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August 2020

The Americans with Disabilities Act (ADA) may require employers to provide accommodations to workers who “are using opioids, are addicted to opioids, or were addicted to opioids in the past” and are not currently using the drugs illegally, the U.S. Equal Employment Opportunity Commission (EEOC) said in technical guidance released Aug. 5.

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July 2020

This week on American Radio Journal: Lowman Henry talks with Dave Chase of Health Rosetta about how municipal governments can cut health care costs; Scott Parkinson of the Club for Growth has the Real Story on a congressional primary election upset in Colorado; Eric Boehm of Reason magazine talks with Corey DeAngelis of the Reason Foundation about a U.S. Supreme Court victory for school choice advocates; And, Dr. Paul Kengor from the Institute for Faith & Freedom at Grove City College has an American Radio Journal commentary on how Marxists are hijacking the movement for racial equality.

Listen to the podcast here

City, county and state governments across the United States are staring down an unprecedented fiscal crisis, with the Center on Budget and Policy Priorities predicting a $615 billion revenue shortfall in the next fiscal year.

This budget chasm will dwarf the impacts of the Great Recession, leaving critical services in the crosshairs in nearly every community. Desperate state and local officials are hoping the cavalry is coming from Washington, but another stimulus package is currently stalled-out in Congress.

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Dave Chase, Creator of the Health Rosetta, On to discuss healthcare in the United States.

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May 2020

PUYALLUP, Wash. — More than 1 in 10 people have lost their jobs. Businesses have closed their doors. And the people on the front lines of this COVID pandemic are not spared.

Hospitals and other health care providers are laying off or furloughing their employees too.

The problem that’s leaving medical professionals out of work goes deeper than just the virus keeping people at home.

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You hear someone works in medicine and you think, “Oh that’s an essential job, they’re still working.” But that’s not always the case.

Sound Family Medicine in Puyallup had to temporarily lay off one quarter of its staff because patients just weren’t coming in; people either too scared to go through routine visits or bypassing the clinic.

“We don’t get paid unless they come in,” said Therese Pasquier, CEO at Sound Family Medicine in Puyallup.
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This autumn is shaping up to be one of the most momentous open enrollment/annual renewal cycles that any benefits professional has ever seen.

Already the post-COVID-19 predictions are shaking up the marketplace. One widely publicized report by Covered California predicts insurance premiums could increase by up to 40 percent next year. Those numbers sound terrifying for businesses already grappling with what could be an extended macroeconomic slowdown.

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Health Rosetta Founder Dave Chase developed a method to help self-insured companies reduce healthcare costs. The company also certifies insurance brokers to better represent companies’ best interests in designing health plans.

With millions of dollars for health plans tied up in hidden fees and negotiations, Microsoft Healthcare founder Dave Chase sought to tamp down on growing healthcare costs.

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Dave Chase, creator of the Health Rosetta, On to discuss the Primary Care Marshall Plan for COVID-19. Listen to the podcast here

April 2020

On today’s episode, our guest is Dave Chase, Cofounder and Creator of Health Rosetta. His company provides a blueprint to benefit brokers and managers on how to spend less on employee health benefits while still providing better outcomes for these employees. In theory, self-insured employers should be saving a portion of their normal expenses on health care, but their carriers are preventing that from happening via price gouging and surprise bills. Listen to the podcast here

Let’s talk today specifically about primary care physicians (PCPs) and family medicine doctors. Data was reported in USA Today, saying that an estimated 60,000 family practices will close and 800,000 of their employees will lose their jobs by the end of June. It’s hard for any practice to just snap its fingers and transfer patients over to telemedicine regardless of the reimbursement rate and/or how many payers are actually paying any reimbursement for telemedicine or remote patient monitoring. It’s a thing to go virtual. It requires new processes, different staffing training, different workflows. Plus, a lot of what a PCP does (ie, fielding phone calls with quick questions, for example) aren’t reimbursable; and if they were, no one’s gonna, like, spend half an hour trying to send a bill for $12.

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The majority of state leaders deserve immense praise in their handling of the COVID-19 pandemic. Though doing so had to have been incredibly difficult, they bravely and rightfully decided to close schools, offices, and establish shelter-in-place orders in the absence of federal direction.

There is, however, one more thing they must do to further safeguard the health and wellness of their communities. That thing is following in the Center for Medicare and Medicaid Services’ footsteps and prospectively paying physicians to continue delivering care for the duration of this pandemic.

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This midsize neurology practice was approved for a $509,000 forgivable loan through the Paycheck Protection Program, but the program ran out of money. Now the practice is struggling to survive, its CEO and medical director says.

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A primary care Marshall Plan will involve all health insurers, plus the business leaders and state and local government officials who sign their contracts, to move to prospective payment (versus after-the-fact billing). By looking at what they paid for their beneficiaries’ primary care needs last year and awarding those physicians the same amount, insurers and plan sponsors will quite literally be investing in the nation’s future health and wellness.

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Primary care physicians are facing challenges that threaten their very existence, and despite pivoting to virtual health and making other changes, they face a massive drop in volume and revenue. As a result of the financial cliff, some physicians are pushing for a new way to pay for primary care. “I am convinced that when we get on the other side of the pandemic, the care delivery system is fundamentally going to change, but it is going to be a really painful trip getting through the pandemic,” says Tom Banning, Texas Academy of Family Physicians CEO, who has been working on what he calls a “Marshall Plan” to save primary care. Read the rest of the article here

March 2020

The email that showed up unexpectedly one day in February 2017 in the inbox of Roger Krone, the CEO of the large McLean, Va.-based national-security contractor Leidos, had a subject line that read, simply: “A father’s request.”

