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How to Help Employees Beat Medical Debt and Financial Stress

Industry News

| 2 min

How to Help Employees Beat Medical Debt and Financial Stress

Everyone struggles with finances occasionally, but those with medical debt bear a heavier burden than most. KFF, an independent source for health policy research, reports that “People with medical debt are much more likely than those without such debt to show other signs of financial vulnerability.”

By Vitori Health

| May 21, 2024

The Devil You Know: Why Do Employers Accept Legacy Health Plan Risks?

Vitori Voice

| 2 min

The Devil You Know: Why Do Employers Accept Legacy Health Plan Risks?

Employers admit that legacy insurance carriers deliver poor service and do nothing to control escalating healthcare costs. Yet they stick with the status quo, insisting that changing plans is too hard for employees. Paradoxically, this inertia carries high costs and multiple risks for plan members.

By Vitori Health

| May 10, 2024

Stampede for New Weight Loss Drugs Can Bankrupt Your Health Plan

Vitori Voice

| 3 min

Stampede for New Weight Loss Drugs Can Bankrupt Your Health Plan

A comprehensive, member-focused prescription drug plan provides access to the most clinically effective medications at the lowest net cost. How can employers meet demands for costly semaglutide and other heavily-promoted GLP-1 drugs while balancing fiduciary responsibilities and member health?

By Vitori Health

| May 2, 2024

Survey Says… Employees Want Lower Health Plan Costs and Better Benefits

Industry News

| 2 min

Survey Says… Employees Want Lower Health Plan Costs and Better Benefits

Americans have long struggled with a dysfunctional healthcare industry and legacy insurance plans that cost too much and don’t deliver. Instead of focusing on what’s wrong with the status quo, a recent study asked employees to prioritize what future health plans should offer.

By Vitori Health

| April 18, 2024

Why Are Patients Being Billed for “Free” Preventive Health Care?

Really?!

| 2 min

Why Are Patients Being Billed for “Free” Preventive Health Care?

The 2010 Affordable Care Act (ACA) deemed certain types of preventive services to be “essential health benefits” that should be free. Yet this potentially lifesaving care often results in unexpected patient bills sent by what a BenefitsPro article calls “America's ever-creative medical billing juggernaut.”

By Vitori Health

| April 10, 2024

How Rising Health Care Costs Drive Wage Stagnation and Inequality

Industry News

| 2 min

How Rising Health Care Costs Drive Wage Stagnation and Inequality

A comprehensive JAMA study analyzing 32 years of data suggests that health premiums for employer-sponsored health benefits have been rising faster than wages. These costs are often passed on to employees, further reducing or stagnating wages and increasing income disparities by race, ethnicity, and wage level.

By Vitori Health

| April 5, 2024

Looming Employer Litigation: Is J&J the Canary in the Coal Mine?

Industry News

| 3 min

Looming Employer Litigation: Is J&J the Canary in the Coal Mine?

There is looming fiduciary litigation risk for employers who continue to passively patronize the legacy insurance and PBM industry with its long, public history of predatory practices. Johnson and Johnson leaders who were individually-named fiduciaries in a recent class action lawsuit can attest to this.

By Vitori Health

| February 19, 2024

Vitori Health Welcomes Art Hoath, IV as Chief Revenue Officer

Vitori News

| < 1 min

Vitori Health Welcomes Art Hoath, IV as Chief Revenue Officer

We are excited to announce that Art Hoath, IV has joined Vitori Health as Chief Revenue Officer. With his sustained focus on bringing value and innovation to employer health plan sponsors, Art is an excellent addition to the Vitori Health team and a strong advocate for Vitori’s mission to lower health plan costs and improve member support.

By Vitori Health

| January 29, 2024

No Raises in 2024? Find Money to Stay Competitive and Keep Employees Happy

Vitori Voice

| < 1 min

No Raises in 2024? Find Money to Stay Competitive and Keep Employees Happy

Economic factors are turning 2024 into a potentially rough year financially for employees. Healthcare costs are expected to rise and employers are planning to scale back on raises and promotions, with many not even planning on a cost-of-living increase.

