Truth in Advertising

Emma Fox

LinkedIn: https://www.linkedin.com/in/emmamariefox/

WEBSITE

E-Powered Benefits: https://www.epoweredbenefits.com/

Recent Episodes from The Healthcare Hangover

DPC For All

In episode 18 of The Health Hangover, David Contorno and Emma Fox discuss their recent trip to Dallas and a new project they've been working on. They also talk about the challenges of the healthcare system and the need for a holistic approach to fixing it.

Tune in to hear their insights and find out how you can get involved in making a difference in your own community.

TIMESTAMPS

[00:02:43] Lack of Access to Healthcare.

[00:08:14] Prescriptions and Financial Assistance.

[00:11:45] Financial Assistance Programs at Nonprofit Hospitals.

[00:15:02] Providing Healthcare to the Uninsured.

In this episode, David Contorno and Emma Fox delve into the pressing issue of individuals in certain communities who are unable to afford essential medications and healthcare. They even highlight that as individuals age, they often require maintenance prescriptions for common health issues like blood pressure. However, the cost of these medications can be exorbitant, leading many to forgo necessary treatments and appointments.

Overall, David and Emma emphasize the importance of understanding the various assistance programs available and the distinction between medical and prescription coverage. While some programs require individuals to be uninsured, others may still be accessible to those with insurance. Taking a holistic approach to healthcare is crucial, addressing the issue from all angles simultaneously to prevent the problem from resurfacing in more detrimental ways.

QUOTES

"The goal is to bring direct primary care into these communities for short periods of time, kind of like pop-up DPC, to serve these folks who don't have access to health care." - Emma Fox
“the most common misconception around these programs when people find out about it, is that it doesn't matter if you have insurance. It is not for only the uninsured. It's also for the underinsured." - Emma Fox
"I feel like I have the opportunity and our plans do that every day when I can get someone who does have a job who's clearly doing the right thing, but they still can't afford their medication or their surgery or their tests, and then I can get it done for them. that feels really good. And it doesn't feel like charity. It feels like getting them what they should have been entitled to anyway." - David Contorno

SOCIAL MEDIA LINKS

David Contorno

Emma Fox

LinkedIn: https://www.linkedin.com/in/emmamariefox/

WEBSITE

E-Powered Benefits: https://www.epoweredbenefits.com/

enJanuary 09, 2024

the healthcare hangover

Stop Giving Up!

In episode 17 of The Health Hangover, David Contorno and Emma Fox discuss their frustration with employers giving up on finding effective healthcare plans. They delve into the importance of retention rates in the industry and express their concerns with consultants who seem to be giving up too easily.

Tune in to hear their passionate discussion about the need for persistence in finding alternative healthcare solutions.

TIMESTAMPS

[00:00:20] Employers Giving Up.

[00:02:36] Leadership in Healthcare Financing.

[00:07:57] Cancer Care Mistreatment Rates.

[00:09:25] Failing Health Care System.

[00:13:41] Employers and Healthcare Innovation.

In this episode, David Contorno and Emma Fox express frustration with employers who are giving up on finding alternative healthcare plans. They believe that employers are too focused on retention rates and are not willing to put in the effort to explore and implement alternative options.

Moreover, David and Emma believe that employers should dedicate the same effort to healthcare as they do to their core business. They argue that while the core business unit may be challenging and competitive, employers have had to make innovative decisions and value propositions to be successful in that area. Therefore, they suggest that employers should apply the same level of dedication and resource allocation to healthcare because it is equally important and costly. They believe that if enough employers prioritize healthcare and make informed decisions, it can lead to positive changes in the healthcare system.

QUOTES

“I think that they don't consider doing the hard thing when it comes to health care financing as part of their responsibility when it comes to being good leaders.” - Emma Fox
"Nothing pisses me off more than an employer who's not willing to do the right thing because they're getting pushback from people who don't understand what the right thing is." - Emma Fox
"Sometimes you got to make people emotional on this. And oftentimes it's just a negative emotion that's going to get them to change something considerably so radically." - David Contorno
“Put the right insurance in place by asking the right questions, by working with the right people, by paying people in a way that's aligned with those outcomes. And if enough employers did that, the system would change.” - David Contorno

SOCIAL MEDIA LINKS

David Contorno

Emma Fox

LinkedIn: https://www.linkedin.com/in/emmamariefox/

WEBSITE

E-Powered Benefits: https://www.epoweredbenefits.com/

enJanuary 02, 2024

podcast

healthcare

healthcare system

healthcare innovation

giving up

Government Takeover!

