A denied claim can be a financial shock for employers and employees alike. In this episode Dr. John and Peter discuss why claims get denied, how often this happens and how lack of cost transparency fuels surprise bills. Find out how we keep our...

In this episode, Dr. John and Peter discuss the fears that many employers have about switching to a self-funded plan, thinking mistakenly that they are going to pay for every dollar the group incurs for medical claims. Learn how stop-loss prote...

The ACA is on track to raise premiums up to 30% in 2026. This will cause legacy carriers to raise rates as well, with employers and employees ultimately paying the price. The good news is, there are alternative ways to obtain health care for th...

In this episode Dr. John and Peter discuss the issues related to healthcare fraud and how this directly impacts both members and employers. Find out how prior authorizations can help minimize fraud and also lead to better patient outcomes. ...

In this episode, Dr. John explains the real reason preauthorizations are necessary and how this relates to quality of care and cost transparency.