The employee who sent the email—John Hindman, a public affairs adviser—leapfrogged the normal chain of command in going straight to the chief executive of a 33,000-employee Fortune 500 company. But Hindman’s anguish over the death of his 30-year-old son, Sean, who’d died the previous September from an overdose after battling an opioid addiction, convinced the employee that it was worth any risk to plead with his boss to do something about the opioid epidemic.

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From one way of looking at it, the big carriers are caught in the middle, between the providers that aggressively raise their prices each year and the employers or individuals who are starting to realize that there’s no bottom to the pit into which they throw their premiums and deductibles each year.

On the other hand, no one in the U.S. healthcare system has been better-positioned to use their combined purchasing power to force delivery organizations to finally focus on the value of the services they provide than those same large carriers. Yet, over and over, they’ve been happy to pass those escalating prices on to the people paying their premiums – with just enough of a markup to ensure their own profits aren’t at risk.

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TELL US, WHO ARE YOU AND WHAT DO YOU DO?

At Health Rosetta we power the health plans of your dreams: high quality, trustworthy, local, affordable care — that you thought had disappeared forever — from caregivers we know and trust. We free up compassionate, well-trained, community-based caregivers to rediscover love in medicine so they can do what they have always been called to do: serve their patients not just in disease, but toward their fullest health.

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On the one hand, Amazon is no different from other large employers, wrestling with the healthcare benefits cost demon that squeezes both its bottom line and employees’ take-home pay. On the other, no company beyond Walmart has proven better at squeezing costs out of flabby legacy business models.

Amazon’s new virtual health clinic, Amazon Care, allows the company’s Seattle employees to consult with physicians online, schedule follow-up appointments and even set up prescription drug delivery. Once the kinks are worked out of this system, you can bet the farm that Amazon will be figuring out a way to offer similar services to the company’s 300 million active customers.

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Americans are worried, and the financial markets are terrified. The number of detected individuals with coronavirus (COVID-19) is ticking upward, schools are closing, lawmakers are considering price-gouging legislation and waiving fees to encourage the poor and uninsured to get tested, and more and more people have converted from, “This coronavirus thing is overblown” to, “This is a grave concern.” Read the rest of the article here

Ep. 36 — A succession of friends dying early propels a hospital revenue cycle consultant to rethink the foundation of American healthcare / Dave Chase, Creator, Co-Founder, and CEO of Health Rosetta. When Dave Chase turned 40, he was stunned to realize that nearly a dozen of his friends all around his own age had died due to health problems. One in particular hit him the hardest, a successful executive who got cancer. “And really, at every step of the way the system failed. I mean, she got the wrong diagnosis which led to the wrong treatment plan,” says Chase. “Ultimately, this devastated her physically, financially, mentally, and she ultimately passed, she left behind a 10 year old daughter, and she was a single mother.

Listen to the podcast here

February 2020

Helping employees choose the right health benefit plan for their needs can result in cost savings for both employees and employers.

Findings of a DirectPath survey show benefits brokers are being relied on to help with the enrollment process, as 45% said their employer clients “highly rely” on them for help managing open enrollment. In particular, brokers said their employer clients are looking for more help with benefits communications (92% in 2020 versus 81% last year), engaging employees on benefits choices (87% vs. 80%), and selecting the right plans for employees (81% vs. 73%).

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In August 2019, the state treasurer of North Carolina, Dale Folwell, used reference-based pricing to try to save the state and its employees on healthcare. This would have allowed the state to pay hospitals a flat 196% what Medicare would for services delivered to North Carolina teachers and employees. Some hospitals and health systems signed on, but many didn’t, prompting Folwell to compromise and allow resisters to remain in network.

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January 2020

Major health insurers are forcing small and mid-sized employers to use the insurers’ pharmacy benefit management services, a move that is preventing the employers from taking steps to reduce their medication costs.

Benefits consultants and insurance brokers say insurers like Aetna Inc. and Cigna Corp. are keeping employers from reaping sizable savings, in some cases by threatening them with punitive administrative fees if they abandon the insurers’ PBMs.

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Here are six principles employers and benefits advisors should consider as they create health plans that put patients first.

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This year will see some major transformations in healthcare benefits. In the past, employers would complain about annually increasing premiums but would nevertheless sign on the dotted line. My suspicion is that this year — and this decade — will see much less of that.

That’s mostly because some of the biggest and most beloved brands — Amazon, Apple and Walmart, for example — have already taken the lead, showing employers of similar stature that they can choose a different path and take healthcare into their own hands.

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The hospital chargemaster list is the latest political hot potato to be gingerly handled by the Trump administration. With new disclosure requirements scheduled to take effect in 2021, the Centers for Medicare and Medicaid Services intends to provide health care consumers access to data never before made public in an effort to help them make better decisions concerning their health.

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December 2019

The longest economic expansion in U.S. history continues to provide minimal returns for a large portion of the workforce, with very little wage growth for the working and middle class. Little has been done to boost attainment of the American Dream.

Across the country, American workers are demanding higher pay. And with continued low unemployment, they should have the power to force their point. Unfortunately, the problem for many employers is that while they are seeing revenue growth, much of that new money that could be directed toward employee wages is instead propping up increasingly unaffordable employee benefits.

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As credit unions search for cash to fuel important initiatives like recruiting talent, boosting salaries and investing in new technology, larger organizations may find an unlikely source: their own spending on employee healthcare.

According to the latest data from the Kaiser Family Foundation, the norm is for employers to spend almost $7,000 for single coverage and $20,000 for family coverage annually per employee. However, there are creative ways for employers to spend significantly less—while improving the quality of care their employees receive.

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November 2019

This month, we heard from Dave Chase, Josh Quaas and Ed Yap who told us that the government should ensure that prescription medications are both affordable and safe.

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October 2019

This article explores why telehealth and telemedicine are not adequate fixes to improve the quality of healthcare for employees. Healthcare entrepreneur Dave Chase shares the reasons why employers should strive for value-based care instead, writes Dave Chase, Co-founder, Health Rosetta

Today’s HR department is rapidly changing, with healthcare being one of its greatest drivers.