By Vitori Health

| January 23, 2024

How to Beat Fully-Insured Employer Health Plans That Deny Care

Vitori Voice

| < 1 min

How to Beat Fully-Insured Employer Health Plans That Deny Care

It is abundantly clear that employers need to break free from fully-insured health plans with legacy insurance carriers. Premiums spiral higher with every renewal, and employees and their families are increasingly exposed to devastating denials of care and coverage... all in the pursuit of greater profit.

By Vitori Health

| December 27, 2023

When Did a Trip to the Hospital Become an Adventurous “Journey?”

Really?!

| 2 min

When Did a Trip to the Hospital Become an Adventurous “Journey?”

In the latest whitewashing of our ever-more costly healthcare system, hotel-like hospitals with “therapeutic art collections” and haute cuisine are touted as “better for healing.” The notion that “sickness is a journey” is often taken at facilities that invest more in luxury amenities than clinical quality.

By Vitori Health

| December 6, 2023

Americans Struggle to Pay for Health Care. Vitori Can Help.

Industry News

| < 1 min

Americans Struggle to Pay for Health Care. Vitori Can Help.

The results from the Commonwealth Fund 2023 Health Care Affordability Survey are grim. American consumers continue to struggle with unsustainably high costs and inadequate coverage. Unsurprisingly, nearly 40% forgo or delay needed care and don’t fill prescriptions to avoid risking financial ruin.

By Vitori Health

| October 30, 2023

Vitori Expands Capacity with Acquisition of Flume TPA Operations

Press Releases

| 1 min

Vitori Expands Capacity with Acquisition of Flume TPA Operations

Vitori Health is thrilled to announce its acquisition of Flume Health’s third-party administrator (TPA) operations. This strategic purchase complements Vitori’s significant growth and adds talented new team members, further enabling it to deliver industry-leading health plans and remarkable member services.

By Vitori Health

| October 11, 2023

Vitori Health Announces Insurance Industry’s First 3-Year Level Premium Health Plan

Press Releases

| 2 min

Vitori Health Announces Insurance Industry’s First 3-Year Level Premium Health Plan

Vitori Health, a national precision-built health plan solution that provides a high-performing alternative for mid-market employers and their employees, announced today its Vitori Vantage product, an industry first 36-Month Level Premium Plan.

By Vitori Health

| September 6, 2023

Privacy or Cover-up? Hiding Behind HIPAA to Inflate Insurance Premiums

Industry News

| < 1 min

Privacy or Cover-up? Hiding Behind HIPAA to Inflate Insurance Premiums

When the HIPAA Privacy Rule was enacted in 1996, its intent was to protect personal medical records and health information. This goal has since been weaponized by legacy health insurance carriers who withhold data from fully-insured plan sponsors to obscure their justification for higher premiums.

By Vitori Health

| May 7, 2023

Insulin Cap May Drive PBMs to Keep Profits by Hiking Employer Premiums

Industry News

| < 1 min

Insulin Cap May Drive PBMs to Keep Profits by Hiking Employer Premiums

Medicare patients cheered when the Inflation Reduction Act capped monthly insulin costs at $35. Then drug manufacturers controlling 90% of the market set this $35 cap for everyone by bypassing the PBM middlemen. To protect their black box of profits, insiders expect PBMs to raise employer premiums.

By Vitori Health

| April 28, 2023

How Can Employers Get Fair Hospital Pricing?

Vitori Voice

| 2 min

How Can Employers Get Fair Hospital Pricing?

Healthcare costs are spiking to record levels and burdening the nation’s employers. Significant portions of premium dollars pay for inpatient hospital services, with employers paying 200% or more of Medicare prices. “Plan sponsors as plan fiduciaries have to take action. They can’t just stand for it.”

By Vitori Health

| April 13, 2023

3x3x3 Interview Captures Vitori’s Outstanding Value Proposition

Vitori Voice

| < 1 min

3x3x3 Interview Captures Vitori’s Outstanding Value Proposition

We are excited to share that Neil Quinn, Chief Strategy Officer at Vitori Health, was interviewed by Chris Fisher to create a BenefitsAlly 3x3x3 video.

