Surprise Billing Legislation Still Harms the Consumer

Two major pieces of surprise-billing legislation were marked up in their respective House committees : HR 5826 (Consumer Protections Against Surprise Medical Bills Act) and HR 5800 (Ban Surprise Billing Act). Both of which utilize arbitration. There is no reason for this surprise billing legislation!  It's quite simple: hospitals have outsourced their emergency departments (ED)... Read More

Do 50 million people really lose health insurance because of their jobs?

People are jumping on and off the “Medicare for All” bandwagon.  Bernie Sanders uses pieces parts rhetoric to get people in a frenzy.  No Bernie, 50 million people weren’t without insurance. When an employer offering health insurance changes plans, the employees are NOT without insurance.  No Bernie, the employee who leaves their insurance coverage at their former employer (whether voluntary... Read More

GrekTek Announcement: Telehealth Platform Successfully Piloted to Deliver Enhanced Value in Multidisciplinary Care Management

As many of you know, I have a passion for changing healthcare.   It's why I became an investor in and Head of Business Development for Grektek and everbeat.  Please read on for more detail about everbeat's successful pilot with Innovation Health. Engage with me to learn more about everbeat and its ability to change lives through remote patient monitoring. Over... Read More

Support DC Coalition for the Homeless | Stevie Patton’s Success Story

Stevie Patton is a beneficiary of DC Coalition for the Homeless’ (CFH) services.  Starting as a transitional resident, Stevie got a position with an electrical contractor, went to school at nights, and now owns an electrical contractor business.  Through his own fortitude and with the help of CFH, he created his own success. After completing a prison sentence, Stevie was... Read More

Caveat Emptor: Medicare Posts $1.6 Billion Loss

Since the US government has had control over this massive pot of money, how can we expect Bernie’s proposal to be relevant or even a plausible possibility, when Medicare is currently losing money and going to be bankrupt!  According to a recent report, Medicare trustees project “the hospital fund is on track to empty out in 2026, already flunks the... Read More

Crossing the Border for Drug Savings? 1 in 4 Adults Say It Is Difficult to Afford Their Prescription Drugs

Just like my last post about Medicare-for-all and utilization costs…   Foreign travel is an approach one advisor used to control costs for a self-funded client, securing a 6-month supply of medication for a fraction of the cost in the US.  Why are Democrats pushing Medicare-for-All when citizens can source prescription drugs for 70% less in other countries?  We are... Read More

Senators say they’re serious about tackling surprise medical bills

If you have an emergency, you often don’t have a choice about which provider treats you.  HMOs offer in-network coverage only.  High deductible health plans (HDHPs) may or may not have out-of-network options. Hospitals need to set the tone.  When an emergency department hires non-contracted providers, they must accept the insurance carriers with which the hospital is contracted.  If the... Read More

“Medicare-for-all”: The Culprit, Not the Cure

WOW, Medicare-for-all will cost only another $32 trillion!  A drop in the bucket.  We deserve to pay nothing, right? Free healthcare—put it in my basket—I'll take 3 of them! When will proponents of "Medicare-for-all" understand the cost of healthcare is based not on greed, fraud, waste, and abuse (although they do contribute), but rather on our utilization?!  In other words,... Read More

Transparent Hospital Pricing Exposes Wild Fluctuation, Even Within Miles—DMV Area Edition

According to data from Payer Compass, which shows 2013-2015 data for overall ratios of charges to actual Medicare payment for all Medicare-certified hospitals, going to different hospitals close by in the region can result in very different bills., Because of Maryland’s partnership with the Centers for Medicare & Medicaid Services (CMS) between 2014-2016, “all-payer per capital total hospital revenue growth... Read More

Service and Education: The Keystone of Our Mission

Potomac Companies incorporates strategy, software, and service as the core of our broker-consultant relationship.  We use powerful analytics software, along with our CEO’s analytics expertise, to model renewals, new coverage, and funding approaches.  Our signature KISS – Keep It Simple Solution™ program takes technological and administrative approaches to minimizing errors and maximizing efficiencies in HR.  Service is the keystone of... Read More