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MultiPlan and Insurers Conspire at Provider’s Expense - The Developing Scandal | The Strain

Shared savings programs illustrate how insurers profit from the delta between charged amounts and final payments, often at the expense of physicians and patients. On the most recent episode of The Strain, Eliot, Jim, and Patrick, Envision Healthcare's VP of Government Affairs, break down the developing MultiPlan scandal. In an example of this disparity, insurers earned a shared savings fee of $50,000 while the provider received only $5,000. This violates fiduciary responsibilities under ERISA and highlights shared saving’s predatory nature. Broken incentives encourage TPAs to provide inferior products to capture shared savings fees, undermining the quality of care. Watch the full episode:    • Episode #3: Patrick Velliky | The Str...   Episode Description: This episode of "The Strain: Winning the Battle with Big Health Insurance" features guest Patrick Velliky. Patrick is the VP of Government Affairs for Envision Healthcare, one of the largest hospital-based physician groups in the country. In this episode, Patrick shares his insights on the impact of the No Surprises Act through the lens of policy, a space in which every problem is the product of an incentive or motivation. Learn how physicians can make a difference by reaching out to their representatives - every small action cumulatively adds up to equal real change. Discover the challenges physicians face in IDR due to a lack of enforcement mechanisms and payer loopholes, the misalignment of incentives in the industry, and potential solutions to enhance the process of resolving claims. Join us for this deep dive into the complexities of out-of-network claim processing and challenges faced by healthcare providers in the post-NSA world! About the Strain Healthcare providers are experiencing a massive financial strain brought on by big health insurers. That’s why we are embarking on a journey to unravel the complexities and find solutions to the economic challenges that have been plaguing the industry for far too long. The Strain is hosted by Eliot Listman, CEO of Allia Group and pioneer of a healthcare litigation finance model that challenges insurer underpayments, and Jim Blakeman, an industry leader and passionate advocate for appropriate reimbursement for healthcare providers for over 40 years. The Strain is sponsored by Allia Group: Financing Healthcare Litigation Connect with Us! Connect with Eliot:   / eliot-listman-8bb330   Connect with Jim:   / jim-blakeman-9293a810   Connect with Patrick Velliky:   / patrick-velliky   Follow Allia Group on LinkedIn:   / allia-group   Visit Allia Group: http://www.allia.group Interested in Appearing on The Strain? Do you have insights into the challenges facing physicians and patients in today's healthcare landscape? We want to hear from you! Our video podcast is seeking knowledgeable and engaging guests to join us for in-depth conversations about healthcare economics, with a focus on emergency medicine. Email [email protected] to get in touch with the team.