifically... Spending will continue to accelerate as we spend more and more money in the last quarter of our lifespans on complex care. With less subsidization of these costs from a shrinking younger population.... Your share of the cost will disproportionately increase in the form of taxes (Medicare) as well as insurance premiums Our declining birth rate is a huge issue in the healthcare financing space and not enough people are talking about this. Even if hospital prices stayed stagnant (and they are not...expect a 9% increase next year alone), your premiums and taxes would need to go up just for this population shift. Insurance companies are going to bail on Medicare Advantage plans and more of our elderly population will depend on straight Medicare which reimburses hospitals only 30% of what they bill = not sustainable. Happy to discuss with anyone as this is an extremely complex topic that is a key driver of the future of our system. #Healthcare #business #insurance #ceo #hr #finance

💡 Medicare payments are fixed, regardless of the hospital's charges, yet employers and private businesses often face bills that are 400-600% higher. This disparity highlights the importance of controlling hospital costs to develop efficient and affordable healthcare plans. Find out how. To discover more game-changing strategies and insider techniques, watch the full video here: https://lnkd.in/gSgmNEnR #Medicare #CostControl #Insurance

One of the common reasons people are dropped from their insurance plans when transitioning to Medicare is missed payments. The Medicare billing system can be very complicated. For those on Original Medicare with a supplement and a drug plan, there are three different bills to pay each month: 1️⃣ Medicare Part B bill (paid through Social Security if collecting, or directly via check or credit card). 2️⃣ Supplemental plan (paid through insurance companies, often via checking account or paper checks). 3️⃣ Medicare Part D (can be paid through Social Security automatically). Understanding and automating these payments can help prevent lapses in coverage, especially if you’re traveling or unable to receive your mail for a period of time. Stay informed and simplify your Medicare payments to avoid interruptions in your healthcare coverage. 💡 #MedicareTips #SeniorHealth #Healthcare #Medicare

The idea of profit-making in healthcare has led to unintended consequences. When patients paid doctors and hospitals directly, price was a significant factor, and most received the care they needed. However, the rise of insurance companies, as employee benefits or union perks, changed the game. Once a third party paid the bills, rates could be based on risk and cost, leading to increased charges. Fast forward to now, and healthcare costs are unsustainable, with small group physicians and rural hospitals taking the biggest cuts. The result? Rural hospitals closing, small practices disappearing, and healthcare becoming a challenge for many. As we worry about our future healthcare needs, we must acknowledge the unintended consequences of profit-driven healthcare. #unintendedconsequences #healthcare #insurance #costs

If you're finding it hard to manage your healthcare expenses, there's good news! Special programs exist to lend a hand to those on tight budgets, ensuring access to needed healthcare without financial strain. One such program is the Medicare Savings Programs (MSPs). These programs help cover Medicare Part A and Part B premiums, deductibles, coinsurance, and copayments for individuals with limited income and resources. Another valuable program is the Extra Help program, also known as the Low-Income Subsidy (LIS). This program targets prescription drug costs under Medicare Part D. It helps individuals afford their medications by providing assistance with premiums, deductibles, and coinsurance. Additionally, there's the Medicare Part D Extra Help for people with limited income and resources. This program helps pay for prescription drug coverage, lowering the costs of medications. So, if you're worried about how to afford your Medicare expenses, know that there are programs out there ready to support you. Don't hesitate to explore these options and see how they can lighten the load on your budget while keeping you healthy and cared for. #medicare #medicaretreatment #medicareaccepted #healthcare #healthinsurance #obamacare #insurance #lifeinsurance #medicarehospital

https://hubs.ly/Q02mq6rf0 It's no secret that over the last year we have seen more and more disputes between payers and providers making headlines, with a particular focus on Medicare Advantage. With hospitals expressing concerns over excessive prior authorization denials and slow insurance payments, many have decided to terminate all contracts with MA plans. But the number of disputes hasn’t changed much, the blame game seems endless. So, what is different? Join the discussion at our exclusive group for Healthcare Plans here: https://hubs.ly/Q02mq1hH0 #paymentintegrity #revenueintegrity #hpri #medicare

As we look ahead to 2025, there are important changes to Medicare plans that everyone should be aware of: 1️⃣ Medigap plan prices have surged, with many states seeing double-digit increases due to rising healthcare costs. 2️⃣ Insurance companies are bracing for the prescription coverage cap set for 2025. 3️⃣ Medicare Advantage plans are receiving less funding from the federal government, alongside increased scrutiny on billing practices. Understanding these shifts is vital for those relying on Medicare. Stay informed and plan accordingly. #Medicare2025 #HealthcareCosts #Medigap #MedicareAdvantage #Medicare #Employeebenefits #Medicarecoverage 

This is absurd: Americans throwing parties to celebrate meeting their health insurance deductibles or paying off medical debt. While these gatherings offer a sense of community and dark humor, they underscore a deeply flawed healthcare system. Key points from the article: • Many Americans face delayed care, significant medical debt, and worsening health due to inadequate coverage • High deductibles and opaque billing practices leave people struggling to navigate their health plans • Some have resorted to declaring bankruptcy due to medical costs This doesn't have to be the norm. High-performance health plans offer a stark contrast: • No medical debt • Transparent pricing • Focus on quality, affordable care Over 100 million Americans are in debt to the healthcare system. Employers and unions: it's time to give your health plan a fresh look. Join the thousands of employers who've asked for a "second opinion" on their #healthplan with a Plan Grader™️ assessment. In the old #healthcare economy, medical debt is a primary output of that system. In the new healthcare economy, medical debt is a thing of the past. https://lnkd.in/geuCiBaz #HealthcareReform #EmployerBenefits #HealthRosetta