In episode 16 of The Healthcare Hangover, David Contorno and Emma Fox discuss their experiences with political influences in the healthcare system. They share their frustrations with trying to make change through traditional channels and how they found themselves in high-level political circles. They talk about their background in lobbying and the lack of impact they felt.

Tune in to hear about their unexpected journey and their thoughts on the intersection of healthcare and politics.

TIMESTAMPS

[00:04:27] Politicians' Focus on Health Insurance.

[00:07:27] Politicians' Misunderstanding of Healthcare.

[00:11:38] Running for Office.

[00:12:51] Pro-Life vs. Pro-Choice as Policy.

[00:19:55] Holding Healthcare Entities Accountable.

In this episode, David Contorno and Emma Fox have been grappling with the challenge of making a meaningful impact on the healthcare system through political influences. Despite their attempts to engage with political influencers, both individually and collectively, they have found it to be an ineffective endeavor.

Moreover, David and Emma emphasize the importance of treating all individuals equally and ensuring that healthcare is recognized as a fundamental human right. They argue that while the government does not need to fully provide healthcare, it should play a role in guaranteeing equitable access to care.

QUOTES

"Insurance doesn't solve the problem. It actually makes it worse, at least as it exists today." - David Contorno
“I was going to say is politicians don't seem to understand that. They have this idea that as long as someone has health insurance, they'll be OK. But it's never the case." - Emma Fox
"Republicans are for less government, not more government. They're for less interference in our lives, less interference in how parents educate and with the lifestyles and the religious beliefs. I don't believe that I should be making the right medical choice for your children or any politician should. I believe that me and my wife love my children no more than anyone else. And we are best suited to make medical decisions for them above and beyond everybody else." - David Contorno
“I think Republicans are actually a little bit more rebellious, especially in the last few years. But Democrats, they're very much a united front.” - Emma Fox
“I have some ideas, some legitimate ideas that I think are very doable that would provide healthcare to some extent and also still maintain the privatized insurance market and the employer-employee relationship. And I think that there's a compromise out there that truly brings value to the country, to its citizens, to the doctors that are miserable.” - David Contorno

SOCIAL MEDIA LINKS

David Contorno

Emma Fox

LinkedIn: https://www.linkedin.com/in/emmamariefox/

WEBSITE

E-Powered Benefits: https://www.epoweredbenefits.com/

enDecember 26, 2023

Do or Die - A Conversation on GLP-1s

In episode 15 of The Health Hangover, David Contorno and Emma Fox dive into the topic of GLP-1 weight loss drugs, exploring their effectiveness, financial implications, and the debate surrounding their accessibility for weight loss.

Tune in as they navigate and share their insights through this issue.

TIMESTAMPS

[00:00:30] Introduction to GLP-1 Weight Loss Drugs

[00:01:00] Weight Loss and Financial Perspective

[00:03:00] Personal Weight Loss Experiences

[00:05:00] Coverage and Accessibility

[00:06:30] Patient Assistance Programs (PAPs)

[00:09:00] Proposed 12-Month Program

[00:11:30] Additional Benefits of GLP-1 Drugs

[00:13:00] Employer's Perspective

[00:14:20] Pharmaceutical Industry Considerations

[00:16:30] Addiction Analogy

In this episode, David Contorno and Emma Fox focus on GLP-1 weight loss drugs, as they share their experiences with employers interested in covering these drugs under self-funded health plans. They explore the efficacy of these drugs, emphasizing that they are not a silver bullet and require complementary lifestyle changes for sustained results.

In addition, David and Emma share personal weight loss journeys and debate whether access to these drugs should be expanded to make weight loss more achievable for individuals struggling with obesity. They discuss the financial aspects, including the high costs and varying coverage percentages across health plans. They also address potential benefits beyond weight loss, such as reducing cravings for other addictive behaviors. Thus, expressing concerns about the affordability of these drugs and the pharmaceutical industry's motivations.

