Posts by Jim Edholm

Medical Tourism – a Win/Win for Every Employer.

This article from the Washington Examiner points out the differences in medical cost achieved by making the three-hour drive between the middle of Maine (I’m guessing at the location) and Boston. For a hip replacement, the difference is $28,000. Knee surgeries are $10,600 cheaper. That same story occurs again and again all over the US. …

The Perfect Marriage

A Romantic Corporate Story Pat, a very unhappy CEO, was so miserable that the entire C- Suite was infected with his angst.  Chris, the CFO, more than anybody, was in a perpetual funk because every single year Chris was in the bull’s eye of Pat’s ire. After all, Chris had primary responsibility for the bottom…

Yes, Sometimes Government Does Need to Get Involved

Yes, Sometimes Government Does Need to Get Involved Most of you know that I believe, generally, that anytime government “fixes” something, the outcome ends up being worse that it was before.  The old saw about “the cure is worse than the illness” comes to mind.  Or perhaps “The Reverse Midas Touch.” But in life there…

Controlling Hospital Drug Costs

The US spending – particularly among private employers – is getting national attention.  But there’s one area in which there isn’t that much attention … but not knowing about it can cost your plan plenty of money. But most plan advisers aren’t even aware of it, and if they are aware, they don’t have a…

Understanding Health Care Stories

Bias is inherent in all reporting – after all, reporters are people, and they interpret what they see through the jaundice of their own viewpoint. I’m not talking about blatant “fake news” of the kind practiced by political reporters on both sides of the liberal/conservative spectrum … I’m talking about looking at a set of…

Checking the Costs and Quality of Health Care and Providers.

SHRM published a story on their website that I think promotes a fiction.  A dangerous fiction in my opinion. Basically, their survey showed that people in High Deductible Health Plans curb spending on health care because they research stuff before getting care.  I, too, bought into this nonsense for years.  It “seems logical” and it…

Attention CFOs — A Renewal Pipe Dream?

Imagine this if you can.  You’re with your CEO or maybe with your CEO and the Board of Directors, and you’ve been asked to give a summary of the health plan in recent years and going into the next fiscal year. You look confidently around the room or across the desk and you say: “Well,…

The “Little Stuff” Matters

Ever heard the statement from your broker that “the claims are what the claims are?” Brokers mouth those words all the time. Carriers say the same thing — except they all add the additional phrase, “that’s why you should be with us, because our discounts are better than the other guy’s discounts.” What both are…

Musings about Employer Benefit Mentalities

I just read an article by one of my marketing gurus, Dan S Kennedy.  If you don’t know him, you’re probably marketing poorly or at least ineffectively. Anyhow, he did a take-off on an ad he saw by an “oat milk” product.  Oat milk, like soy milk, isn’t milk at all.  But it’s an arguably…

How much will my surgery cost?

A Real Data, Sorta Real Life Story Let’s pretend that you are one of your employees, and you want to get hip replacement surgery.  And let’s further pretend that you aren’t the typical frightened, intimidated patient who will blindly follow whatever directions your doctor gives you including standing on your head to relieve pressure on…
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