According to a new report from the Society for Human Resource Management (SHRM), 20% of employers increased their healthcare spending last year, with the majority (83%) sharing some of those increases with their employees.

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Musculoskeletal conditions are among the top expenses for employee healthcare benefits, accounting for about a third of all worker injury and illness cases, according to the Occupational Safety and Health Administration (OSHA).

With healthcare costs projected to rise 4.9% in 2020, according to Willis Towers Watson, many large companies are ready to try something new. They plan to spend more upfront to try to prevent higher costs later on. For conditions like chronic back pain, that means trying to prevent injuries or treat them with innovative physical therapy to avoid surgery and potentially, opioid additions.

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Proposals to combat surprise medical bills[1]. An executive order calling for greater transparency[2]. Debate about what “Medicare For All” could mean for both employees and employers[3]. People have grunted and groaned about health care costs for years, but the public appears to have finally reached their breaking point. Individuals aren’t afraid to speak out[4] about prices for medical services and prescriptions that are inflated for no good reason — we often pay two to three times other countries for the same services with the same or worse outcomes while inflicting severe financial harm for the working and middle class. Their rallying cry has caught the attention of the Congress and the current administration. Read the rest of the article here

We’re seeing the same trend play out all across the country: employers are struggling to offer the same quality health care coverage due to ever-increasing premiums. (Photo: Shutterstock)
All Americans can appreciate what members of the United Auto Workers (UAW) union were after during their most recent, weeks-long strike—the lengthiest since the 67-day stoppage in 1970—increased wages, better benefits and job security.

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One of the side effects of a broken healthcare system is that there isn’t enough fertile ground for innovation. How can innovators choose the most viable business models and go-to-market strategies? Where can we optimize and accelerate within the system in order to create growth? How can we rise above all the noise in the market?

On this episode, healthcare entrepreneur, influencer, and Health Rosetta co-founder, Dave Chase shares how to solve the key issues that hinder successful commercialization.

Listen to the the podcast here

September 2019

“Without advantages such as a larger pool of insured employees, more bargaining power with health insurance companies, and the benefit of full-time human resources personnel, small-business owners are often left with little recourse and few options when a health insurance carrier hikes costs,” says The Commonwealth Fund. In the first half of 2019, it conducted three phases of research: key informant interviews, two focus groups, and a national survey of 500 small employers. The survey revealed that health care costs are top of mind for small businesses. When asked to choose their top two challenges, they cited the cost of providing health coverage to employees (37%) and attracting new customers (33%). Read the rest of the article here

Dave Chase, author of The CEO’s Guide to Restoring the American Dream, The Opioid Crisis Wake-Up Call, and Co-Founder of Health Rosetta, was in Chicago recently speaking at Jellyvision’s Big Ideas Summit.

Dave spoke on the state of healthcare in Chicago — why costs keep rising, the overprescription of opioids, lack of high-quality doctors, and how we begin to fix all of this.

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August 2019

Healthcare Affordability Advocate and Founder of the Health Rosetta Dave Chase joins the podcast. Author of two 5 Star ranked books on Amazon, The CEO’s Guide to Restoring the American Dream and The Opioid Wake Up Call. Dave shares how his journey from being one of the earlier healthcare pioneers at Microsoft led him on an entrepreneurial journey in pursuit of driving the healthcare costs of businesses down by up to fifty percent.

Listen to the the podcast here

Health care insurance can cost businesses nearly $20,000 per employee, adversely affecting the bottom lines of small businesses.

Pacific Steel & Recycling, Great Falls, Montana, in 2014 made some changes to its health insurance options to help combat escalating health care costs. Pacific Steel & Recycling is an employee-owned company (also known as ESOP, which stands for employee stock ownership plan). A few years ago, Tim Culliton, chief financial officer at Pacific Steel & Recycling, along with the executive team recognized that the company and its 800 employees were spending way too much money on health care.

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July 2019

Pharmacy benefit managers (PBMs) have been under fire for some time now. Many of these middlemen have been retaining the rebates they’re expected to share with insurers—so much so they’ve garnered national attention. Read the rest of the article here

In its most simple form, the role of a benefits broker is to help individuals, especially employers, navigate the murky waters of health plan purchasing.

Some brokers have been able to steer clients toward calmer waters where year-over-year spending has decreased or stayed stagnant, but others have unfortunately sailed them right into the eye of the storm, where premiums increase anywhere from 5 percent to 20 percent per year with no additional perks.

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June 2019

Within the last couple months, President Trump reiterated his intention to end the opioid crisis, notably adding, “we are holding big Pharma accountable.”

Drug manufacturers and pharmacy benefit managers (PBMs) were already feeling pressure prior to Trump’s recent announcement, and it looks like that dark cloud isn’t going away any time soon. In a recent poll by the Kaiser Family Foundation, 68% of Americans said they wanted Congress to do more to reign in high prescription drug prices, and legislators on both sides of the table are listening and taking action. This is especially true where the opioid crisis is concerned—recently, almost 60 clinicians and pharmacists were charged by federal prosecutors for allegedly pushing opioids and committing healthcare fraud.

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Topic: The Opioid Crisis

It is reported now that more Americans are killed by the opioid crisis than die in car accidents. Dave Chase is the co-founder of Health Rosetta and author of the new book, The Opioid Crisis Wake-up Call. He notes that this crisis begins with overprescribing. Dave Chase says, “The overprescribing epidemic is a direct result of our broken healthcare system, and the extraordinary amount of fraud we’re seeing is unacceptable. The fact that it’s gone undetected for so long is a testament to our healthcare system at large. American lives are at stake. If medical professionals push opioids like drug dealers, they are no better than your local drug dealer on the corner—they must be stopped if we’re ever going to solve this catastrophe that’s been plaguing our nation for years.” Dave Chase joins Jerry Newcombe to discuss America’s opioid crisis.