QUOTES

"It's very long term. It's not a silver bullet. You still need to do other things that if not done means you have to be in the medicine forever." - David Contorno
“And the one thing that's bothering me is people claiming that these drugs are new, which is, I mean, some of them are new, don't get me wrong, but the formula has been around for a long time. We've been using these drugs to treat diabetes.” - Emma Fox
"If this was available to me and I could have afforded it back then, I don't know why we wouldn't make it easier when I see people say that overweight people shouldn't have access to GLP ones." - Emma Fox
"If you're an anti-GLP-1 person, I'd really encourage you to look at it from a more human perspective as somebody who was very, very overweight my whole life." - Emma Fox
"I think everybody is addicted to something. I have the luxury of being addicted to multiple things." - David Contorno

SOCIAL MEDIA LINKS

David Contorno

Emma Fox

LinkedIn: https://www.linkedin.com/in/emmamariefox/

WEBSITE

E-Powered Benefits: https://www.epoweredbenefits.com/

enDecember 19, 2023

podcast

weight loss

financial perspective

healthcare hangover

glp-1

4th Quarter Madness

In episode 14 of The Health Hangover, David Contorno and Emma Fox discuss the challenges and headaches of the healthcare system. They dive into the busy season and the lack of breaks they’re experiencing. They also talk about their upcoming conference and the exciting topics and speakers they have lined up, including discussions on psychedelic therapy, infertility support, and the correlation between lack of healthcare access and gun violence.

Tune in to learn more about the challenges and joys of navigating the healthcare system.

TIMESTAMPS

[00:00:45] Celebrating Jewish holidays.

[00:05:09] You Powered Symposium and Puerto Rico.

[00:09:42] Lack of Access to Healthcare.

[00:12:41] Attending the Powered Symposium virtually.

In this episode, David Contorno and Emma Fox delve into the challenges and frustrations encountered within the healthcare system. They discuss the perpetual busyness of the healthcare industry and the lack of breaks they experience. While the industry used to have a designated busy season known as the fourth quarter, they express that it now feels busy throughout the entire year.

Furthermore, while they enjoyed meeting new people, they felt that the educational aspect was lacking. Consequently, they sought to create a different experience with their symposium. Their goal was to establish an environment where competitors could come together and teach one another, thereby diversifying their education, as it aims to unite individuals who are currently engaged, attempting, or aspiring to be part of the industry, fostering collaboration and mutual support in their respective fields.

QUOTES

“It (Symposium) can be a platform for teaching and learning. And I strive to teach and learn something every day. And so what it quickly became, even at the very first one, was just this getting together of people that actually felt like they're doing different things instead of saying different things and going back to the office Monday morning and not doing anything different.” - David Contorno
“The best part of all of those conferences for me is the people, which is great.” - Emma Fox
“I wanted to create something where people could still enjoy each other and each other's company and networking. But I really wanted to create an environment where we could have a bunch of competitors in the room. And instead of competing with each other, we could teach each other how to do what the other person does and completely diversify our education.” - Emma Fox
“It's coming together of all the people that are doing it, trying to do it, want to do it, and helping us do it. And that's that's the goal.” - David Contorno

SOCIAL MEDIA LINKS

David Contorno

Emma Fox

LinkedIn: https://www.linkedin.com/in/emmamariefox/

WEBSITE

E-Powered Benefits: https://www.epoweredbenefits.com/

enDecember 05, 2023

Truth in Advertising

Tune in to hear their insights on this issue in the healthcare system.

TIMESTAMPS

[00:01:37] Self-Professed Healthcare Quality Metrics.

[00:06:07] Misleading Hospital Billboards.

[00:07:30] University of Pittsburgh Medical Center (UPMC) and Healthcare Quality.

[00:11:29] Deceptive Drug Advertising.

[00:14:28] Joining the (AFCA) association.

QUOTES

"One of the things that we identify is that frequency is a big indicator of quality and not just high quality, but it's also a good indicator of reasonable pricing because they're efficient at doing it because they do that type of procedure so frequently." - David Contorno
“That's one of the reasons why we heavily promote direct primary care. Even if you're not an employer, just for yourself, it's really worth the 40, 50, 70 bucks a month that gives you access to a doctor that you can ask those questions to even in a crunch situation.” - David Contorno
“Just because it says it somewhere, just because it's in the paper, just because there's a magazine or an ad or a billboard doesn't mean that what it says is true.” - Emma Fox
“The only thing that we do is validate that you are disclosing your compensation. Period. That's it. It doesn't even matter if you're a commissioned advisor, as long as you can prove that you disclose the amount of commission in every contract that you're executing.” - Emma Fox