By Vitori Health

| April 10, 2023

Patients=$0. Insurers=Millions. How to Boost Profits by Denying Claims.

Really?!

| 2 min

Patients=$0. Insurers=Millions. How to Boost Profits by Denying Claims.

Medical directors adjudicating claims are supposed to examine patient records, review coverage policies, and use their expertise to approve or deny claims. But at Cigna, they spend only 1.2 seconds on each case and instantly reject millions of claims without even opening the file.

By Vitori Health

| April 4, 2023

Do You Know the True Impact of High Deductible Health Plans?

Vitori Voice

| 3 min

Do You Know the True Impact of High Deductible Health Plans?

High-deductible health plans (HDHPs) shift cost to employees and families, often with distressing health and financial impacts. HDHPs were introduced years ago by the legacy insurance carriers as a way to deflect responsibility for rising healthcare costs away from themselves.

By Vitori Health

| March 28, 2023

High Costs Delay Care: Give Employees Free MD Visits, Rx, Surgeries

Industry News

| 2 min

High Costs Delay Care: Give Employees Free MD Visits, Rx, Surgeries

Mary B. skipped appointments and delayed chemotherapy when her cancer returned. Steven L. reduces refills by taking his thyroid medication every other day instead of daily. Others cancel needed care because they can’t afford time off from work and the additional costs of childcare and transportation.

By Vitori Health

| March 21, 2023

Hospital Mergers Raise Costs, Cut Competition, and Pump Profits

Vitori Voice

| 2 min

Hospital Mergers Raise Costs, Cut Competition, and Pump Profits

Hospital and health system mergers have become rampant and are typically announced with glowing press releases promising greater access to better and more affordable health care. However, research into the results of consolidation exposes outcomes that run counter to these promises.

By Vitori Health

| March 14, 2023

Should Boards Probe Health Care Costs? Deloitte Would Say Yes.

Vitori Voice

| 3 min

Should Boards Probe Health Care Costs? Deloitte Would Say Yes.

Corporate boards have historically relegated employee and workforce concerns to management. In 2020, COVID-19’s dramatic impact on operations and employee health began changing that perspective in significant ways, leading to a more expansive approach to how boards fulfill their responsibilities.

By Tim O'Brien

| March 7, 2023

Will Pricing Reform Stifle Rx Innovation? Nope… Not One Bit.

Vitori Voice

| 2 min

Will Pricing Reform Stifle Rx Innovation? Nope… Not One Bit.

Pharmaceutical companies insist that outrageous prices drive the development of innovative medicines. And industry groups claim that Medicare pricing reform and the Inflation Reduction Act of 2022 will send innovation “light years back into the dark ages of biomedical research.” Don’t believe them.

By Vitori Health

| February 25, 2023

How to Win Against the Greed that Threatens US Health Care

Vitori Voice

| 2 min

How to Win Against the Greed that Threatens US Health Care

“In the mosaic floor of the opulent atrium of a house excavated at Pompeii is a slogan ironic for being buried under 16 feet of volcanic ash: Salve Lucrum, it reads, “Hail, Profit.” That mosaic would be a fitting decoration today in many of health care’s (corporate) atria.”

By Vitori Health

| February 18, 2023

Billions Spent Pushing Low Value Drugs Directly to US Consumers

Industry News

| 2 min

Billions Spent Pushing Low Value Drugs Directly to US Consumers

The healthcare industry continues to feed its addiction to obscene profits instead of better, more affordable patient care. While Americans are bombarded with relentless direct-to-consumer advertising (DTCA) pushing dubious drugs to an unwary public, health plan sponsors can provide a much-needed antidote.

By Vitori Health

| February 8, 2023

7 Burning Questions About Commercial Prices for Health Care Services

Industry News

| 3 min

7 Burning Questions About Commercial Prices for Health Care Services

Health Affairs has launched a timely analysis of physician, hospital, and other health care provider prices in private-sector markets and their impact on overall spending. We applaud this pursuit of definitive answers but until such truths are revealed, employers won’t have any cost relief any time soon.

