As an american 27 year old woman our education system and my parents let us down no one taught us anything about how all these works just told us we have to have it. Thank you for teaching me sir
@ahealthcarez5 ай бұрын
Thank you for watching and for your comment.
@RohitKabra-z1y Жыл бұрын
thanks again, just added this to our healthcare startups onboarding document for all new employees to watch as part of their self education time. So clear and concise
@ahealthcarez Жыл бұрын
Super! You are not alone. Other companies use these videos for the same purpose. Thank you for watching.
@martha5082 Жыл бұрын
Every single video has so much good information!! It doesn’t matter how old or recent it is… THANK YOU, THANK YOU, THANK YOU!!!
@ahealthcarez Жыл бұрын
You are Welcome! Thank you for watching.
@kendrawyatt14412 жыл бұрын
We need transformation and convergence between Banks ISO 20020 and Cures 2.0 standards to enable auto adjudication from HSA accounts for primary care pediatrics and pregnancy. Our very simple claims sit for months with TPAs. Great summary.
@ahealthcarez2 жыл бұрын
Thank you for letting us know. Appreciate you watching.
@ericklou2013 Жыл бұрын
Great educational content.
@Maria-ox6xg Жыл бұрын
Wow. Thank you so much for this video. I work in a Doctors office and I find insurances so confusing to understand and you really helped with so much detailed informations.
@ahealthcarez Жыл бұрын
Thank you for watching!
@garrywelch40412 жыл бұрын
thank you again for the education. Every med student should watch all your videos. Then watch what happens as these young, smart people who are getting into healthcare to make a difference and help patients start to say "this system is insane". They will become change agents who call out the older MD medical school hierarchy as well as the Hospital leadership MDs who are now part of the problem you discuss not due to any personal weaknesses or that they are bad people but due to warped financial incentives in place that are shaping their behavior. Good people, broken system. Financial incentives and performance metrics must be changed to focus on prevention and the common good. If Ochsner Health was a Covid virus?
@ahealthcarez2 жыл бұрын
Very well put! Thanks so much for watching and for your comment!
@AislingBast7 ай бұрын
Your videos are very useful and provide lots of information. I have received lots of help after watching this post, please continue to share this kind of information. Thank you.
@ahealthcarez7 ай бұрын
Thank you for watching.
@dxrulez42 жыл бұрын
The man blesses us yet again! 🔥
@ahealthcarez2 жыл бұрын
You are too kind. Thank you for watching.
@jamesimperial77312 жыл бұрын
Thanks for the video! Really learned a lot from this!
@ahealthcarez2 жыл бұрын
Thank you for your comment.
@MeherScholar5 ай бұрын
I work for a major university with a self-funded health plan. This university also has a hospital and clinics which are all in-network. The hospital pricing transparency files show that university employees going to our own university hospital have the highest allowed amounts. For example a flu and strep throat test at the university's Urgent Care gets charged at $824.55, adjusted down to $608, the allowed amount for high-deductible plan holders. If my employer is paying the health bills, what incentive would they have to accept such high allowed amounts for visits to the university's own medical facilities?
@ahealthcarez5 ай бұрын
Revenue for the University Hospital… while they are in the same university, they are different budgets / fiefdoms.
@hizbawiginbarginbarghinda387218 күн бұрын
Great Video. Thank you
@tomdiaz42422 жыл бұрын
Really good breakdown on payment structures
@ahealthcarez2 жыл бұрын
Thanks so much. Appreciate you watching!!
@tighthead032 жыл бұрын
Excellent video. Have you considered doing a video on ASP Vs. AWP pricing for J codes and the impact on reimbursement? Thanks again
@ahealthcarez2 жыл бұрын
Thank you for your feedback. Great suggestion!!
@tanyatango41977 ай бұрын
Such informative video. If an employer has many claims is there a chance they will discriminate and try to get rid of thay person? (Under the hood of course)
@ahealthcarez7 ай бұрын
Potentially, but it is illegal. Thank you for watching.
@robvidalbjj Жыл бұрын
The only thing missing in all of this great info is the laser!
@ahealthcarez Жыл бұрын
True. Thank you for bringing that up.
@TheNikhil30517 күн бұрын
What does Captive means?
@evanjohnson96162 жыл бұрын
Very informative!