SOCIAL MEDIA LINKS

David Contorno

Emma Fox

LinkedIn: https://www.linkedin.com/in/emmamariefox/

WEBSITE

E-Powered Benefits: https://www.epoweredbenefits.com/

enNovember 28, 2023

The Late Fee

The healthcare system is often a source of frustration for many, with a lack of respect and transparency being at the forefront of these grievances. David Contorno and Emma Fox, two advocates for healthcare reform, share their perspectives on this issue. They express their frustration over doctors' overbooking, rising rates, and worsening benefits, attributing these issues to unrealistic productivity standards imposed by the systems doctors report to. They believe that this lack of respect for patients' time and the absence of transparency in pricing are driving doctors, especially primary care physicians, away from the traditional healthcare system. Contorno and Fox emphasize the importance of patients taking control of their healthcare decisions, encouraging them to ask questions, seek second opinions, and be informed consumers. Join David Contorno and Emma Fox as they delve deeper into these issues on this episode of The Healthcare Hangover podcast.

Timestamped Outline:

(00:04:10) Lack of Communication and Respect in Healthcare

(00:07:49) The Burden of Healthcare Delays on Working Individuals

(00:10:08) The Impact of Overbooking on Patient Care

(00:16:13) Taking an active role in healthcare decisions.

Social Posts:

📢 "Have you ever waited for hours at a doctor's appointment without explanation or apology? 🤔 David and Emma share their frustration with the lack of communication and respect they experienced during a delayed appointment. Join the conversation on the impact of delayed appointments on patients' lives! 🏥 #HealthcareHangover #PatientExperience

📢 New episode alert! 🎧 In this week's episode of #TheHealthcareHangover, David and Emma dive into the frustrations of healthcare delays and the impact on working individuals with inflexible schedules. 💼💔 Tune in to hear their thoughts on the financial implications and the disregard for humanity displayed by healthcare providers. Let's discuss the hypocrisy of the system! #HealthcareDelays #WorkingIndividuals #PatientAdvocacy

📢 New episode alert! 🎧 Tune in to The Healthcare Hangover as hosts David Contorno and Emma Fox discuss the prevalent issue of overbooking in the healthcare system. Discover how this practice leads to long wait times, frustration for patients, and strains on doctors. Let's demand improved efficiency and communication! #HealthcareHangover #OverbookingIssues

📢 "Advocating for yourself as a patient is crucial in healthcare decision-making. Doctors, despite their expertise, can be wrong due to various incentives. It's time to get sassy and talk about it! Join @HealthcareHangover as we discuss the importance of being an informed consumer. #PatientAdvocacy #HealthcareHangover

Blog Post:

Frustration Over Lack of Respect and Transparency in the Healthcare System

In a recent episode of "The Healthcare Hangover" podcast, hosts David Contorno and Emma Fox expressed their frustration over the lack of respect and transparency in the healthcare system. They specifically highlighted the issue of delayed appointments and the hypocrisy of doctors charging fees for missed or late appointments while not valuing their patients' time. This issue is particularly burdensome for working individuals who cannot afford to lose wages due to long wait times and overbooking in the healthcare system. The lack of transparency in pricing and scheduling further exacerbates the problem.

One of the key factors contributing to frustration in the healthcare system is the lack of communication and respect for patients' time. David and Emma shared their personal experiences of waiting for extended periods without any explanation or apology from the healthcare providers. They questioned why doctors' time is considered more valuable than their patients' time, especially when patients can also have high-paying jobs and lose significant amounts of money due to delays.

The hosts also discussed the irrational pedestal on which doctors are often placed in society. They emphasized that doctors are human beings just like everyone else and should be held accountable for their actions and the way they treat their patients. They highlighted the importance of advocating for oneself in healthcare decisions and not blindly accepting the care provided by doctors. Patients should seek second opinions, question the care they receive, and understand the risks and side effects associated with their treatments.

Another factor contributing to frustration is the lack of transparency in pricing and scheduling. Hospitals and healthcare providers often claim that publishing their pricing would be unfair competition or a burden. However, David and Emma pointed out that other industries, such as Amazon, can display pricing for millions of products that often change hourly. They argued that the excuses given by healthcare providers for not being transparent are simply a reflection of their lack of interest in serving the best interests of patients.

