Tag: employer benefits

Trust, But Verify: Why Your TPA May Be Selling Your Employees’ Data (Ep. 31)

Trust, But Verify: Why Your TPA May Be Selling Your Employees’ Data (Ep. 31)

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Ralph Weber welcomes back Ann Lewandowski to unpack one of the most overlooked threats in benefits: your data. This episode exposes how TPAs and PBMs can legally profit from “de-identified” plan data, why HIPAA offers false comfort, and what transparency should mean in 2025. If you’re a plan sponsor, this is essential listening.

00:00 The Importance of Trust in Benefits

02:35 Understanding Healthcare Operations and Compliance

05:12 Evaluating Individual vs. Group Health Plans

08:10 The Role of Fiduciaries in Employee Benefits

10:45 Identifying Misaligned Incentives

13:18 Trust but Verify: The Need for Transparency

16:08 Employee Trust and Data Privacy

18:56 Wellness Programs and Legal Risks

21:32 The Future of Wellness Litigation

24:16 Data-Driven Decision Making in Healthcare

Guest: Ann Lewandowski

Website: hcrebelalliance.com

Email: ann@hcrebelalliance.com

LinkedIn: linkedin.com/in/annlewandowski

 

Host: Ralph Weber

Website: FixMyBenefitsNow.com

Free Consultation: bit.ly/3WiO5zY

Email: Ralph@thebenefitwhisperer.com

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

 
What If You Could Pay the Hospital with a QR Code? (Ep. 29)

What If You Could Pay the Hospital with a QR Code? (Ep. 29)

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A trillion dollars.

That’s how much the U.S. loses every single year, not on doctors or medicine, but on the billing chaos of healthcare.

In this episode, Ralph Weber unveils something quietly revolutionary: Noverasys. It’s not just a payment system, it’s a reset button for healthcare costs. One where hospitals get paid instantly, patients stop drowning in surprise bills, and employers finally get transparency and control.

You’ll hear how a $240 prescription became $46 in seconds…why hospitals secretly love cash… and what happens when the patient, not the insurer, becomes the payer. This isn’t theory. It’s happening. And it could change everything.

What you’ll discover in this episode:

  • Why traditional insurance payment rails waste billions, and how Noverasys eliminates that inefficiency
  • Real-world examples of instant-pay models saving employers and employees thousands of dollars
  • How QR-code payment systems make healthcare transactions faster, cheaper, and cyber-secure
  • The hidden opportunity for employers to give employees lower costs and more choice while protecting their bottom line
  • And more!

Resources:

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Dave Chase, Co-Founder of Health Rosetta, Exposes the $5 Trillion Healthcare Scam Employers Are Funding (Ep. 18)

Dave Chase, Co-Founder of Health Rosetta, Exposes the $5 Trillion Healthcare Scam Employers Are Funding (Ep. 18)

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Summary

In this conversation, Ralph Weber and Dave Chase, Co-founder and CEO of Health Rosetta, discuss the hidden costs of healthcare and the need for a revolution in health plans. They explore the importance of transparency, data access, and standardization in healthcare contracts, emphasizing how employers can leverage these elements to achieve significant savings. The discussion highlights the role of open-source solutions in democratizing healthcare and empowering employers to take control of their health plans. The conversation concludes with actionable insights for employers to improve their healthcare strategies and resources available to them.

  • Healthcare spending in the U.S. is unsustainable and needs reform.
  • Employers can achieve significant savings by understanding their health plan contracts.
  • Transparency in healthcare costs is crucial for employers to make informed decisions.
  • Open-source solutions can democratize access to healthcare resources.
  • Standardization in healthcare contracts can reduce costs and improve outcomes.
  • Data access is essential for employers to measure the effectiveness of their health programs.
  • Employers have a legal obligation to ensure transparency in their health plans.
  • The healthcare system can be revolutionized with the right strategies and community support.
  • Employers can leverage data to incentivize better healthcare choices for employees.
  • Resources like Nautilus Health can provide valuable tools for employers.

00:00 Unveiling Healthcare Costs

06:11 The Open Source Revolution in Healthcare

14:46 Standardization and Transparency in Healthcare

21:09 Leveraging Data for Better Outcomes

28:11 Empowering Employers with Resources

🔍 Want to fix your plan? Schedule a free consultation with Ralph today at https://tinyurl.com/2xwdxpuy