By Vitori Health

| January 31, 2023

The Top 5 Excuses Why Employers Don’t Drop Their Legacy Insurance Carrier

Vitori Voice

| 3 min

The Top 5 Excuses Why Employers Don’t Drop Their Legacy Insurance Carrier

As healthcare costs continue to rise, many employer health plan sponsors struggle to cover their employees without breaking the bank. Unfortunately, many keep returning to the same old solutions: a monopoly of legacy insurance carriers with high-priced plans and suboptimal benefits and member support.

By Vitori Health

| January 26, 2023

How to Boost Employee Retirement Benefits by Slashing Health Care Costs

Industry News

| < 1 min

How to Boost Employee Retirement Benefits by Slashing Health Care Costs

From stagnant wages to crushing medical expenses, employee net income has plummeted, preventing American workers from saving adequately for retirement. Pending legislation seeks to alleviate this crisis while a growing number of employers are boosting retirement benefits by reducing health care costs.

By Vitori Health

| December 29, 2022

Annual Health Care Lobbying Rises 70% to a Whopping $714 Million

Industry News

| 2 min

Annual Health Care Lobbying Rises 70% to a Whopping $714 Million

From targeting the Affordable Care Act to clamoring for COVID relief funds, annual federal healthcare lobbying expenditures have risen a staggering 70%. Nearly $714 million has been spent influencing legislation to favor the industry and maintain obscene profits. Who’s spending all this money?

By Vitori Health

| December 17, 2022

What Good is Health Insurance That Robs Benefits and Hurts Health?

Industry News

| 2 min

What Good is Health Insurance That Robs Benefits and Hurts Health?

Multiple studies affirm that millions of Americans are underinsured or completely uninsured. These grim results include the 54% of the population covered by employer health plans. While outrageous healthcare and premium costs are part of the problem, it’s clear employers need to step up and do better.

By Vitori Health

| December 10, 2022

How to Fund Competitive Benefits to Attract and Retain Talent

Industry News

| < 1 min

How to Fund Competitive Benefits to Attract and Retain Talent

In the ongoing battle for talent acquisition and retention, 2 in 3 employers plan to expand their employee benefits program in the next 12-18 months. Yet 8 in 10 say out-of-control health care costs impede their ability to stay competitive. Is it really possible to compete without overspending? Absolutely!

By Vitori Health

| November 30, 2022

Same Scan. Same Hospital. The Cost? $134 to $4,065. Really?!!

Really?!

| 2 min

Same Scan. Same Hospital. The Cost? $134 to $4,065. Really?!!

A study published in the journal Radiology confirms what we already know — that there’s no rational explanation for wildly divergent costs for the same test at the same hospital or even between hospitals. And with every negotiation, it appears that hospitals hold the winning hand.

By Vitori Health

| November 23, 2022

What’s the Best Way to Chop Prescription Drug Costs? Axe Your PBM!

Vitori Voice

| 2 min

What’s the Best Way to Chop Prescription Drug Costs? Axe Your PBM!

The Inflation Reduction Act is a great first step toward lowering prescription drug prices and out-of-pocket expenses for Americans covered by Medicare. What’s unknown is how this will impact future Rx costs for members of employer-sponsored plans. How can employers cut costs now without reducing care?

By Vitori Health

| November 8, 2022

Catalyst for Payment Reform Names Vitori Health a Market-Shaping Enterprise

Vitori Voice

| 4 min

Catalyst for Payment Reform Names Vitori Health a Market-Shaping Enterprise

Vitori Health has been recognized as a Market-Shaping Enterprise (MSE) by Catalyst for Payment Reform (CPR). Independent and influential, CPR’s thought leaders empower health care purchasers to proactively improve today’s dysfunctional healthcare market. Vitori is proud to advance this mission.

