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"The enlightened have simply realized who is in bed with whom. "
"The enlightened have simply realized who is in bed with whom. "
~ Jonathan Warren
We've been played
We've been played
Your health insurance company, your health provider network, your pharmacy and your pharmacy benefits manager, almost certainly all enjoy the same ownership. They play a shell game of hide-and-seek with the vast funds they control, shielding their treasuries from their own liability, and exposing you instead.
If they don't get you with the premiums, its going to be the co-pays, the out-of-network charges, uncovered prescriptions or denied health insurance claims. Their fail safe is forcing providers to charge you more if you have insurance. This way if you get denied and have to pay cash, they got you for a fortune.
It's never ending, unpredictable, and it's not by accident.
Are you ready to exit the rat wheel?
Americans have finally had it
Americans have finally had it
"The FTC report confirms... Just six companies now control 95% of the pharmacy benefit market, and these Big Insurance-owned middlemen 'profit at the expense of patients by inflating drug costs and squeezing Main Street pharmacies.'"
~Healthcare Uncovered
"Pharmacy benefit managers ... have morphed into giant, vertically-integrated health care conglomerates that exercise control over every link in the drug coverage and delivery chain. ... The three largest PBMs ... manage 80% of prescription drug claims. These PBMs are each owned by a parent company that also owns one of the top five health insurers."
~Sen Elizabeth Warren
"Just three health care conglomerates exert unprecedented control over what medicines patients have access to, what they pay out of pocket, what pharmacies they visit, and the utilization management barriers they face. Patients are often steered towards medicines and pharmacies that make these corporate giants more money."
~PhRMA
Virtual monopolies exist in almost every healthcare sector: from hospitals and health systems to drug companies and private-equity-staked medical practices. With so much consolidation of power and influence, U.S. healthcare has become a conglomerate of monopolies;
~Forbes
You are at risk.
You are at risk.
Anatomy of the Scam
Anatomy of the Scam
A medical service or procedure, an MRI for example, may have cost you $400 if you paid in cash and had no insurance. But your provider is forced to charge $3500 instead, because you have insurance. It works the same way with the pharmacy. And it's a scam.
The overwhelming result of the industry and its lobby has been that the largest insurance companies deny 35% of their claims, while initially refusing payment on 100%. They control the provider networks, refuse payment even when patients are on the operating table or in ICU with approved procedures, putting you at risk. They surprise you with bills for covered care and use intimidation to get you to pay what they owe - to themselves.
Confusion worked. Until now.
Confusion worked. Until now.
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