@ahealthcarez2 жыл бұрын
Thank you for watching!
@rain7096 Жыл бұрын
👍
@ahealthcarez Жыл бұрын
Thank you for watching.
@discodancer22 Жыл бұрын
You’re the bomb!
@ahealthcarez Жыл бұрын
Thank you for your support.
@TranBaoThien-ip9wj5 ай бұрын
What is a TPA role sir?
@josepaulloor64492 жыл бұрын
Wow this is what I tell my employees
@ahealthcarez2 жыл бұрын
Thank you for sharing your experience.
@josepaulloor64492 жыл бұрын
So I’m assuming the employer is making the claim to the stop loss insurance company if an employees claims are too high and not the provider in a self funded plan?
@ahealthcarez2 жыл бұрын
Facilitated by the Third Party Administrator (TPA) or Insurance Cartier that is providing ASO services.
@robertsmith64082 жыл бұрын
I have health insurance through the county where i retired at. I get 500 a month from the county to put towards the premium of 1900 a month for me and my wife. So my part is around 1400 a month and it has a 6000 deduction before it pays anything, When I get to Medicare age the 500 will be cut in half and I can use that towards the Medicare part B, so it will be affordable when I reach Medicare age in 5 years. My question is can I just put her on Obamacare right now and I stay on mine because the premium is just to much money. Also if I put her on Obamacare will they use my six figure pension or use her small amount she makes on her part time job. I did a calculation with my income on ACA site and since i am way higher then the average American income, it was more then I am paying now with no subsidiaries. She saids just take her off and since she is a registered Cherokee Indian she can use the clinics but they are way in San Diego. America really sucks for healthcare, we need a one payer system!
@ahealthcarez2 жыл бұрын
The Obamacare has a problem called the Family Glitch. I made a video about it here: kzbin.info/www/bejne/rJjbdKZ5qNd-lac Maybe the Native American coverage would be helpful. That is no an area I’m familiar with.
@vickyshort56822 жыл бұрын
Do one for marketplace health insurance?
@ahealthcarez2 жыл бұрын
Great suggestion. Thank you.
@vickyshort56822 жыл бұрын
I didn’t realize that the average employee premium is 10k. So many people who have employer based that don’t need that kind of coverage still have that taken out of their pay check… so much for a “benefit”. Healthy people could most likely just pay out-of-pocket and spend maybe 3k a year.
@ahealthcarez2 жыл бұрын
Great point. Thank you for weighing in!
@lordlemond13502 жыл бұрын
You've pulled back the curtain to reveal the "wizard of OZ"
@shametanicole319311 ай бұрын
Thank you
@ahealthcarez11 ай бұрын
Thank YOU for watching.
@ramindya Жыл бұрын
@ahealthcarez: In case of Fully-Insured employer, how $100 in premium translates to $10,000 per year in premium for 200 employees which costs employers $2 Million per year? Thank you.
@ramindya Жыл бұрын
100 employees * $200 in premium per month (two members per employee) * 12 months = $240,000. How come it is $1 Million?
@chrismolloy68852 жыл бұрын
😎
@ahealthcarez2 жыл бұрын
👍
@artaxerxes23632 жыл бұрын
in other words im screwed
@ahealthcarez2 жыл бұрын
There’s alway Hope. 😉
@artaxerxes23632 жыл бұрын
@@ahealthcarez My only hope is that of Jesus Christ return!
@everythingisfine99882 жыл бұрын
Single payer ✨ The current system is ridiculous. Purely designed to funnel money towards pointless tasks & pockets and a way from care.
@stayswervin5542 жыл бұрын
not everyone wants a single-payer
@Coconinga2 жыл бұрын
Single payer has a lot of issues as well, look at NHS. Also no country has every transitions from a mix of private and public to only public. It isn't going to happen when 20% of this country works in healthcare fields. Less healthcare $ -> less healthcare jobs -> unhappy people
@aangitano2 жыл бұрын
Ah, thank you for this. Using it as background info for my health law paper.
@ahealthcarez2 жыл бұрын
Super. Glad you are using it.
@telsamorgan5369 Жыл бұрын
Your videos are very useful and provide lots of information. I have received lots of help after watching this post, please continue to share this kind of information. Thank you.