By Vitori Health

| November 1, 2022

Fair Market Payment™: Big Savings, Less Friction than BUCA or RBP Plans

Vitori Voice

| 3 min

Fair Market Payment™: Big Savings, Less Friction than BUCA or RBP Plans

Paying healthcare claims should be transparent, less costly, and stress free but for many plan sponsors, it is anything but. Insurance company discounts off price-blind billing fuel rising costs, and referenced based pricing (RBP) antagonizes providers and members alike. A better approach is Fair Market Payment™ (FMP).

By Vitori Health

| October 26, 2022

Vitori Health Announces $30M Additional Funding Commitment from BV Investment Partners

Press Releases

| 2 min

Vitori Health Announces $30M Additional Funding Commitment from BV Investment Partners

The latest strategic investment is designed to scale the company, add key talent, and expand the Kansas City headquarters.

By Vitori Health

| October 19, 2022

Health Care Costs, Quality and Access Depend on Where You Live

Vitori Voice

| 2 min

Health Care Costs, Quality and Access Depend on Where You Live

America... the land of the free and the home of the world’s highest health care costs and lowest life expectancy. While you may be familiar with such global comparisons, you may be surprised by the wide disparities in health care quality, affordability, and access, between and even within our states.

By Vitori Health

| October 14, 2022

How NOT to Boost Employee Satisfaction with Your Health Plan

Vitori Voice

| 2 min

How NOT to Boost Employee Satisfaction with Your Health Plan

A new study shows that 71% of US employers expect moderate to significant increases in healthcare costs over the next three years, including a 6% rise in 2023. While the need to manage costs is clear, it's shocking that 1-in-4 employers plans to shift costs to employees through higher contributions.

By Vitori Health

| October 7, 2022

More Patients and Providers Value Telehealth for Mental Health Care

Industry News

| 2 min

More Patients and Providers Value Telehealth for Mental Health Care

According to the National Institutes of Health, telehealth services have been around since the 1920s using the limited technologies of their time. A century later, virtual care has become commonplace thanks to the global pandemic... and it is here to stay, especially for mental health services.

By Vitori Health

| September 27, 2022

Who Do You Think Pays Better Rx Prices? Pets or People?

Really?!

| 2 min

Who Do You Think Pays Better Rx Prices? Pets or People?

Saying things have “gone to the dogs” implies a worsened situation. However, a recent study by the Journal of the American Medical Association (JAMA) shows that dogs have a leg up and humans get the short end of the stick, paying more for commonly prescribed drugs used to treat both people and pets.

By Vitori Health

| September 22, 2022

Patients Pushed to Use Medical Credit Cards to Pay for Needed Care

Vitori Voice

| 3 min

Patients Pushed to Use Medical Credit Cards to Pay for Needed Care

Technology leaders and top executives from US hospitals and health systems met recently to focus on healthcare affordability and transforming the patient financial experience. Although many good ideas were generated, the definition and expectation of affordability clearly varies by stakeholder.

By Vitori Health

| September 9, 2022

Insurer Profits Are Strong While Patients Struggle to Pay Bills

Industry News

| < 1 min

Insurer Profits Are Strong While Patients Struggle to Pay Bills

While patients grapple with runaway costs and the indignities of the U.S. healthcare system, the largest health insurance firms posted solid year-over-year earnings growth for the first half of 2022. In fact, experts don’t think they’ll struggle at all despite worrisome economic conditions.

By Vitori Health

| September 2, 2022

Unethical and Illegal: Cancer Centers Are Still Hiding Drug Prices

Industry News

| 2 min

Unethical and Illegal: Cancer Centers Are Still Hiding Drug Prices

Consumers cheered when the Hospital Price Transparency rule took effect in January 2021, requiring that facilities publish their payer-specific negotiated rates for drugs and services. Despite the positive news, there remains a blatant lack of compliance that continues to keep patients in the dark.

By Vitori Health

| August 24, 2022

Employers Need a Better Formulary to Deliver Rx Value and Savings

Vitori Voice

| 2 min

Employers Need a Better Formulary to Deliver Rx Value and Savings

Americans spend about $500 billion a year on prescription drugs with no visibility into the processes that set prices or the comparative effectiveness of drugs approved for the same clinical purpose. This opaqueness makes it impossible to ensure that prices are aligned with the value a drug provides.

