SubPop Health, Inc.'s "#IDthatGagClause" where SubPop Health provides actual contract clauses from publicly available healthcare benefits contracts and YOU find the gag clauses to remove. Your challenge? Find the gag clauses to remove from the snippets below and tell us where they are in the comments section. First up! Gag clauses limiting third party data sharing. Good luck! Example 1 - Data contained in membership files submitted to TPA by THE GROUP are the property of THE GROUP. Once files which are submitted to TPA are entered into TPA’S proprietary systems, the data produced, extracted or reported from the TPA systems is the property of TPA (“TPA Proprietary Data”). Any requests for disclosures to third parties or uses of TPA Proprietary Data by THE GROUP shall require mutual consent of the parties hereto. Example 2 - TPA also will provide reasonable access to information to an entity providing Plan administrative services to Customer, such as a consultant or vendor, if Customer requests it. Before TPA provides Proprietary Business Information to that entity, the parties must sign a mutually agreed-upon confidentiality agreement, and the parties must agree as to what information is minimally necessary to accomplish the Plan administrative service. Example 3 - Data contained in membership files submitted to TPA by THE GROUP are the property of THE GROUP. Once files which are submitted to TPA are entered into TPA proprietary systems, the data produced, extracted or reported from the TPA systems is the property of TPA (“TPA Proprietary Data”). Any requests for disclosures to third parties or uses of TPA Proprietary Data by THE GROUP shall require mutual consent of the parties hereto. #CAA
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I was just talking today about how to handle GLP1 and this video came to me.
#GLP1 Drug Impact on Employee #HealthPlans. #Ozempic and #Mounjaro are the two main GLP-1 medications used to treat Type 2 Diabetes. #Wegovy and #Zepbound are the two main GLP-1 medications used to treat obesity. GLP-1 medications account for 9 percent of an employer's #prescription medication spend on average, yet only 1.7 percent of plan members are on GLP-1 medications. Twelve percent of US adults have type 2 #diabetes and 42 percent of US adults are #obese, so if only 1.7 of plan members are on GLP-1s, then their overall prescribing is just barely getting started. GLP-1 medications cost $9,000 to $10,000 per person per year after #PBM discounts and rebates. They comprise two of the top four medications by total overall spend by employers. #Strategies to Lower Spending on GLP-1s by Employers Include: 1) #PriorAuthorization - HOWEVER, if an employer chooses to only cover GLP-1 medications for plan members above a certain BMI, then the pharmaceutical manufacturers will #refuse to pay them #rebate dollars--thus raising the overall cost of the medications. 2) Step Therapy 3) Increase Member Cost Share 4) Non-Coverage Alternatively, GLP-1 medications pose such a great financial burden to employers that they may agree to a #singlepayer healthcare system run by the Government as a way of addressing the problem. Sources at AHealthcareZ YouTube Channel.
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Wow - good to live in eastern Massachusetts if you want to be safe.
Ridgefield, Connecticut, faced its first murder in 21 years when Steven James Uricchio allegedly killed his father 🚨 Here, we explore the 100 safest cities in the U.S., with Ridgefield on top, based on 2023 FBI data and Census Bureau populations: https://lnkd.in/gPtkHe6W
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How many of these lies have you told yourself over the years?
The CEO Coach | CEO of the Year '19 | McKinsey, Skype | Author | Follow for posts about business, leadership & self-mastery.
20 Lies I Told Myself For 20 Years: If you’re between 20 and 50, read this. So you don’t make the same mistakes that I did. 1. I'll Start Tomorrow ↳ Procrastination is like cancer for progress. ↳ Start now and adjust as you go. 2. I Don't Have What It Takes ↳ Act courageously to become more confident. ↳ Courage first. Confidence second. 3. No Is the Final Answer ↳ Rejection is just a redirection. ↳ “Yes” lives in the land of “No”. 4. I Should Be Further Along by Now ↳ Comparison is the thief of joy. ↳ Embrace your unique journey. 5. I Need a Drink ↳ Numbing the pain doesn’t solve the problem. ↳ Stress builds strength. 6. There's Only One Right Way ↳ Innovation thrives on diversity. ↳ There are multiple paths to success. 7. There's Something Wrong with Me ↳ Embrace your quirks. ↳ They’re your strengths in disguise. 8. I Need to Be Perfect to Succeed ↳ Perfection = Paralysis. ↳ Aim for progress, not perfection. 9. I'll Be Happy When I Achieve This Goal ↳ Happiness isn’t a destination. ↳ Find joy in doing, not just having. 10. I'm Not Smart Enough to Lead ↳ Your IQ does not make you a leader. ↳ Leadership is about vision, inspiration & courage. 11. I Have to Do Everything Myself ↳ Delegation is a sign of strength, not weakness. ↳ Trust your team to do the job. 12. My Worth Is Tied to My Job Title ↳ You are more than a business card. ↳ Define worth on your terms. 13. Work Comes Before Everything Else ↳ Balance is the foundation of success. ↳ Prioritize your well-being. 14. Failure Is Not an Option ↳ Failure is necessary. ↳ It teaches you invaluable lessons. 15. Asking For Help Is a Sign of Weakness ↳ Seeking help is a strength. ↳ It opens doors and builds trust. 16. I’m Too Old to Learn New Skills ↳ Learning is a lifelong journey. ↳ It keeps you relevant and fulfilled. 17. I Don't Have Time for My Passions ↳ Passions fuel creativity and innovation. ↳ Make time for them instead of making excuses. 18. I Need to Have All the Answers ↳ Nope, nobody does. ↳ Keep trying or find the right person to help. 19. I Don’t Deserve a Seat at The Table ↳ Your place at the table is earned. ↳ You have valuable contributions to make. 20. It's Too Late to Change My Path. ↳ You have all your life to pursue your dreams. ↳ It's never too late to change course. Breaking free from these lies has transformed my life and career. ♻ Repost to help your network. And follow Eric Partaker for more. 📌 Want the hi-res PDF of this post? Try my newsletter: https://lnkd.in/dF-VwKqi You’ll also get 80+ infographics and resources for free.
