Maddock & Associates

BCBSNC to offer small businesses lower cost health plans in 2019

This is one of the first reference based pricing plans we have seen marketing toward small businesses.  We have some larger, self-funded plans that use reference based pricing. These plans definitely control costs, but there is a lot of potential for complaints and service issues from the patients.  It will be interesting to see what the feedback is from employees/patients who enroll in these plans. https://www.bizjournals.com/triad/news/2018/10/25/bcbsnc-to-offer-small-busines... READ MORE Posted October 26, 2018 at 02:05 PM

Insurer Resists Paying for ‘Avoidable’ E.R. Visits

Patients are are being denied and affected by Anthem's objective to minimize the use of the emergency department-it is one of the most expensive areas to obtain medical care.https://www.nytimes.com/2018/05/19/upshot/anthem-insurer-resists-paying-emergency-room-visits-if-avoidable.html READ MORE Posted May 21, 2018 at 10:30 AM

“America First” Prescription Drug Plan

President Trump's "America First" initiative is aiming to reduce out-of-pocket costs and encouraging market competition by wanting to reduce and lower pharmaceutical costs and allowing federal programs to negotiate prices. For more information, visit:http://newsmanager.commpartners.com/nahuw/issues/2018-05-11/3.html READ MORE Posted May 14, 2018 at 11:04 AM