A denied claim can be a financial shock for employers and employees alike. In this episode Dr. John and Peter discuss why claims get denied, how often this happens and how lack of cost transparency fuels surprise bills. Find out how we keep our claims denial rate as low as 2%, compared to the legacy carriers that have a denial rate of up to 35%.

If you've ever wondered why healthcare feels like a guessing game until the bill arrives-this one's for you.

#HealthcareCosts #ClaimsDenials #CostTransparency #ThePulseofHealthcare

In this episode, Dr. John and Peter discuss the fears that many employers have about switching to a self-funded plan, thinking mistakenly that they are going to pay for every dollar the group incurs for medical claims. Learn how stop-loss protects against large claims and how tailored benefits, patient advocacy and data driven reports can result in dramatic savings.

The ACA is on track to raise premiums up to 30% in 2026. This will cause legacy carriers to raise rates as well, with employers and employees ultimately paying the price. The good news is, there are alternative ways to obtain health care for those who are willing to do things differently. Ovation Health is proud to say our groups haven't had a rate hike since 2018! Tune in as we discuss the issues and learn how we can help you find affordable solutions. For a proposal, call 866-549-4199 or visit www.ovation.health

In this episode Dr. John and Peter discuss the issues related to healthcare fraud and how this directly impacts both members and employers. Find out how prior authorizations can help minimize fraud and also lead to better patient outcomes.

In this episode, Dr. John explains the real reason preauthorizations are necessary and how this relates to quality of care and cost transparency.

Why do Americans pay substantially higher costs for prescriptions and medical care than other countries? Tune into Part 3 of the series on "Understanding US healthcare costs", as Dr. John and Peter explore the issues related to "Price Transparency" in the healthcare system.

Why do Americans pay substantially higher costs for prescriptions and medical care than other countries? Tune into Part 2 of the series on "Understanding US healthcare costs", as Dr. John and Peter explore the issues related to "Price Transparency" in the healthcare system.

Have you ever wondered why Americans pay substantially higher costs for prescriptions and medical care than other countries? Tune into Part 1 of this series on Understanding US healthcare costs, as Dr. John and Peter discuss the healthcare system and what is causing these higher medical costs in the US.