Preston Alexander’s Post

The Open Enrollment Period for individual ACA coverage begins on November 1st and millions will follow the low-cost sorting display on healthcare.gov as a shopping guide. This article highlights the need and responsibility of Carriers and brokers to educate consumers during this enrollment season. "The vast majority of the millions of individuals in the market for Affordable Care Act (ACA) health coverage lack critical information necessary to make informed and confident decisions about their insurance in 2025." https://lnkd.in/gS9Uv3Df #aca #openenrollmentperiod #oep #independentbrokers

Join the waiting list now to set up a primary care clinic in your pharmacy. This membership model will dramatically boost pharmacy profitability by offering a per member per month income stream. It really is amazing what can happen when you remove the insurance companies and PBMs from the health care model. https://lnkd.in/gRJu6zFX #healthcare #directprimarycare #pharmacy #profitability

50% of adults say they are worried about affording medical expenses such as the cost of health care services, out-of-pocket costs not covered by insurance, such as co-pays and deductibles, Rx costs, for themselves or a family member. For about the cost of family pizza night: NO deductible access to primary care access to urgent care interaction within an hour or less access to Mental Health access to free generic Rx  Access to supervised weight loss/fitness program + discounts on many other healthcare services #healthcare, #pharmaceuticals, #affordability, #familyhealth, #patientexperience, #mentalhealthawareness, #healthcarecosts, #healtheconomics #enrollment, #benefitsrenewal

#transcript Mark Galvin, Co-Founder, President & CEO of TALON, discusses the Transparency in Coverage rule in healthcare, which was added to the Affordable Care Act & requires commercial health plan sponsors to provide transparency in the costs of tests, procedures, & other medical services. The rule aims to provide patients with information on pricing & out-of-pocket costs before committing to services. The lack of awareness & understanding of the rule is in part due to the vested interests of certain stakeholders, such as insurance carriers, who are financially conflicted in driving down the cost of medical claims. #HealthcareCosts #Hospitals #ReduceHealthcareCosts talonhealthtech.com https://lnkd.in/gS4rKBQu

Sharing - Strengthening The No Surprises Act's Independent Dispute Resolution Process: Stakeholder Perspectives Every year, millions of people receive balance bills—additional out-of-pocket charges after insurance has paid its share—from out-of-network health care providers, facilities, or air ambulance providers, many of which are unexpected, so-called “surprise” bills. In December 2020, Congress enacted the No Surprises Act (NSA), a provision of the Consolidated Appropriations Act, 2021, to protect patients from surprise medical bills in certain circumstances and establish a process for providers and insurers and health plans to determine out-of-network reimbursement. #healthcare #nosurprisesact Click the link below to read the complete article.

You must have heard or been through an experience where your insurance company doesn't claim your medical expenses. Have you thought about the reason behind it? 'Black Sheep Hospitals' means the blacklisted hospitals might be the reason behind it. Check out the video to know the details and how you can identify blacklisted hospitals. . . #prathamservices #healthcare #indiangoverment #medicare #insurancebuying #consulting #cashlessinsurance #mediclaim #blacksheephospitals #hospitals #offlineinsurance #health #insuranceagent #insurancebroker #financialplanning #insuranceagency #healthinsuranceplan #healthisweath #insuranceclaim #explorepage

How to Lower Healthcare Costs with Cash Payments 💰 Is your high deductible health plan leaving you with high out-of-pocket costs? Here's a simple yet effective way to save! 💡 Many healthcare providers offer lower prices when you pay in cash for services, bypassing the complexities of insurance. 🏥💸 By inquiring about cash pay rates before scheduling tests or procedures, you can take control of your healthcare expenses and avoid unnecessary financial strain. Discover the smarter way to manage your medical bills today! https://lnkd.in/gFHC3uF #HealthcareSavings #MedicalBillingTips #LowerHealthcareCosts #InsuranceTips #CashPayRates #AffordableHealthcare #SaveMoney #SmartInsuranceMoves #FinancialPlanning #HealthTips

Top thing on my mind this morning: Election is over. Political ads have gone to pasture. Time to do some light reading on, what else, health insurance. In this morning's article, we see that Aetna is launching a "no-deductible" plan where employees would receive one monthly bill that summarizes all of their medical and pharmacy claims for the prior 30 days, and can have the statement auto-paid or financed with a 0% line of credit. The early test runs on this product came back with some positive results. During several months of a soft-launch, SimplePay Health has been able to demonstrate a 60% increase in use of top-quality providers and 12% total cost of care savings for employers and members, according to Aetna. The caveat with this is it only is available for self-funded employers. However, the idea itself seems to be one that could lead to better results for both employee and employer. https://lnkd.in/gmAGvkx4

Does the PBM on your health plan do spread pricing? 😱 In my opinion this is just part of the dirty game that insurance companies play to unjustly charge us more. It’s important to look for transparent and pass through PBM vendors that only charge an administrative fee instead of marking up the cost of drugs. Click the link below to schedule time with our team so we can do an analysis on your pharmacy spend. https://lnkd.in/gXYaGf9h

You must have heard or been through an experience where your insurance company doesn't claim your medical expenses. Have you thought about the reason behind it? 'Black Sheep Hospitals' means the blacklisted hospitals might be the reason behind it. Check out the video to know the details and how you can identify blacklisted hospitals. . . #prathamservices #healthcare #indiangoverment #medicare #insurancebuying #consulting #cashlessinsurance #mediclaim #blacksheephospitals #hospitals #offlineinsurance #health #insuranceagent #insurancebroker #financialplanning #insuranceagency #healthinsuranceplan #healthisweath #insuranceclaim