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Impactful illustration and message below…
TECH CFOs: Are you buying healthcare — or just healthcare administration? The answer might surprise you. Since 1990, healthcare supply chains have become riddled with administrative costs. Sure, some of this is necessary... But do you really need to spend more money on administration than on physicians? No. The net result is that employers waste ~$2,500 per employee per year on their plan, and seeing that benefits are the fastest growing financial risk on many P&Ls... This isn’t sustainable. If you’re serious about improving profits and value for your employees… Here’s what you need to do: 1. Stop using a broker and start using a fee-based benefits consultant 2. Stop paying for healthcare services employees don’t use 3. Stop overpaying for healthcare that employees use Doing the same thing every 12 months isn’t sustainable… And it’s hurting your business. ✅You have the power to improve coverage for your team. ✅You have the power to increase profits. ✅You can do this. It starts with a conversation. 🎯View our profile and book your 1:1 strategy session today. PS: If you know other CFOs at technology companies who could use help in this area, please repost ♻️
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This video shows you how to use claude to create dynamic dashboards based on your excel data. It can subsitute for packaged analytics software products.
Follow me to learn how you can leverage AI to boost your productivity and accelerate your career. Scaled products to 8M+ users and built the world's biggest AI newsletter with 750k+ readers.
I can't believe more people don't know about this – but you can now use AI to build interactive data dashboards in less than 60 seconds. Here's how:
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Useful ways to leverage GenAI for job searching. With some modification, this also works for B2B sales process.
Organic Growth Specialist for Busy Professionals | Sharing Cutting-Edge Advancements in Artificial Intelligence 🚀 DM For Promotion
I don't understand why people don't use ChatGPT for job searches. ChatGPT can seriously boost your chances of landing interviews. Try these ChatGPT prompts to secure your dream job in 2024: 1. Tailored Job Search "I’m interested in finding a [job position] in [industry]. Can you help me identify companies that align with my career goals and values? Please include details like company size, location, and recent achievements." 2. Role-Specific Resume Enhancement "Here’s my current resume (attached). Can you tailor it specifically for a [job position] at [company]? Highlight key skills and experiences that match the job description." 3. Personal Branding "Help me craft a personal branding statement for my LinkedIn profile and resume that emphasizes my experience in [industry] and my unique value proposition for a [job position] role." 4. Insightful Interview Prep "I have an upcoming interview for a [job position] at [company]. What are some recent industry trends or challenges that I should be aware of? How can I align my experience with these trends to stand out in the interview?" 5. Mock Interview Questions "Generate a list of tough interview questions for a [job position] at [company]. Include some curveball questions that might catch me off guard, along with advice on how to answer them effectively." 6. STAR Method Practice "Create a set of behavioral interview questions for a [job position] role. Guide me on structuring my responses using the STAR (Situation, Task, Action, Result) method, with examples drawn from my past experiences." 7. Interview Debrief "Draft an email to send after an interview for a [job position] role at [company]. It should convey my enthusiasm for the role, recap key points discussed during the interview, and express my eagerness to contribute to the team." 8. Portfolio or Project Showcase "I need to create a portfolio or project showcase for a [job position] role at [company]. Can you suggest ways to present my work effectively, ensuring it highlights the skills and achievements that are most relevant to this role?" 9. Evaluating Job Offers "Help me evaluate a job offer for a [job position] at [company]. Compare it with industry standards and suggest points I could negotiate to make the offer more attractive." 10. Networking Outreach "Provide tips on reaching out to employees at [company] on LinkedIn to build connections. Include a template message that introduces myself, expresses interest in [job position], and asks for advice or insights about working there." That's a wrap for today. Follow Nayeem Sheikh for more. --- 🎁 BONUS ALERT 🎁 $𝟭𝟬𝟬𝟬+ 𝘄𝗼𝗿𝘁𝗵 𝗼𝗳 𝗖𝗼𝘂𝗿𝘀𝗲𝘀 𝗳𝗼𝗿 𝗙𝗥𝗘𝗘 Subscribe my newsletter to receive the course instantly 👉 TheSimplifiedAI.com --- Get my 30% OFF on my "All in One AI Suite": https://lnkd.in/g5y4NAX9
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Another post to share with young professionals. The benefits of saving early. Animation says it all…
Animated Chart: The Benefits of Investing Early in Life 💰️ This graphic by Sjoerd Tilmans 📊 is part of Visual Capitalist’s Creator Program, featuring work from the world’s top data-driven talent ✅ From the archive: https://lnkd.in/gR7Gek6i #investoreducation #buyandhold #longterminvesting #compoundinterest
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Hospital Services Inflation since the year 2000 - 256%. Average Hourly Wages Growth in same time period - 118.5%. Employees get healthcare from their employers and employers pay roughly half of all healthcare costs in the US the largest portion of which is hospital services. Time to draw a new chart.
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