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The Michael Report: 5 Minutes on Employer-Sponsored Healthcare

February 1, 2025
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February 2025

With 10 years of experience in the insurance and healthcare industry, I’ve had the privilege of working alongside some of the brightest minds in the field.

Over the years, I’ve met with over 500 different organizations and personally consulted with more than 100 companies, ranging in size from 30 employees to 5,000. My passion for what I do drives me to continuously find innovative solutions that help businesses take care of their most important asset – their people.

My goal for this newsletter is to keep it brief and to give you 2-3 valuable takeaways every other week, helping you stay informed and make the best decisions for your business and your employees.

The Truth Behind UnitedHealthcare’s Claims Denial System 

Since the fatal shooting of UnitedHealthcare’s CEO, many have begun asking more questions about how claims are approved and denied. Insurers consider many factors when choosing to approve or deny a claim – patient condition and habits, medical history, and medical necessity, to name a few. Some companies are even using artificial intelligence to evaluate claims, which has brought scrutiny in the courts. 

This video from the State of Maryland explains how the claims process works. 

 

What is Mark Cuban’s Cost Plus Drugs all about? 

Businessman Mark Cuban launched his Cost Plus Drugs company to provide all Americans with safe, affordable prescription drugs at the lowest possible price. He also promises transparency in how the drugs are priced much lower than by other sellers. Sound too good to be true? Judge for yourself.