By Vitori Health

| August 19, 2022

Join Us for Exciting Insights at the Health Rosetta Summit

Vitori Voice

| 2 min

Join Us for Exciting Insights at the Health Rosetta Summit

The Health Rosetta is an innovative blueprint for high performance health plans that is transforming the benefits experience for employers and plan members. Vitori Health supports this mission and is proud to sponsor and attend the upcoming Health Rosetta Summit in Denver.

By Vitori Health

| August 10, 2022

Health Care Industry Fights No Surprises Act. Are You Surprised?

Really?!

| 2 min

Health Care Industry Fights No Surprises Act. Are You Surprised?

The landmark No Surprises Act became effective January 1, 2022 to protect consumers from surprise medical bills from out-of-network providers and facilities. Greedy industry stakeholders are fighting to remove these long overdue protections. Is anyone surprised?

By Vitori Health

| August 2, 2022

Better Health Insurance Literacy Can Reduce High Health Care Costs

Vitori Voice

| 2 min

Better Health Insurance Literacy Can Reduce High Health Care Costs

Employers take great care to choose the best possible health plan for their members. But to get value from their plan, employees must understand common health insurance terms to make sound health care decisions. A recent study shows how a lack of literacy is resulting in confusion and higher costs.

By Vitori Health

| July 26, 2022

When Did Health Care in America Become Tragically Funny?

Really?!

| < 1 min

When Did Health Care in America Become Tragically Funny?

Is laughter really the best medicine? Sadly, it is mightily needed to offset these tragic “health care” experiences. While it’s easy to shake our heads at the absurdity of the American healthcare system, it’s hard to laugh at its outrageous and often heartbreaking impact on patients.

By Vitori Health

| July 19, 2022

How to Win the War for Talent with Better Employee Health Benefits

Vitori Voice

| 2 min

How to Win the War for Talent with Better Employee Health Benefits

The war for talent has escalated thanks to “The Great Resignation,” a pandemic-driven trend in which employees are quitting their jobs in record numbers. While some change careers, most seek new positions that better align with their priorities, which include higher pay and better health benefits.

By Vitori Health

| June 16, 2022

Only 26 Percent of U.S. Physicians Are Still Independent. Why?

Vitori Voice

| 2 min

Only 26 Percent of U.S. Physicians Are Still Independent. Why?

Twenty years ago, nearly two-thirds of doctors were independent practitioners. Today, only one-quarter remain independent. This mass exodus is being driven by financial pressures, marketplace competition, and the politics of health care. Which begs the question: where have all the doctors gone?

By Vitori Health

| July 13, 2022

Controversial PBM Business Practices to be Exposed by FTC Inquiry

Industry News

| 2 min

Controversial PBM Business Practices to be Exposed by FTC Inquiry

In a unanimous and bipartisan decision, the Federal Trade Commission (FTC) will investigate the secretive practices of six of the largest Pharmacy Benefit Managers (PBMs) in the country. Diverse stakeholders are hopeful this action will unravel years of corruption and reduce prescription drug prices.

By Vitori Health

| July 7, 2022

WATCH | Timely Tips on Self-Funding 201 + Fair Market Payments™

Vitori Voice

| < 1 min

WATCH | Timely Tips on Self-Funding 201 + Fair Market Payments™

In the third and fourth quarters, employee health plan brokers and advisors are busy closing new business and managing client renewals. This is a great time to offer next-generation plan designs that can significantly reduce expenses for employers and employees while improving overall benefits.

By Vitori Health

| July 6, 2022

40 Percent of PBM Profit Can’t be Traced. Where is it Hiding?

Vitori Voice

| 3 min

40 Percent of PBM Profit Can’t be Traced. Where is it Hiding?

A report by the PBM Accountability Project reveals the details of PBMs’ “evolving business models and revenue.” Despite the available financial data, the authors could not identify “the source of nearly 40% of PBMs’ total gross profit.” Can this “business as usual” become a catalyst for change?