Listen to the the podcast here

The National Association of Attorneys General (NAAG) Midwestern Region held a one-and-a-half-day meeting in Omaha, Nebraska. The meeting, hosted by Nebraska Attorney General Doug Peterson, who serves as Chair of the NAAG Midwestern Region, focused on “Confronting Health Care: The State’s Role in Combating Rising Costs and Ensuring Quality Care for our Constituents.”

One of the invited speakers was Dave Chase, author of The CEO’s Guide to Restoring the American Dream and co-founder of Health Rosetta, a nonprofit that promotes reform for the dysfunctional U.S. healthcare system. Dave knows healthcare stole the American Dream, but knows how we can take it back.

Listen to the the podcast here

In this interview with Dave Chase, we discuss the foundation of his organization Health Rosetta, and how they are helping to shape and solve healthcare. We discuss the opportunity employers have to implement principles that could materially change healthcare for their employees and also alleviate many of the financial challenges that are bankrupting individuals. (Approx 70% of all bankruptcies are for healthcare related issues and from that over 90% of these bankruptcies are from individuals that have insurance.) You should be concerned as an employer by the current state of healthcare and also inspired by many of the solutions available NOW to empower a framework for your organization that not only improve benefits, but do so at a lower cost.

Listen to the the podcast here

May 2019

America’s mayors are in the spotlight again, led by South Bend, Indiana’s Pete Buttigieg, the Afghanistan War veteran, Rhodes scholar and former management consultant who just formally announced his 2020 run for president.

Buttigieg is a Democrat with bipartisan appeal based on a track record of competent management during an era much more focused on partisanship. The community had been struggling since the South Bend Studebaker auto plant closed in 1963, leading to high rates of unemployment that lasted for decades and forced many residents out of their homes.

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Employers are struggling in their efforts to support employees with mental health and substance abuse issues, and they aren’t confident in their ability to provide appropriate accommodations, according to additional information from The Standard’s previously released Absence and Disability Readiness Index.

Only 29% of the 501 surveyed HR decision-makers reported feeling very confident in accommodating employees’ mental health conditions, with only 28% feeling very confident in accommodating employees with drug addictions, the report found.

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Today’s episode is an interview with author Dave Chase. His latest book focuses on the Opioid Crisis. The opioid crisis is not an anomaly. Instead, it’s a self-inflicted wound, driven by a catastrophically dysfunctional health care system, leading to what has become the largest public health crisis in 100 years. Fortunately, proven antidotes exist — all created and spearheaded by forward-looking citizen leaders and employers.

Listen to the the podcast here

April 2019

Three-quarters of U.S. employers said they have been directly affected by employee opioid use, but only 17% said they feel “extremely well prepared” to deal with it, according to a new study from the National Safety Council (NSC).

More than a third (38%) said they have experienced absenteeism or impaired worker performance because of opioid use and 31% reported an overdose, arrest or an injury because of opioid use.

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This week’s truth comes from Dave Chase. Dave is a venture capitalist, author, serial entrepreneur and a healthcare advocate; he also created Health Rosetta. Dave talks to us about his journey and the personal/professional truth that put him on the path of working to right the wrongs within the healthcare industry. Dave believes that we have, both. the best and worst qualities of healthcare in this country. The best showing up in the brilliance and care of our doctors and nurses, and the worst being the greed and corruption that exists within the system. He shines light on a lot of the myths about the industry and shares with us his 3Cs; a cost effective approach to health care.

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The recent growing number of opioid abuse in the workplace has raised alarm over claims of intervention by employers through Employee Assistance Programs (EAPs). Lack of substantial evidence has forced many into arguing that employers are rather using EAPs to justify other causes and not as supportive as claimed. But how can employers effectively use EAPs to combat this growing drug abuse in the workplace?

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Go online and you’ll find plenty of lists of health care startups to follow. These upstarts have names like Healx, Helix, Hu-manity.com, HabitNu … and those are just a few of the “H” newbies.

Everyone seems to have their favorites. But which horse to back? It’s a tricky business, this founding or funding a health care company, or releasing a new product or service under the auspices of an existing firm. Those employers concerned with health plan design and cost, and the quality of care, want innovators that claim they can lower costs and improve outcomes. But they also want some sort of track record. And many think startups younger than three years are barely worth watching.

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When faced with the annual challenge of ever-increasing health insurance premiums, many employers succumb to what they feel is their only option: raising already-high employee deductibles to offset costs.

Employers can’t keep doing this, especially in light of a survey by the Association of International Certified Professional Accountants that says 80% of workers would choose a lesser-paying job with good benefits over the same job with no benefits but 30% more salary. Providing better benefits is something employers simply have to do to stay competitive — but it isn’t always easy due to the high cost of status quo coverage options.

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The opioid crisis roller coaster continues. And if all the events leading up to this point were just us slowly progressing bit by bit up the steepest incline, we might have just reached the tipping point.

This week, 60 medical professionals and pharmacists were charged for their role in pushing excessive opioid prescriptions—more than 350,000 scripts and 32 million pills—and committing healthcare fraud. Assistant Attorney General Brian Benczkowski, head of the Department of Justice’s Criminal Division whose Appalachian Regional Prescription Opioid Strike Force conducted the investigation, said, “You can rest assured, when medical professionals behave like drug dealers, the Department of Justice is going to treat them like drug dealers.”

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In this episode Ron talks to Dave Chase. Dave is the co-founder of Health Rosetta, which aims to accelerate the adoption of simple, practical, nonpartisan fixes to our health care system. He is also the author of “The CEO’s Guide to Restoring the American Dream.” (Health Rosetta Media, September 2017). Here they talk about a wide variaty of topics such as benefits brokers, the future of healthcare, and more.

