Crossover Health | Insurance

04 Nov Extirpating the "Health Insurance" myth

Posted at 06:25h in Crossover, For Employers, Health Finance, Innovation, Insurance, Value by michelle 4 Comments

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Extirpating (ĕk'stər-pāt') v. To pull up by the roots. To destroy totally; exterminate. To remove by surgery. I recently took a great road trip with my two boys. We rented one of the new Kia Soul's which my boys recognized from a very funny commercial developed...

05 Jul Day 55: Stuck between a rock and hard(ly Health "Insurance") plans

Posted at 06:23h in Crossover, For Employers, Innovation, Insurance by michelle 0 Comments

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Stuck (stŭk) v. Caught or fixed Baffled * This article was submitted to us by one of our summer interns. Their name is being protected because they currently are in a health care start up protective witness program * Have you ever felt trapped when deciding your...

25 Sep Sermo makes the connection: Health Reform leads to Cash-based Practices

Posted at 00:33h in Consumerism, Crossover, For Employers, Innovation, Insurance by michelle 3 Comments

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Connection (kə-nĕk'shən) n. The act of connecting. The state of being connected An association or relationship Sermo finally makes the connection between all the health insurance reform conversations and the inevitable consequence of pushing a large percentage of providers toward a cash based practice. I have highlighted the...

20 Aug Utah leads out with new virtual health insurance exchange

Posted at 23:54h in For Employers, Innovation, Insurance, Value by michelle 9 Comments

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Exchange (ĭks-chānj') n. To give in return for something received; trade To give and receive reciprocally; interchange A place where things are exchanged, especially a center where securities or commodities are bought and sold There have been several interesting health finance innovations that have been announced recently...

18 Feb Cuomo Bully Pulpit: All Payers Database to be a reality

Posted at 11:22h in Change Agents, For Employers, Innovation, Insurance, Transparency, Value by michelle 1 Comment

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Bully pulpit (bʊl'ē pʊl'pĭt) n. Public Office of sufficiently high rank that provides the holder with an opportunity to speak out and be listened to on any matter. An effective mechanism to bring issues to the fore that were not initially in debate, due to the office's...

10 Feb The Price of Opacity: Lessons Learned from UNC

Posted at 16:27h in For Employers, Insurance, Transparency by michelle 2 Comments

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Opacity (ō-păs'ĭ-tē) The quality or state of being opaque. Something obscure, impenetrable Dullness of mind I have been intrigued by the recent settlement by United with NY regarding underpayments to physicians based on faulty estimates of what constitutes a fair market rate (Ususal aNd Customer or "UNC")...

10 Feb "An Unnecessary Effort": Wuesthoff Health Pays for EOB's

Posted at 12:43h in Consumerism, For Employers, Insurance, Irony, Transparency, Value by michelle 0 Comments

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Unnecessary (ŭn-nĕs'ĭ-sĕr'ē) adj. Not necessary; needless. Serving no useful purpose or function You have got to love it, huh? Did you see the most recent series of lawsuits just announced by the AMA. They must just be loving the opportunity to pile on their arch nemesis insurance companies...

13 Jan Mary Jerome: The Rosa Parks of Transparency

Posted at 12:52h in Change Agents, Consumerism, For Employers, Innovation, Insurance, Irony, Transparency by michelle 7 Comments

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Scheme (skēm) n. A systematic plan of action A secret or devious plan An orderly combination of related parts "Usual and customary" just became "Transparency and consistency" The United Health Group, in what will become a sweeping decision (interesting interview with author here) within the Health Insurance industry, ...

09 Jan Transparency Trek: The Million EOB March

Posted at 15:02h in Change Agents, For Employers, Innovation, Insurance, Transparency, Value by michelle 11 Comments

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Trek (Trĕk) n. A journey or leg of a journey, especially when slow or difficult. A journey by ox wagon, especially a migration I have been thinking alot about EOB's. How did these anomolies of reason, this perversions of clarity, and obfuscators of objectivity come into existence?...

27 Aug Healthcare Dysincentives: Who is left holding the bag?

Posted at 07:31h in For Employers, Insurance, Transparency, Value by michelle 1 Comment

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Holding the Bag (hōl'dĭng thə băg) N. Abandon someone, force someone to bear the responsibility or blame. This idiom grew out of the earlier give one the bag (to hold), which dates from about 1600 and alludes to being left with an empty bag while others have...