The hosts also shared an example of a gynecologist who openly admitted to being overbooked and consistently running late. While they appreciated the doctor's transparency, they highlighted the systemic issues that lead to such situations. Doctors have control over the time they book patients and the amount of time they spend with each patient, yet they often fail to accurately estimate their schedules. This lack of timeliness and accuracy can cause frustration and inconvenience for patients.

The impact of frustration over the lack of respect and transparency in the healthcare system goes beyond personal inconvenience. It can have serious consequences for individuals who cannot afford to take time off work or who rely on hourly wages. The financial burden of missed wages due to delayed appointments can affect their ability to afford necessary medications or even enjoy simple pleasures like going out to dinner with loved ones.

In conclusion, frustration over the lack of respect and transparency in the healthcare system is a significant issue that needs to be addressed. Patients should not have to tolerate long wait times, lack of communication, and hidden pricing. It is crucial for individuals to advocate for themselves, seek second opinions, and question the care they receive. Healthcare providers need to prioritize respecting their patients' time and being transparent about pricing and scheduling. Only through open dialogue and a commitment to transparency can we hope to improve the healthcare system and provide better care for all.

Episode Links

Connect with Emma Fox

Connect with David Contorno

Other Materials

These materials help you promote your podcast. Quotes can be used for audio & video grams or quote cards. Blog and social posts will help your website and social media presence.

enSeptember 19, 2023

Broker Check

The topic of promoting transparency and ethical conduct in healthcare benefits advising is a critical one in today's healthcare industry. David Contorno and Emma Fox, both advocates for this cause, believe that by verifying the transparency and ethical conduct of benefits advisors, employers can be directed to the right advisors, ultimately solving issues such as bad insurance and inflated healthcare costs. Their experiences have led them to launch an association aimed at creating a population of advisors who are ethical and transparent in their practices. They emphasize the importance of advisors and organizations being transparent about their fees, costs, and contracts with clients, acknowledging that while not all brokers are unethical, there are some who engage in unethical practices. Join David Contorno and Emma Fox on this episode of The Healthcare Hangover podcast as they delve deeper into this important topic.

Timestamped Outline:

(00:01:22) Transparency and Ethical Conduct in Healthcare

(00:04:23) The Impact of Financial Transparency on Professionals

(00:08:06) Uncovering Unethical Broker Revenue Practices

(00:12:57) The Importance of Transparent Broker Fees

(00:18:01) The Role of Brokers in Providing Unbiased Recommendations

(00:26:21) Employer Health Plan Analysis and Optimization

Social Posts:

📢 Exciting news! David Contorno has launched an association to ensure transparency and ethical conduct among benefits advisors in the healthcare industry. By connecting employers with verified advisors, they aim to tackle bad insurance and inflated healthcare costs. Let's discuss the importance of transparency and ethical behavior in improving our healthcare system and individuals' lives. Join the conversation! #HealthcareHangover #TransparencyMatters #EthicalConduct

💥 New episode alert! 💥

🎙️ In this episode of #TheHealthcareHangover, David and Emma dive deep into the impact of financial incentives and influence on brokers and doctors. 💰

🔍 Discover the importance of transparency in revenue models and how it can transform the healthcare industry. Listen now! 🎧

#HealthcareTransparency #EthicalPractices #HealthcareCosts

📢 New episode alert! 🎧 In "Hidden Ways Brokers Get Revenue," David and Emma expose the undisclosed methods brokers use to earn extra income in the self-funded health plan market. They discuss unethical practices and the lack of transparency in the industry. Tune in to learn more about broker compensation and the need for transparency in the broker-client relationship. #HealthcareHangover #BrokerCompensation #Transparency

💬 "Fees and negotiation in the insurance industry are a topic of concern. David and Emma stress the significance of transparency when it comes to broker fees. Interestingly, no client has ever attempted to negotiate their fees down. When brokers are upfront about their fees and value, clients recognize and appreciate their efforts. Let's discuss the importance of open conversations about fees in building trust. #HealthcareHangover #TransparencyMatters

Blog Post:

Promoting Transparency and Ethical Conduct in Healthcare Benefits Advising

In the complex world of healthcare benefits advising, promoting transparency and ethical conduct is crucial to ensure that employers and individuals receive the best possible guidance and support. In a recent episode of "The Healthcare Hangover" podcast, hosted by David Contorno and Emma Fox, the importance of transparency and ethical conduct in healthcare benefits advising was discussed at length. The episode highlighted the need for verified advisors who prioritize the best interests of their clients and the challenges associated with financial incentives in the industry.

