Tag: administrative waste

The Price is WHAT? (Ep. 38)

The Price is WHAT? (Ep. 38)

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Ralph Weber returns with Part 2 of the Healthcare History Series: The Price is WTP. This episode exposes how hospital pricing got so wildly inflated, starting with the 1929 Baylor teacher’s plan and exploding with the Medicare DRG system.

Ralph and Bill Tucker explain:

  • What the Chargemaster really is
  • Why PPO discounts are misleading
  • The administrative waste that’s costing $1 trillion+
  • Real-world data showing CT scans ranging from $635 to $19,800

💥 This is a must-listen for employers, brokers, and CFOs who want to stop feeding a system that’s rigged against them.

Contact Ralph:
📩 ralph@thebenefitwhisperer.com | 📞 (832) 924-3330
🌐 fixmybenefitsnow.com

Schedule a free consultation with Ralph today: bit.ly/48TGgrH

Why Insurers Profit from Complexity and you Pay the Price with Guest David Scheinker (Ep. 14)

Why Insurers Profit from Complexity and you Pay the Price with Guest David Scheinker (Ep. 14)

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🎧 Episode 14: Dr. David Scheinker on Why Healthcare’s Complexity Isn’t an Accident

This week on The Benefit Whisperer, Ralph Weber is joined by Stanford’s Dr. David Scheinker, a leading voice in healthcare engineering and reform, to break down the $1 trillion in administrative waste baked into the U.S. healthcare system.

From vague insurance denials to year-long billing delays, Dr. Scheinker explains why these inefficiencies aren’t glitches, they’re features of a system designed to protect profits, not patients.

🔍 In this episode:

  • Why it took a year to bill for a pre-approved procedure

  • How AI is being used to fight appeals and deny claims

  • What the mortgage industry can teach healthcare

  • The root cause of system-wide complexity—and who benefits from it

If you’ve ever wondered why fixing healthcare feels impossible, this conversation offers rare clarity—and hope.

For benefits plans that eliminate waste and put employers back in control, visit routethree.com