January 2018 Volume 20 Issue 1
Providing Current Information on

Health Insurance Industry Issues and Legislation

A Roadmap for Reducing Health Care Spending Waste
The U.S. healthcare system is wasting an estimated $765 billion year, a quarter of
total healthcare related spending. Lax hospital rules, nursing home inefficiencies,
unnecessary treatments, and drug package sizing are major contributors. ProPublica
identifies the culprits and provides ways to stem the tide of overspending.
5 Strategies for Controlling Benefits Costs
Employers across America are bracing for a 5% or greater increase in healthcare
benefits costs in 2018. They are trying a variety of strategies in their efforts to bend
the healthcare benefits cost curve. Some self-insureds are converting to referencebased
pricing and are concentrating on better management of high-cost claimants.
8 Ways to Cut Drug Prices
Cities, counties, states and even school districts are turning to drug importation,
more transparency and price controls to reign in surging prescription drug costs.
The National Academies of Science, Engineering and Medicine "Making Medicines
Affordable: A Nation Imperative" presents 8 recommendations for managing drug
prices in the US.
Reference Based Pricing Done Right
No two groups are exactly alike and no one Reference Based Pricing program
design is right for them all. That's why HHC Group starts by learning each group's
objectives and constraints. Then we help design and implement the right
Reference Based Pricing program for them.

Some want pre-cert and concierge services. Others want just claims repricing or
repricing, provider appeal support and patient advocacy. Some want customized
models and some provider contracting. We have the experience and expertise to
help the group design and deliver the RBP program that's just right for you.
Three Star Preferred Provider Program Additions
NYX Health, LLC.
Atlanta, GA 30368

CM Lab Inc.
Pembroke Pines, FL 33029

Crystal Clinic
Akron, OH 44310

Baptist Medical Center of the Beaches, Inc.
Jacksonville, FL 32250

Gene Tox Worldwide LLC
Lyndhurst, NJ 07071
Amber Patterson
Loves Park, IL 61132

NYX Health LLC
Atlanta, GA 30368

Community Surgical Supply
Toms River, NJ 08755

DH Laboratories, LLC
Fort Lauderdale, FL 33309

Physicians Group of Delray
Delray Beach, FL 33483