Listen to the the podcast here

March 2019

Employers have been unknowingly contributing to the nation’s opioid crisis by paying too much for poor benefits. Now is the time to act, writes Dave Chase is co-founder of Health Rosetta.

With the opioid crisis dominating today’s news cycle, it’s easy for employers to believe it’s an issue far bigger than themselves. But the reality is it isn’t.

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What’s the potential for retail clinic utilization? That depends on the pace of the cultural shift taking place in health care.

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You’ve probably heard the mind-blowing statistics: Every 13 minutes, someone in the U.S. dies of an opioid overdose. The total reached a record 72,000 deaths in 2017, the CDC reports, making prescription pain medications like Oxycontin, Vicodin, and the synthetic opioid fentanyl even bigger killers than diseases like diabetes. Addiction to pain pills is so widespread, across every U.S. age, race, and income group, that it’s nearly impossible to say how many Americans are quietly struggling with it.

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Last month, one furloughed government worker made national headlines by saying she had to ration her insulin because she couldn’t afford her co-pay, nor the ER bill, during the government shutdown. Recalling a day where her blood sugar was high, she admitted, “I just went to bed and hoped I’d wake up.”

This is not how health care should work. And yet, Mallory Lorge is not the only American to have faced such a decision.

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Blame runs far and wide for America’s addiction crisis, but where does individual responsibility factor in? The question (and answer) has been largely absent in the compassion-driven campaign to save lives from opioids in the past several years.

As overdose deaths skyrocket, largely due to excessive demand for the deadly, hyper-infused opioid Fentanyl, Americans have become desperate.

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At some point in their lives, 80 percent of adults will experience lower back pain. It’s the second most common reason that adults see a doctor and the most common reason for disability. It’s also a microcosm of all the things that are wrong with the U.S. health care system, including its contribution to the opioid crisis.

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At some point in their lives, 80 percent of adults will experience lower back pain. It’s the second most common reason that adults see a doctor and the most common reason for disability. It’s also a microcosm of all the things that are wrong with the U.S. health care system, including its contribution to the opioid crisis.

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Employers, from whom more than half of Washingtonians get their health insurance, are also struggling to keep up with escalating costs — and not just in the private sector. Even municipalities feel the pressure, and many have been forced to make difficult decisions that negatively impact their employees, such as raising deductibles to offset costs.

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February 2019

In response to today’s opioid crisis, the Food and Drug Administration is pushing for naloxone, an overdose-reversing nasal spray, to become available to patients over the counter.

With more than 130 Americans dying each day from an opioid-related drug overdose, according to the US Department of Health and Human Services, making naloxone readily available is one way to prevent death.

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In a tightening labor market, employees expect (and receive) higher salaries and better benefits. Businesses must find innovative ways to stay competitive and attract top talent. This can be especially difficult for small business with limited financial resources. With a record number of Americans quitting their jobs — up to 3.3 million in 2018 — now is the time to act.

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We hear much grunting and groaning about millennials – their addiction to cell phones, social media and the tendency to hop from one job to the next – but the one thing they do very well is disrupt the status quo health care system by refusing to settle for slow, low-quality care that costs more every year.

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The pitches to the health insurance brokers are tantalizing.

“Set sail for Bermuda,” says insurance giant Cigna, offering top-selling brokers five days at one of the island’s luxury resorts.

Health Net of California’s pitch is not subtle: A smiling woman in a business suit rides a giant $100 bill like it’s a surfboard. “Sell more, enroll more, get paid more!” In some cases, its ad says, a broker can “power up” the bonus to $150,000 per employer group.

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The insurance industry gives lucrative commissions and bonuses — from six-figure payouts to a chance to bat against Mariano Rivera — to the independent brokers who advise employers. Critics call the payments a “classic conflict of interest” that drive up costs.

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January 2019

People are standing by today’s disastrous status quo healthcare system, and quite frankly, it’s nonsensical.

Rather than defending something that is clearly broken out of fear that change will make things worse—though it’s hard to imagine how—it’s time to stop seeking security in tradition and enact change.

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Since 2013, 66 percent of employers have increased their health and wellness program offerings — on-site fitness centers, yoga classes, massages — and 67 percent plan to offer even more over the next five years.

These wellness programs and initiatives have picked up speed and popularity, becoming the trendy “one-stop solution” that employers can implement to check “employee health” off their to-do lists. Unfortunately, there is little research to support the efficacy of these programs.

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As was the case for most of the last couple decades, the cost of health care continued to climb in 2018. This past year, the average employer-sponsored family plan, according to the Kaiser Family Foundation, approached $20,000, and there’s yet another five percent increase expected for 2019.

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The opioid crisis in the U.S. continues to gain attention, but it’s not going away. For recruiters and employers, acknowledging how the crisis is affecting, or will soon affect, their workplaces will be crucial. According to a survey by The Hartford, 67 percent of companies either have been or will be affected by opioid use.

That impact is largely monetary; in fact, the survey found that 65 percent of HR professionals said they’ve seen opioids have financial consequences on their company due to increased health care spending and employee productivity losses.

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The recent growing number of opioid abuse in the workplace has raised alarm over claims of intervention by employers through Employee Assistance Programs(EAPs). Lack of substantial evidence has forced many into arguing that employers are rather using EAPs to justify other causes and not as supportive as claimed.

Read the rest of the article here

With 29 percent of workers planning to leave their jobs in 2019, according to a survey from the American Institute of CPAs (AICPA), employers need to understand how to get employees to stay.

One key to retention: benefits.

The AICPA survey found that 80 percent of people would choose a job with better benefits over a job with better pay but no benefits.

In the midst of a tightening talent market, here are three reasons why companies must improve their benefits packages today:

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When Joey Huang, co-owner of Great Lakes Auto Network in Ohio, looked at the cost of providing health care insurance to his almost 300 employees, he figured there must be a cheaper alternative.

