D CEO Healthcare Breakfast Panel: What’s Next for Health Insurance

D CEO Healthcare Breakfast Panel: What’s next for health insurance?   The health insurance industry is one of the country’s most dynamic, complicated, and impactful. Ideas about the best way to provide healthcare are discussed everywhere from the highest echelons of government to living rooms across America. With increasing costs, changing risk and employer relationships, and new regulations, the insurance world is increasingly complex and important to employers, providers, patients, and everyone in between.   At D CEO, our Healthcare Breakfast Panels serve as an opportunity for health professionals to network, but more importantly, the panels are educational opportunities for our… Full Story

How Much Does it Cost to Treat Diabetes in Texas?

Diabetes treatment is becoming more frequent and more expensive, according to CDC data compiled by QuoteWizard, an insurance comparison service. The company analyzed the rise of diabetes and cost increases in insulin state by state from 2007 to 2017. The analysis found that the number of people with diabetes in Texas increased from 10.3% to 11.9% over the last 10 years, an overall 16% growth. Comparatively, the national diabetes percentage increased by 29% from 2007 to 2017. Medical costs nationwide increased 26% from 2007 to 2017, indicating that insurance premiums for diabetic treatment may likely follow the same rise. According… Full Story

Medicare-for-All: The DFW Hospital Perspective

What to do about the United States’ ever-expanding medical costs has been a key issue during the presidential primary season. Medicare-for-All, Medicare-for-more, Medicare-if-you-want-it, and a bevy of other healthcare policies have been key talking points for every serious Democratic presidential candidate. Steve Love is the CEO of the DFW Hospital Council, a 90 member hospital organization that helps hospitals collaborate and advocate for initiatives they value, and he says that while the hospitals want to be politically neutral and are for increased coverage, Medicare for all is not the answer. He calls it a “cry for help.” There is a… Full Story

Texas Health Aetna Takes Its Network Nationwide

Texas Health Aetna’s President and Chief Operating Officer Genevieve Caruncho-Simpson says the joint venture between insurer and provider is a total cost of care solution for the region utilizing virtual care, national coverage, and other innovations to bring down healthcare costs for North Texans. The organization covers 110,000 lives, and is working to reduce the pain points that plague the medical industry. Texas Health Aetna is making significant progress against the physician shortage, an over-reliance on emergency care care, and a significant population with chronic conditions, Caruncho-Simpson says. Embracing technology has been a key to the success. THA’s Anytime-MD has been… Full Story

Why Oscar Health Came Back to Dallas and What it Means for the Local Individual Market

The Affordable Care Act created subsidies for millions of previously uninsured Americans, and with those subsidies and potential members, new and established health insurance players waded into the space to see if they could make it work and grow their membership. But in the years that followed, the market proved to be tumultuous, and premiums jumped double digits for the first few years. Once millions of people who had not been receiving consistent quality healthcare had insurance, many medical issues were discovered; the pool was sicker than the average group of insured members. With the premium increases, 2016 saw many… Full Story

Naturally Slim Names Chief Revenue Officer

Dallas-based Naturally Slim has appointed Doug Layman as chief revenue officer to lead growth in the employer-sponsored space. Layman brings more than two decades of experience in the employer benefit space to the company. “Adding Doug to the team is a game changer in my mind,” said Rob Butler, CEO of Naturally Slim, via release. “His experience, track record of growth success, professionalism, and breadth of relationships are best-in-class and I feel fortunate we were able to add him to the team.” Layman has been in the employee benefits industry for more than 25 years as a strategic planning, business development,… Full Story

BCBSTX Awards $1.6M in Grants to Fight CKD and COPD

Blue Cross and Blue Shield of Texas will be awarding more than $1.6 million in Healthy Kids, Healthy Families grants to 12 Texas organizations in order to fight against and raise awareness about Chronic Kidney Disease and Chronic Obstructive Pulmonary Disease. Organizations were chosen for their work educating and managing CKD and COPD conditions, as well as their ability to decrease emergency room visits and increase primary care engagement. In communities with education and outreach events about CKD, medical spending decreased $103 per member, per month compared to areas without outreach, according to Richardson-based BCBSTX. “It’s important for us to collaborate with organizations that are making… Full Story

Dallas Healthcare “Truly is the Wild West”

Dallas is one of the most expensive places to receive healthcare in the country. Combined with Texas’ lack of regulatory oversight of business and high entrepreneurial drive, it is a city that is great for business, but when that business has to pay for healthcare for its employees, it creates a number of challenges. Identifying high value providers, bundling payments, and forming direct contracts are all ways that employers are avoiding unnecessary medical care for their employees, and the costs that come with them. Last month, the Hilton Anatole played host to the Employee Health, Benefits, and Well-Being Congress, where… Full Story

What North Texas Businesses are Doing About $20,000 Annual Insurance Premiums

A recent Kaiser Family Foundation report showed that health insurance family premiums rose five percent again this year, topping $20,000 a year for the first time. Healthcare costs have long been increasing by leaps and bounds, putting added pressure on families to afford coverage because wages have only increase 3.4 percent over the same period, but local employers weren’t caught off guard by the increase and are taking action to keep healthcare spending down. The report says the average worker pays around $6,000 of the $20,000 premium cost, with employers covering the difference, so the incentive is shared by both… Full Story

Expert: Misplaced Blame in the 2020 Healthcare Debate

Health insurance companies are on trial, and the charges are theft, deception, and even murder. Many Americans find the healthcare system’s cost, complexity, and quality to be criminal, but have we apprehended the right suspect? The Affordable Care Act (ACA) was referred to as healthcare reform. In reality, it was health insurance reform. The rates, coverages, and even profitability of health insurance companies are completely regulated as a result of the ACA. The key question voters must answer is whether health insurance companies are to blame for our health system problems. If they are, are they acting alone, or are… Full Story