David Contorno, a prominent figure in the healthcare industry, has launched an association with the goal of verifying the transparency and ethical conduct of benefits advisors. The association aims to connect employers with verified advisors who can address issues such as bad insurance and inflated healthcare costs. By ensuring that employers have access to trustworthy advisors, Contorno believes that many of the problems in the industry can be solved over time.

One of the key issues discussed in the episode is the influence of financial incentives on the decisions of brokers and doctors. While not all brokers and doctors are unethical, the financial incentives within the system often lead to results that align with those incentives. Contorno shared his personal experience of transitioning to a fully aligned and transparent revenue model with his clients, which involved disclosing how he was paid and how much he earned from their accounts. This transparency had a significant impact on his approach to advising and the programs he offered.

The discussion also shed light on the prevalence of unethical practices, such as undisclosed additional income and reliance on carrier-based plans, particularly in the self-funded health plan market. To address these issues, the speakers emphasized the importance of transparency in broker fees and advocated for brokers to be paid directly by the clients they serve. This would help ensure unbiased recommendations and eliminate the conflicts of interest that arise when brokers are paid by insurance carriers.

Promoting transparency and ethical conduct in healthcare benefits advising is not without its challenges. The episode acknowledged that many brokers, especially those working with small businesses, have limited control over how they are paid due to the commission structure tied to premiums. However, the speakers emphasized the need for change in the industry and the importance of employers demanding transparency from their advisors.

The impact of promoting transparency and ethical conduct in healthcare benefits advising goes beyond financial considerations. As Contorno and Fox highlighted, this is about people's lives and their ability to afford essential care. The decisions made in healthcare benefits advising can have a profound impact on individuals' access to life-saving treatments and their overall financial well-being. Therefore, it is crucial for advisors to take their responsibility seriously and prioritize the best interests of their clients.

To help employers gain insights into their health plans and ensure transparency, the episode highlighted Signal Health Consulting's Health Plan Diagnostics service. This service offers a comprehensive audit of health plans, including an assessment, diagnosis, and treatment plan. By examining contracts, compensation structures, and plan utilization, employers can gain a better understanding of where their healthcare dollars are going and identify any potential issues or hidden revenue streams.

In conclusion, promoting transparency and ethical conduct in healthcare benefits advising is essential for ensuring that employers and individuals receive the best possible guidance and support. The episode of "The Healthcare Hangover" podcast emphasized the need for verified advisors who prioritize their clients' best interests and the challenges associated with financial incentives in the industry. By demanding transparency and ethical conduct, employers can make informed decisions about their healthcare benefits and ultimately improve the well-being of their employees.

Episode Links

Connect with Emma Fox

Connect with David Contorno

Other Materials

These materials help you promote your podcast. Quotes can be used for audio & video grams or quote cards. Blog and social posts will help your website and social media presence.

enSeptember 12, 2023

Health Insurance ≠ Healthcare

The American health insurance system, a complex and costly issue, is a topic that has been the subject of much debate and controversy. Many Americans struggle to afford health insurance, and the system is largely profit-driven, with pharmaceutical companies and insurance providers reaping billions in profits. However, there are alternatives and potential solutions to these challenges. David Contorno and Emma Fox, both experts in the field, argue that the system is flawed and in need of alternatives. They believe that insurance should not cover primary care or physical therapy, as these services could be paid for in cash at a much lower cost than insurance premiums. They criticize the current system for being profit-driven and advocate for building health plans that prioritize cost containment and incentivize high-quality providers. They also question the role of insurance carriers, suggesting that they serve no purpose, and that the intention of insurance should be to protect individuals from catastrophic loss. Join David Contorno and Emma Fox on this episode of The Healthcare Hangover podcast as they delve deeper into the challenges and alternatives in the American health insurance system.