By Vitori Health

| June 29, 2022

Who Benefits the Most from Rising Drug Rebates? It’s Not Patients.

Industry News

| < 1 min

Who Benefits the Most from Rising Drug Rebates? It’s Not Patients.

A study published in JAMA Health Forum reveals that pre- and post-sale rebates from prescription drug manufacturers to commercial health plan sponsors are steadily increasing. Far from reducing out-of-pocket expenses for patients, this convoluted backroom strategy actually makes things worse.

By Vitori Health

| June 15, 2022

FDA Lets Pharma Thwart Low Cost Generic Inhalers for 35 Years

Really?!

| < 1 min

FDA Lets Pharma Thwart Low Cost Generic Inhalers for 35 Years

Brand name inhaler manufacturers tinker with patents and use gimmicks the Food and Drug Administration (FDA) shouldn’t allow to thwart the availability of low-cost generic inhalers. And profits are so high that a tobacco manufacturer took over an asthma inhaler company to “diversity its portfolio.”

By Vitori Health

| June 7, 2022

Death by 7865 Paper Cuts | An Artist’s View of Health Care Bureaucracy

Really?!

| 2 min

Death by 7865 Paper Cuts | An Artist’s View of Health Care Bureaucracy

In 2012, Emily Barker, a 19-year old student at the Art Institute of Chicago, fell four stories inside an improperly secured building. The accident led to paraplegia, a six-month hospital stay, countless operations, chronic pain, and a stack of bills and correspondence that inspired “Death by 7865 Paper Cuts.”

By Vitori Health

| May 10, 2022

How to Combat Wasteful Health Care Spending with Payment Integrity Controls

Vitori Voice

| < 1 min

How to Combat Wasteful Health Care Spending with Payment Integrity Controls

Despite new federal transparency rules, it’s hard to know what you’re paying for when medical claims and payments are automatically adjudicated. This lack of oversight creates countless opportunities for fraud, waste, and abuse, all of which increase costs for employers and plan participants.

By Vitori Health

| May 5, 2022

Vitori Supports NAHU Mission and Chapter Conferences

Vitori Voice

| < 1 min

Vitori Supports NAHU Mission and Chapter Conferences

Vitori Health actively supports industry associations whose missions align with our own. The National Association of Healthcare Underwriters, which seeks to ensure that all Americans have access to high quality, affordable health care, is one such organization.

By Vitori Health

| April 21, 2022

$350 Billion in Health Care Rebates Go to Middlemen

Really?!

| 2 min

$350 Billion in Health Care Rebates Go to Middlemen

You know things are bad when a pharmaceutical executive calls out the dysfunctional and deceptive industry practices that trigger skyrocketing drug costs for prescription medicines. But if drug companies are not the culprit, as asserted by Adam Gluck, Head of US Corporate Affairs at Sanofi, who is?

By Vitori Health

| April 12, 2022

US Has World’s Highest Health Care Costs, Lowest Life Expectancy

Industry News

| < 1 min

US Has World’s Highest Health Care Costs, Lowest Life Expectancy

Most would agree with the common adage that you get what you pay for, but that’s not the case when it comes to paying for healthcare in America. U.S. spending per capita is up to four times higher than other wealthy countries and yet shockingly, we have the absolute lowest life expectancy of them all.

By Vitori Health

| April 6, 2022

Credit Bureaus to Remove 70 Percent of Medical Debt from Personal Reports

Industry News

| 2 min

Credit Bureaus to Remove 70 Percent of Medical Debt from Personal Reports

Medical debt is devastating the credit integrity of American consumers. The Consumer Financial Protection Bureau (CPFB) has taken steps to mitigate this doom loop and the three major credit reporting agencies are now taking action as well, no doubt in response to a greater focus on medical debt.

