CareFlite Cut Prescription Spending by 40 Percent – Here’s How

CareFlite is used to saving lives in the most dire of situations, but the Grand Prairie nonprofit has also been saving on their healthcare spend. By focusing on prescription drugs, the company has saved hundreds of thousands each year on prescriptions alone. Prescriptions can represent 18 to 23 percent of total healthcare spending for companies, even though only a few years ago the took up only 10 percent of healthcare spending. In 2016, CareFlite spent $863,000 on prescriptions alone for its 660 employees. But three years ago, partially-insured CareFlite moved to an independent pharmacy benefit manager with the help of… Full Story

Holmes Murphy Grants $30,000 to Four North Texas Nonprofits

The Holmes Murphy Foundation Grant Program has selected its inaugural recipients, which selected area nonprofits that align with the foundations pillars of At-Risk Youth Education, Health and Human Services, and Arts and Culture. The foundation has cumulatively awarded $30,000 to the following organizations: Cristo Rey Dallas, Austin Street Center, Children’s Medical Center of Dallas, and Community Partners of Dallas for grants this year. “Holmes Murphy is incredibly honored to have the opportunity to give to four organizations that help uplift the Dallas community,” said Chris Boyd, Senior Vice President of Employee Benefits at Holmes Murphy via release. “This year’s recipients… Full Story

Father and Son Sentenced in Blue Cross Blue Shield and American Airlines Hearing Aid Fraud

A hearing aid scam targeting American Airlines employees has landed a father and son in federal prison for 15 years, AP reports. Prosecutors say the men made false claims on behalf of the airline employees for unneeded hearing aids that were sometimes never delivered, AP reports. Many of the fraudulent hearing tests lasted less than five minutes and were done in a break room at DFW International Airport. Terry Lynn Anderson, 69, was sentenced to eight years in prison and ordered to pay 13.7 million to Richardson-based Blue Cross Blue Shield of Texas. His son Rocky Freeland Anderson, 38, was sentenced to… Full Story

UnitedHealth Brief: Hospitals Will Cost Payers $250 Billion Over the Next Decade

Healthcare is expected to cost the country $6 trillion by 2027, an increase from $3.5 trillion in 2017, according to the Centers for Medicare & Medicaid Services – but it can be difficult to pinpoint the source of the swelling. Hospitals complain about low reimbursement rates from insurance companies while insurance companies point to rising hospital costs. Consumer behavior and social determinants of health are huge factors that are even more difficult to address. The most troubling piece of the puzzle is that despite the cost increases, overall quality in the United States (and Texas in particular) have not risen… Full Story

Would an Anthem-HCSC Merger Impact North Texas?

With the departure of two top leaders at Illinois-based Health Care Services Corporation, which owns Blue Cross Blue Shield of Texas, some have speculated about a merger between Anthem, which operates BCBS programs in New York, California, and other states, and HCSC. “We live in interesting times and conventional strategy and timid tactics have gone by the wayside,”writes Britt Berrett, former President of Texas Health Presbyterian Hospital Dallas and current UT Dallas professor. “The future will be filled with bold and innovative ideas. HCSC will most definitely pursue a more aggressive and innovative path and Anthem may be part of their… Full Story

CEO Perspective: How Self-Insurance Slashed Our Healthcare Spending

By self-insuring our healthcare benefits, our small company is able to save 20 to 30 percent annually on healthcare costs. Our firm consists of 63 employees, most of whom rely on us for their healthcare insurance. Outside of payroll expense, healthcare insurance was our second largest expense as a company. From 2014 to 2018, our health insurance premiums increased 67 percent (or 17 percent on average per year).  The cost of our single employee’s PPO election increased from $380 to $805 per month and our High Deductible Plan increased from $409 to $627 per month.  The only reason the high… Full Story

BCBSTX Parent Company Has Now Lost Their CFO

More changes are on the way for Blue Cross Blue Shield of Texas’ parent company Health Care Services Corporation, as CFO Eric Feldstein resigned earlier this week. The resignation follows the exit of HCSC’s President and CEO Paula Steiner last week, and was confirmed by a spokesperson to Crain’s Chicago Business.  Like Feldstein, Steiner had been in her position for around three years at HCSC, and the departure follows a move earlier this year to open several clinics around Texas, following Humana and UnitedHealtchare by moving into the provider space. HCSC spokesperson Greg Thompson told Crain’s that the company’s “talented… Full Story

Blue Cross Parent Company CEO is Departing

The CEO and President of Blue Cross Blue Shield of Texas’ parent company, Paula Steiner, is on her way out. She has led Health Care Services Corporation, the largest customer-owned health insurer, since 2016. HCSC board member and David Lesar, a former Halliburton chairman, will serve as the interim CEO until a replacement has been found. Blue Cross Blue Shield of Illinois president Maurice Smith has been named president of HCSC. Steiner spent 35 years in the Blue Cross system, through the growth of the insurance industry, skyrocketing healthcare costs, and the implementation of the Affordable Care Act. HCSC has 16… Full Story

Fort Worth Projecting $11 Million in Healthcare Savings in 2019

The City of Fort Worth had experienced healthcare cost increases of eight percent for six straight years of  when City of Fort Worth Human Resources and Civil Service Director Brian Dickerson took on the position. During that time, the cost of the health plan had increased 50 percent. “I had the realization that the city could not continue like this,” he said. The city has a fixed  yearly budget, so increased spending on healthcare meant fewer potholes, police officers, or city parks. But fixing the problem was about as complex as a problem gets in America. Dickerson made it his… Full Story

Blue Cross to Gift $1.6 Million to Address Social Determinants in Texas

Blue Cross Blue Shield of Texas is gifting more than $1.6 million to 17 community-based organizations all over the state to address social determinants of health like access, transportation, housing, and job opportunities. Research continues to show that one’s healthcare is largely influenced by factors outside a hospital or doctor’s office, and for organizations who end up paying or providing healthcare to those who suffer from poor housing, food insecurity, or other determinants, investing in wellness through social factors is both a benefit to the community and the budget. BCBS of Texas and other organizations have continually made grants to… Full Story