“This is a clear sign that the ACA can and does work.” Really?

By Fulcrum Strategies | March 6, 2018 | 0 Comments

In an article in the Raleigh News and Observer last week, it was announced that Blue Cross Blue Shield of North Carolina reported a profit for the first time on its ACA exchange plans. The profit was about $600 million, and that single year profit wiped out the three previous year’s losses in one fell […]

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A pharmacy is buying an insurance company? What’s next?

By Fulcrum Strategies | November 2, 2017 | 0 Comments

The other day I read a headline that I never thought I would see: “CVS to buy Aetna.” Wait, what? That’s right boys and girls, a pharmacy and PBM is trying to buy the third largest insurance company for a reported $66 billion. After the shock wore off, I started to question why, and think […]

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PBM’s: What Are They and Why Are They Here?

By Fulcrum Strategies | October 19, 2017 | 0 Comments

I write a great deal about what is wrong with health care and how we can fix it. I’ve probably made some enemies – and hopefully a few friends – with what I believe is an honest, non-political, evaluation of why the largest segment of the US economy is spiraling out of control. I recently […]

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Executive Order to Allow Insurance Sales Across State Lines

By Fulcrum Strategies | October 5, 2017 | 0 Comments

For over a decade now the Republicans have suggested that if individuals and businesses were allowed to purchase health insurance across state lines, it would significantly lower the cost of coverage in this country. Like most statements that come from opposing parties in Washington, there are both truths and misconceptions regarding this topic. It all […]

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By Fulcrum Strategies | August 18, 2017 | 0 Comments

Senator Bernie Sanders introduced a bill last week that would provide universal health care coverage for all Americans by expanding Medicare to cover everyone, making employer – sponsored health plans a thing of the past. When I read of this latest attempt by Senator Sanders to provide universal, single payer coverage, the first thing that […]

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NOW I’VE SEEN IT ALL. Healthy California Act Would Be Disastrous.

By Fulcrum Strategies | June 9, 2017 | 0 Comments

Now I’ve seen it all. As a former health insurance executive who currently represents physicians across the U.S. in their dealings with managed care companies, I’ve spent a great deal of time watching healthcare reform activities at the federal level. While my attention has been focused on Washington D.C., the opposite coast has introduced something […]

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