What he found — self-funded insurance — has cut employees’ premiums by thousands of dollars a year, saved the group more than $1.8 million over six years and helped Great Lakes expand from three dealerships to six, doubling its work force along the way.

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  • Walmart and CVS Caremark are splitting over a price dispute, CVS announced Tuesday.
  • CVS Caremark is CVS Health’s pharmacy benefit management (PBM) division.
  • The news means that many people who have CVS Health drug plans will no longer be able to pick up their prescriptions at Walmart locations.

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People who don’t understand how their health insurance works are more likely to avoid care. Low health insurance literacy can lead to people skipping basic care, like cancer screenings, according to a new study.

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We all know there is strength in numbers, but when it comes to purchasing health services, how do numbers translate into buying power? More specifically, health care buying power? Can any organization become part of a purchasing consortium, or are effective health coalitions limited to major employers that can bring thousands of plan members as a bargaining chip to the benefits table?

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The days of long waits at the doctor’s office have been replaced by a completely opposite, but perhaps even more troubling problem.

A ‘revolving door’ mentality has led patients to feel as though their problems aren’t being properly addressed by their primary care provider. Combined with costs, it’s one explanation for recent data from the Health Care Cost Institute that states office visits to primary care providers dropped 18 percent between 2012 and 2016, while visits to NPs and PAs jumped 129 percent in that same time frame.

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A new survey by The Hartford found 65 percent of HR professionals recognize the opioid crisis is affecting their business, but the majority have not been trained on how to deal with addiction in the workplace.

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A health care expert predicts 2019 will be marked by a backlash against high deductibles as consumers fear accessing health care because of rising out-of-pocket costs.

Dave Chase is co-founder of Health Rosetta, which certifies benefits advisors to help their employer clients save money on employee benefits by improving the plans they offer their workers. He also is author of The CEO’s Guide To Restoring The American Dream.

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Dr. Jeanette welcomes Dave Chase, co-founder of The Health Rosetta and author of The Opioid Crisis Wake-up Call; Health Care is Stealing the American Dream. Here’s How We Take it Back, to discuss the chaos that is now occurring in the healthcare system.

“It is the time of implosion of healthcare” Dr. Jeanette

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The opioid crisis in America is considered by many to be the worst national public health crisis in the last 100 years. In his new book, The Opioid Crisis Wake Up Call: Health Care is Stealing the American Dream. Here is How We Take It Back (Health Rosetta Media, 2018), Dave Chase dives into the history and causes of the crisis and outlines a path towards fixing it. Dave takes a thoughtful look at our dysfunctional healthcare system and sees ways it can be fixed using technologies and strategies that are already in use at some organizations. He talks about ways to eliminate waste and corruption while restoring hope to the American public.

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Today’s opioid crisis is one of the most dire side effects driven by our dysfunctional U.S. healthcare system. A recent JAMA Surgery report found that many surgeons prescribe four times more opioids than their patients use. This opens the door for misuse and abuse later on. In fact, the total combined cost of misuse, abuse, dependence and overdose is about $78.5 billion.

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Medical tourism, or medical travel, historically appealed to either wealthy travelers or those unable to access experimental treatment in the U.S. Now, more brokers with self-funded clients are exploring medical travel as a benefits package option. It isn’t for everyone, but in the instances where it does fit, employers and employees can both realize consideration savings without settling for lower quality care.

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December 2018

When companies try to tackle rising healthcare costs, shifting more of the burden to employees is increasingly the strategy of choice. But Activision Blizzard, an entertainment company that employs more than 6,000 people in the United States, has been spending less on healthcare than projected for the last few years, in large part because it is offering better options for cancer care. Read the rest of the article here

December is a month for celebration, reflection and expectation. We decided to leave the first two to others and focus on the year to come in five categories: technology, plan design, management, cost control and broker business.

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Page 16 quick link

In this episode we’re rejoined by another veteran of the program. He’s here for an encore appearance to tell us all about a new book that he’s released. He is the one and only, Dave Chase. Dave was the CEO and Co-founder of Avado, which was acquired by & integrated into WebMD & Medscape.

Listen to the Interview here

Joe Madison the Black Eagle

Dave Chase, author of “The Opioid Crisis Wake-Up Call,” joined Joe Madison to explain how the crisis is affecting the lives of Americans all over the country, and what can be done about it.

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2018 was an undeniable year for millennial interest in finance, financial planning, saving and budgeting. In fact in The Pinterest 100, Pinterest’s annual December list of the 100 trends for the coming year, they reported these search terms would continue to be of interest in 2019. They added to the list weekly savings planners, as they are “helping people cut corners, pay off debt and even save up for something nice,” and searches for “52-week savings plan” were up +295%. Read the rest of the article here
With a tightening labor force and the unemployment rate at a mere 3.7%, employers are chasing the talent—not the other way around. Not only that, but it’s getting more difficult to keep the most capable workers around. Since 2015, there have been more job openings than new hires, which means unhappy employees have more opportunities to find a new position. Read the rest of the article here

Fidel Castro is dead. Donald Trump was elected president. And to most outsiders, the fate of Cuba has never seemed more uncertain. Yet those who look close enough may recognize that signs of the next revolution are etched in plain view.

This is Cuba is a true story that begins in the summer of 2009 when a young American photo-journalist is offered the chance of a lifetime―a two-year assignment in Havana. For David Ariosto, the island is an intriguing new world, unmoored from the one he left behind.

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November 2018

Healthcare is incredibly complicated. And it’s weird, because I almost take comfort in the confusion. If my doctor says things I don’t understand, part of me thinks, “Alright, well, they should be smarter than me. The fact that I’m confused is probably a good thing.”

