Jul 28, 2022

Why Medicare Advantage Plans Are Facing Heightened Federal Scrutiny, With Betsy Seals. Sales Pitches, Improper Payments, and Upcoding: Inside the Federal Crackdown on Medicare Advantage. Episode 375.

Stacey Richter talks with Betsy Seals, CEO and cofounder of Rebellis Group, about the three areas of Medicare Advantage...

Jul 21, 2022

How to Grade a Health Plan, With Validated Employer Success Stories, With Dave Chase. Rosen Hotels Saved $450 Million on Healthcare. Here’s the Playbook Behind It. Episode 374.

Stacey Richter talks with Dave Chase, cofounder of Health Rosetta, about validated employer success stories like Rosen Hotels and Pacific...

Jul 14, 2022

How One Union Health Fund Cut a Major Hospital From Its Network, With Cora Opsahl. Why 32BJ Health Fund Decided a Major NYC Hospital System Wasn’t Worth the Price. Episode 373.

Stacey Richter continues her conversation with Cora Opsahl, director of the 32BJ Health Fund, about the data-driven decision to remove...

Jul 7, 2022

Why Getting Your Own Claims Data Is Step One for Employers and Unions, With Cora Opsahl. Step One for Any Self-Insured Employer or Union: Demand Your Own Data. Episode 372.

Stacey Richter talks with Cora Opsahl, director of the 32BJ Health Fund, about why demanding full claims data from every vendor was the foundational...