Timestamped Outline:

(00:00:34) The High Costs of Health Insurance

(00:05:03) The Impact of Charity Care Programs on Nonprofit Hospitals

(00:09:14) The Impact of Healthcare Costs on Bankruptcy

(00:12:22) Maryland's Successful Healthcare Cost Reduction Experiment

(00:21:05) Inflated Bills and Decreased Quality of Care

Social Posts:

📢 Join the discussion on the complex issue of health insurance in the healthcare system! 💬💭 In our latest podcast episode, David and Emma shed light on the high costs of health insurance. Is it really necessary for accessing healthcare? 🏥💰 Let's explore alternatives and ways to make healthcare more affordable for everyone. Tune in now! 🎧 #HealthcareHangover #HealthInsuranceDebate

📢 Join the discussion on nonprofit hospitals and their charity care programs! 🏥🌍 Discover how these programs reduce healthcare costs for uninsured individuals and ensure access to affordable care. Listen to our latest episode of #TheHealthcareHangover now! 💊💡 #Healthcare #AffordableCare

📢 Check out the latest episode of The Healthcare Hangover! 🎧💊 We dive into the complex dynamics of healthcare costs, bankruptcy, and the role of insurance carriers and hospitals. Discover why having health insurance doesn't always protect against medical bills. Tune in now for eye-opening insights! #HealthcareHangover #MedicalBills #Insurance #Bankruptcy

📢 Join the discussion on the Maryland Experiment! 🏥💰 Discover how government-mandated price controls have reduced healthcare costs and improved efficiency. Tune in as David and Emma dive into this unique approach. #HealthcareHangover #MarylandExperiment #HealthcareCosts

Blog Post:

Challenges and Alternatives in the American Health Insurance System

The American health insurance system is a complex and costly issue that affects millions of Americans. With rising healthcare costs and limited access to affordable coverage, many individuals and families struggle to obtain the care they need. In this episode of "The Healthcare Hangover" podcast, hosted by David Contorno and Emma Fox, the challenges and alternatives in the American health insurance system are explored in depth.

One of the key factors impacting the challenges in the American health insurance system is the profit-driven nature of the industry. Pharmaceutical companies and insurance providers make billions of dollars, often at the expense of individuals who are unable to afford expensive plans. This profit-driven approach can lead to higher costs for consumers and limited access to quality care.

However, alternatives to expensive health insurance plans do exist. Nonprofit hospitals, for example, play a crucial role in providing affordable healthcare to uninsured individuals through charity care programs. These programs not only offer lower costs for patients but also allow nonprofit hospitals to qualify for tax breaks. This demonstrates the importance of considering alternative approaches that prioritize affordability and accessibility.

Contrary to popular belief, health insurance does not always protect against bankruptcy. Many bankruptcies in the United States are due to medical bills, even for those with insurance. This highlights the need for a comprehensive evaluation of the impact of health insurance on individuals' financial well-being. It is essential to consider the true cost of care and the financial obligations that come with insurance coverage.

The Maryland Experiment is an example of a state system that has successfully addressed some of the challenges in the American health insurance system. This experiment mandated price controls for commercial insurance companies, resulting in reduced healthcare costs and increased efficiency. This approach demonstrates the potential benefits of implementing regulations to control costs and improve the overall quality of care.

One of the major challenges in the American health insurance system is the decision-making process by insurance carriers. Often, these carriers make care and payment decisions without clinical training or evidence-based guidelines. This can lead to inappropriate care decisions, lower reimbursements for healthcare providers, and increased costs for patients. It is crucial to address this issue and ensure that decisions regarding care and payment are based on sound medical evidence and expertise.

In conclusion, the challenges and alternatives in the American health insurance system are complex and multifaceted. Balancing factors such as affordability, accessibility, and quality of care requires careful consideration and evaluation. It is important to recognize the impact of health insurance on individuals' financial well-being and explore alternative approaches that prioritize affordability and accessibility. Additionally, addressing the decision-making process by insurance carriers and implementing regulations to control costs can contribute to a more efficient and effective health insurance system. By understanding these challenges and exploring alternatives, we can work towards a more equitable and sustainable healthcare system for all Americans.

Episode Links

Connect with Emma Fox

Connect with David Contorno

Other Materials

These materials help you promote your podcast. Quotes can be used for audio & video grams or quote cards. Blog and social posts will help your website and social media presence.

enSeptember 05, 2023

Bad Actors

In the complex world of healthcare, issues of inauthenticity and deceptive practices are becoming increasingly prevalent. David Contorno and Emma Fox, seasoned professionals in the industry, offer a unique perspective on this issue. They express their frustration with individuals and companies who claim to support certain healthcare practices without any substantial experience or evidence to back up their claims. Their insights stem from their extensive experience and continuous learning in the healthcare field, which they believe is crucial to navigate the complexities of the industry. They offer their Certified Health Value Advisor course as a solution for those seeking to enhance their knowledge and expertise. Join David Contorno and Emma Fox in this episode of The Healthcare Hangover podcast as they delve deeper into these issues and offer valuable insights and solutions.