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They call themselves consultants rather than brokers. They intend to make their money ultimately by delivering measurable value to clients, rather than taking fees for services that may or may not be in the client’s best interests.

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Self-Insuring Public Employers Provide a Roadmap for Changing the Course of Health Care

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We’ve scouted the web for healthcare influencers with a robust social media presence and put together the list below of the top Healthcare Influencers of 2018.

Our goal for this list is to present helpful tips right from the healthcare experts themselves. We found that the influencers listed have outstanding credentials, expertise, and skills pertaining to the healthcare industry, as well as an impressive quantity of social media followers.

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Listeners may recall, I have previously discussed the opioid epidemic this past February 2 with Dr. Steve Passik concerning abuse deterrent formulations and on November 16, 2016 with Dr. Ann Lembke regarding her work, “Drug Deal MD.” Tragically, the opioid epidemic continues unabated. In 2017 there were 72,000 drug overdose deaths, among these 29,000 were from synthetic opioids, predominately fentanyl. Listen to the interview here

The opioid crisis is the single greatest public health catastrophe in the last 100 years in the U.S., and the epidemic has reached epic proportions. According to the Centers for Disease Control and Prevention (CDC), more than 72,000 Americans died from drug overdoses in 2017 — a twofold increase in drug-related deaths over the past decade, which included overdoses from both illicit and prescription narcotics.

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Moments with Marianne

Dave Chase is co-founder of Health Rosetta, which aims to accelerate the adoption of simple, practical, non-partisan fixes to our health care system.

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During the recent midterm elections, voters identified health care concern as their number one issue. Virtually everyone agrees the country needs health care reform, but not on how to accomplish that. Dave Chase is the co-founder of Health Rosetta, which has been described as “a non-profit which accelerates adoption of simple, practical, non-partisan fixes to our healthcare system.” Chase is also the author of the recent book, “The Opioid Crisis Wake-up Call.” Dave Chase joins Jerry Newcombe to discuss common sense and conservative approaches to health care reform in this country.

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October 2018

Opioids are killing many Americans today, and the problem appears to be getting worse. Dave Chase is the author of The Opioid Crisis Wake-up Call and the founder of Health Rosetta, a non-profit groups that strives for non-partisan fixes of our health care system. Referring to recent attempts in the Senate to fight the problem, Chase said recently, “We need to think bigger than this legislation if we want to get a real handle on the opioid crisis.

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The broken U.S. healthcare system is stealing the American Dream from all of us. Millennial parents in particular will see half to two-thirds of their lifetime earnings going to healthcare if we don’t change the status quo. Already, 50% of millennials avoid seeing the doctor to cut costs.

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The opioid crisis is a national health emergency, but some states are hit harder than others.

California, Rhode Island, West Virginia, Kentucky and Florida suffer the most from opioid abuse, according to Fair Health, a New York-based nonprofit market research firm that analyzed 26 billion privately-billed medical and dental insurance claims from 2002 until 2017.

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The opioid crisis can be understood in a lot of different ways. It’s been described as a failure of policy, the collateral damage in the pursuit of irresponsible profits, or just the latest trend in an eons-old cycle of addiction. But one area that has not received enough scrutiny is the very nature of how healthcare is delivered and paid for in the United States.

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Opioids are still causing harm the people and we speak with Dave Chase, co-founder of Health Rosetta, to talk more about it and the harm it has caused.

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In response to pressure from the White House and the growing number of opioid-related deaths in the United States, the Senate recently passed sweeping legislation with the goal of combating the opioid crisis. Read the rest of the article here

Our guest on this episode is Dave Chase, the Co-Founder of the Health Rosetta. The Health Rosetta an open-source blueprint for the next generation’s health ecosystem that is focused on replacing our current system’s flawed practices and reversing the health care status quo.

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The most persistent myth in healthcare is that high cost equals high quality. It’s a proposition that holds across a great many products that are bought and sold in actual, functioning markets — but that’s not a description that applies to the U.S. healthcare industry

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The opioid crisis is not an anomaly. Instead, it’s a self-inflicted wound, driven by a catastrophically dysfunctional health care system, leading to what has become the largest public health crisis in 100 years. Fortunately, proven antidotes exist — all created and spearheaded by forward-looking citizen leaders and employers. It’s time to scale these solutions nationwide, stop the crisis in its tracks and move us light years closer to solving the larger disaster that is our health care system.

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Our guest on this episode is Dave Chase, the Co-Founder of the Health Rosetta. The Health Rosetta an open-source blueprint for the next generation’s health ecosystem that is focused on replacing our current system’s flawed practices and reversing the health care status quo. Watch the Interview Here

September 2018

The immense human toll of the opioid epidemic has policymakers at every level of government grasping for solutions. Unfortunately, the same sense of crisis that can help spur action has also led to poor policy proposals that threaten to do more harm than good.

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Dave Chase is – among other things – the author of a new book – The Opioid Crisis Wake-up Call. This book is available as a free download at healthrosetta.org. In it, he talks about how the healthcare system is contributing to the opioid crisis in this country and how some large companies are combatting this. It’s a different perspective on the whole addiction epidemic in this country.

Listen to the full interview here

3 Compelling Hours of Experts, and Authors Pursuing The Truth No Matter Where It Leads.

Senate Agrees on Opioid Crisis Response Act. Author of The Opioid Crisis Wake-up Call and co-founder of Health Rosetta, a non-profit which accelerates adoption of simple, practical, non-partisan fixes to our healthcare system talks

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The Senate passed a bipartisan legislation package that would take a multi-pronged approach to combating the opioid epidemic Monday.

The package will need to be reconciled with similar legislation passed by the House of Representatives in June, and legislation sponsor Tennessee Republican Sen. Lamar Alexander said he hopes the president will sign the measure into law in early October, reported NBC.

