Anthem Buying Home Healthcare Aspire

Insurer Anthem Strikes Deal for Palliative Care Company Aspire Health Here is a story that was given very little media attention but is big news for Indiana’s Anthem. Anthem is buying Aspire Health that provides home healthcare services for patients suffering from serious illnesses. Aspires help patients and family manages symptoms of extreme illness to […]

Channel 13 Short Term Insurance Story

Channel 13 WTHR Investigates recently reported on a controversial story about Short-Term Health insurance and asked me to be a part of it being a health care professional. The story is about a family that had been using short-term health insurance and the woman was diagnosed with breast cancer. The policy she had purchased was […]

Tony Nefouse’s Complete Guide to Group Insurance: “Networks”

We come to the point where you are ready to start reviewing group insurance proposals. Before you start receiving insurance proposals information about your company should be taken into consideration. Employee location has a large impact on what type of plans a company should be entertain. Does the employer have employees in other states, does […]

Tony Nefouse’s Complete Guide to Group Insurance: Request for Proposal

At this point, you are ready to start submitting proposals for group insurance. First-year Benefit Offering: If you are offering a group health plan for the very first time, there are multiple issues to be aware of. Hopefully, you have surveyed the current employees and know who is interested in electing coverage. As the owner, […]

The Trumps Administration Blueprint to Lower Drug Prices

The Trump administration released the American Patient First which is a guide to lower drug prices. The blueprint provides two phases; Phase 1 is actions the President can take to lower prices, Phase 2 is for HHS actions of consideration and solicit feedback. The blueprint is looking at four areas to address, Increased Competition, Better […]

Tony Nefouse’s Complete Guide to Group Insurance: Obtaining A Quote

Obtaining proposals for group insurance benefits can be relatively easy. There are multiple outlets for receiving bids. Most of the insurance companies have now set up in-house sales; this allows groups to go direct to the carrier to obtain a proposal. Some payroll companies have broker divisions in which they can provide suggestions. The best […]

Tony Nefouse’s Complete Guide to Group Insurance

Many companies will turn to the internet to search for insurance benefits. Since 1998, we have been helping these businesses obtain group benefits. In the beginning of the internet, very few people would go to the world wide web for insurance information. Today that has all changed, business owners want information at their fingertips. We […]

Indiana Association Health Plans (AHPs)

Association Health Plan is where members can purchase health insurance that is specifically designed for that organization.   At the end of 2017, President Trump issued an executive order that would allow for group of people to purchase associations health plans that are not required to cover the essential health benefits (EHBs) of the affordable […]

Pharmacy Benefit Management News

UnitedHealthcare PBM Optum is launching a new program that should have a positive impact on UHC’s fully insured membership. One of the biggest frustrations to insured individuals on health saving accounts (H.S.A) or high deductible plans, has been filling prescription drugs. On an H.S.A. plan, prescriptions will apply towards the deductible and members have seen […]

Indiana Challenging the Affordable Care Act

Indiana has joined 19 other states in a coalition to challenge the constitutionality of the Affordable Care Act (ACA).   The suit was filed in federal court in Texas and is led by Texas and Wisconsin. December 2017 the tax bill was signed into law which eliminated the individual mandates financial penalties staring in 2019. […]