Timestamped Outline:

(00:00:02) direct primary care benefits

(00:01:46) Certified Health Value Advisor Course

(00:05:06) Congress reforms

(00:14:54) bad players in the industry

Social Posts:

🎙️ New episode alert! 🎧 Tune in to The Healthcare Hangover podcast as David Contorno and Emma Fox discuss the rise of direct primary care benefits in the healthcare industry. They shed light on the importance of transparency and authenticity when it comes to consultants. Don't miss out on this eye-opening conversation! #HealthcareHangover #DirectPrimaryCare #TransparencyMatters

Looking to level up your healthcare industry knowledge? The Certified Health Value Advisor Course is your go-to resource! Learn from industry experts like David Contorno and Emma Fox, who emphasize the importance of continuous learning. Gain insights on pharmaceutical history, PBMs, and more. Uncover bad practices and solutions. Whether you're a newbie or a pro, this course will keep you engaged and informed. #HealthcareIndustry #ContinuousLearning

📢 Attention all! Congress is discussing reforms to tackle the profit-driven practices of pharmacy benefit managers (PBMs). David Contorno and Emma Fox reveal the deceptive tactics used by PBMs, like claiming to pass on 100% of rebates when they actually keep a significant portion for themselves. These practices have led to inflated costs for employers and patients. PBMs have even generated more profit than entire insurance companies! While reforms are underway, concerns remain about potential higher costs. Stay informed on The Healthcare Hangover podcast! 💊💰 #HealthcareReforms #PBMs #TheHealthcareHangover

Blog Post:

Issues with inauthenticity and deceptive practices in healthcare have become a growing concern in the industry. In a recent episode of "The Healthcare Hangover" podcast, hosted by David Contorno and Emma Fox, the topic of inauthenticity and deceptive practices in healthcare was discussed in detail.

One of the key issues highlighted in the episode was the promotion of direct primary care benefits by consultants who do not have any direct primary care business themselves. This raises questions about the authenticity and honesty of these consultants, especially when they are advising clients who are seeking their expertise. While direct primary care benefits are considered to be beneficial, it is important for consultants to be transparent about their own involvement in such practices.

The episode also shed light on the role of Pharmacy Benefit Managers (PBMs) in health plans and the potential deceptive practices associated with them. PBMs are middlemen who process transactions related to prescription drugs. However, there are concerns about the lack of value they provide and the inflated costs they impose on employers and patients. The financial incentives of PBMs often outweigh other considerations, such as the well-being of patients or the effectiveness of drug purchasing. This can lead to higher costs for employers and health plans.

The lack of transparency and misleading claims made by some PBMs further contribute to the issues of inauthenticity and deceptive practices in healthcare. The episode emphasized the need for reforms to address the profit-driven practices of PBMs. Congress is currently discussing reforms that aim to tackle these issues and reduce costs for employers and patients. However, there are concerns that these reforms may inadvertently lead to even higher costs.

To navigate the complexities of the healthcare industry and address issues of inauthenticity and deceptive practices, the episode recommended the Certified Health Value Advisor (CHVA) course. This course, created by David Contorno and Emma Fox, provides valuable knowledge and solutions for individuals seeking to enhance their understanding of the healthcare industry. The CHVA course covers various topics, including the history of pharmaceuticals and the role of PBMs in health plans. It is a comprehensive resource for those looking to navigate the complexities of the industry and make informed decisions.

In conclusion, the episode of "The Healthcare Hangover" podcast highlighted the issues of inauthenticity and deceptive practices in healthcare. It emphasized the importance of transparency, authenticity, and the need for reforms to address these issues. The Certified Health Value Advisor course was recommended as a valuable resource for individuals seeking to enhance their knowledge and expertise in the healthcare industry. By considering the impact on patients and making informed decisions, healthcare professionals can work towards a more authentic and transparent healthcare system.

Episode Links

Connect with Emma Fox

Connect with David Contorno

Other Materials

These materials help you promote your podcast. Quotes can be used for audio & video grams or quote cards. Blog and social posts will help your website and social media presence.