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Here comes a counterargument to two widely held opinions: that the U.S. healthcare system is broken, and that we are losing the battle against the opioid crisis.

Instead, Dave Chase says, healthcare is already fixed because solutions exist to the industry’s biggest dysfunctions – and he has specifics to prove it, such as places in the U.S. that are turning around the opioid problem around entirely.

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As the Senate takes up a large package of bills intended to help address the opioid crisis, attention has momentarily shifted away from the group that could do more than anyone else to end this scourge: employers who still pay to cover most of America’s working-age adults. Read the rest of the article here

Dave Chase, co-founder of the Health Rosetta and Author of The Opioid Crisis Wake-Up Call: Health Care Is Stealing the American Dream. Here’s How We Take It Back.

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We all know that the opioid crisis we are currently facing is unlike anything we have seen before. Dave Chase, co-founder of Health Rosetta, authored a new book, The Opioid Crisis Wake-Up Call, about “upstream, systemic fixes designed to stop the crisis at its source.”

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Jimmy Sullivan prepared for his job as a bricklayer the same way every morning for years: injecting a shot of heroin before leaving his car.

The first time he overdosed on the job, in 2013 at a Virginia construction site, a co-worker who is his cousin stealthily injected a dose of Narcan, an opioid antidote, into Mr. Sullivan’s leg. He woke up and went straight back to work.

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Despite growing awareness of the dangers around opioid overuse, 30% of all people in large employer plans still receive an opioid prescription every year. That is a rate that far exceeds what evidence-based medicine would suggest is appropriate.

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Hospital systems are making secret contracts with insurers that are keeping health care costs high, a Wall Street Journal report revealed, prompting alternative health care advocates to point out the flawed nature of the U.S. health care system.

Read the rest of the article here The Daily Caller

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People’s Pundit Daily Editor Richard Baris joins me to talk about the latest on the Judge Kavanaugh nomination process, and the latest Big Data Poll numbers. Creator of “Health Rosetta,” and author Dave Chase on the latest Opioid crisis legislation, and the current state of our healthcare system. We also look back on the recent Dr. Alveda King interview. Of course we’ll also have our weekly “Vets in the Fight” SITREP and all the latest conservative news.

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A combination of overstretched primary care and perverse incentives within the health care industry made the U.S. opioid epidemic a “self-inflicted wound,” the author of new book “The Opioid Crisis Wake-up Call: Health Care Is Stealing the American Dream. Here’s How We Take It Back” told The Daily Caller News Foundation. Read the rest of the article here

Now more than ever, the media landscape is turning an increasingly critical eye towards pharmacy benefit managers — the health care system’s favorite scapegoats. As health care costs continue to rise at staggering rates, these organizations can help their clients save on drug costs. However, it’s a complicated and confusing minefield in which they operate. Phrases like “rebate negotiation” and countless fees and hidden costs contribute to making this industry uncomfortably opaque. It can also be a struggle to avoid financial conflicts of interest.

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This week’s guest, for Bold Moves Podcast Episode 201 Dave Chase has some bold moves! The opioid crisis is the single greatest public health catastrophe in the last 100 years. People are dying every day – and it’s heartbreaking to see the lengths our kids will go to get these addictive drugs. Evidence shows that after seven days of opioid use, one in six will become addicted. Listen to the full interview here

August 2018

In an evolving labor market where employees are expecting (and receiving) higher pay and better perks, employers often compete in the race for top talent by offering better and bolder benefits packages. And with the unemployment rate as low as 4% as of this June, that race is clearly heating up.

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July 2018

Just as in retirement plans, in the health benefits market there can be conflicts-of-interests between providers that drive up costs for employers and employees and result in decisions being made that are not in the best interest of participants.

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Dave Chase is a man on a mission. Like many of us, he believes our current healthcare system is broken, and he has a plan to fix it. He co-founded Health Rosetta to help accomplish that.

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Health care is notoriously complicated. But it’s also a mega-market rife with waste and inefficiencies. That makes it hard for big tech companies to ignore.

In the past five years, Apple, Amazon, Alphabet, Microsoft and Salesforce have all made big moves into the sector, as evidenced by a string of recent hires, product announcements and acquisitions.

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Want to change health care? Start with employers.

Seattle-based investor Dave Chase has studied health care market forces for more than a decade, and he has a background in enterprise sales. He’s not surprised that the Amazon, Berkshire Hathaway and J.P. Morgan health consortium is starting with its own 1.2 million employees first.

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It’s clear that the health benefits industry is undergoing an evolution, which benefits advisers are fast turning into a revolution. For the past several years, insurance carriers have steadily increased rates, offering all kinds of incentives to advisers to keep as many employers on their plan as possible. Now, advisers are pushing back.

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Company leaders don’t have a lot of allies in their constant battle against skyrocketing healthcare costs for their employees: And, if you’re that leader, even the one person you see as your closest advisor might not even be on your side.

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Frank MicDroppa song parodies Frank Sinatra’s One Note Samba! At his first ever “NOT FAKE NEWS” Insurance Benefits press conference! Bad Lip Reading plus music babe!

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June 2018

In Episode 47, Dr Roussel interviews Mr Dave Chase, author of “CEO’s Guide to Restoring the American Dream,” founder of the HealthRosetta movement, a regular author for Forbes and successful serial healthcare start-up entrepreneur. In the interview they discuss why healthcare for companies has become unsustainably expensive and how this situation can be changed to provide value for money spent on healthcare.

Listen to the Podcast Here

Far from being wonder drugs, opioids are powerful narcotics that provide a short-term fix for treating symptoms, without addressing most underlying causes. If we’re not careful, the steps we take to treat the opioid epidemic could go the same route, with the same sad results.

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February 2018

Dr. Craig Wax speaks with David Chase, Institute CEO & Group Co-founder of Health Rosetta about the cost of U.S. Healthcare.

Listen to the Interview Here

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