By Vitori Health

| March 30, 2022

WATCH | Straight Talk on Hospital Costs with Doug Aldeen

Vitori Voice

| 2 min

WATCH | Straight Talk on Hospital Costs with Doug Aldeen

It’s no secret that hospital charges are skyrocketing. What’s worse is that these charges are disproportionate to actual hospital costs and that patients are often on the hook for outrageous medical bills that can result in extraordinary collection actions (ECAs) against them.

By Vitori Health

| March 24, 2022

$88 Billion in Medical Bills on Credit Reports Creates Consumer Doom Loop

Industry News

| 2 min

$88 Billion in Medical Bills on Credit Reports Creates Consumer Doom Loop

A report from the Consumer Financial Protection Bureau (CFPB) estimates that consumer credit reports include $88 billion in medical debt as of June 2021. The cause is a “complicated and burdensome” medical billing system that creates hard-to-fix errors that increase patient debt and reflect poorly on credit scores.

By Vitori Health

| March 8, 2022

The Top 7 Reasons Why Employer-Sponsored Health Plans are Changing

Vitori Voice

| 2 min

The Top 7 Reasons Why Employer-Sponsored Health Plans are Changing

The outdated health insurance system is feeling increasingly less safe and prudent for employer-sponsored health plans, making change more attractive and attainable. What’s behind this significant shift?

By Tim O'Brien

| March 3, 2022

FTC Probe of Pharmacy Benefit Managers Stalls after Tie Vote

Industry News

| < 1 min

FTC Probe of Pharmacy Benefit Managers Stalls after Tie Vote

The U.S. Department of Justice (DOJ) and Federal Trade Commission (FTC) have done almost nothing over the past decades to protect market competitiveness and consumer interests in healthcare. Employers continue to grapple with ever-rising plan costs as members bear the brunt of fewer healthcare options at a higher cost.

By Vitori Health

| March 2, 2022

Hospital Profit Greed is Crushing Nurses and Decimating the Profession

Industry News

| 2 min

Hospital Profit Greed is Crushing Nurses and Decimating the Profession

In the early days of COVID, America’s nurses were rightly celebrated as heroes. Many nurses had hoped that such long overdue recognition might lead to needed reforms, but that optimism seems to have faded. In fact, nurses are leaving hospitals in droves. Some are even abandoning the profession.

By Vitori Health

| February 3, 2022

Judge Orders Uncharitable Nonprofit Hospitals to Pay Taxes

Industry News

| 2 min

Judge Orders Uncharitable Nonprofit Hospitals to Pay Taxes

Many school systems rely on property taxes for most of their budget. When a school district in Chester County, Pennsylvania challenged the charitable results of three nonprofit hospitals owned by Tower Health, they exposed the unethical practices that allow many nonprofit hospitals to beat the system. The school district won.

By Vitori Health

| January 26, 2022

JAMA | Broken Health Benefits Market Reduces Quality of Life

Vitori Voice

| 2 min

JAMA | Broken Health Benefits Market Reduces Quality of Life

A recent article posted to JAMA Network reveals how the dysfunctional interests of insurers, hospitals, pharmaceutical companies, and PBMs ultimately reduce quality of life for U.S. employees through financial distress induced by the health benefits market.

By Vitori Health

| January 20, 2022

Best Practices in Shafting Patients and Employer Health Plans

Editor's Pick

| < 1 min

Best Practices in Shafting Patients and Employer Health Plans

In 2008, a box of 30 prescription suppositories sold for less than $200. In 2021, the same box cost $10,000 — an outrageous increase of 4,900%. Is there any better example of how employer health plan sponsors and patients are getting shafted by a dysfunctional health care industry?

By Vitori Health

| January 13, 2022

WATCH | Health Plan Funding Options: Financial Facts and Fables

Vitori News

| < 1 min

WATCH | Health Plan Funding Options: Financial Facts and Fables

It's not always apparent that the ability to control costs is directly impacted by how an employee health plan is funded. From fully-funded to self-insured, choosing the right insurance model is key to optimizing reimbursement and maximizing value and savings.

By Vitori Health

| January 6, 2022

U.S. Healthcare Costs Exceed CPI as Much as 347%. Stop the Madness!

Really?!

| < 1 min

U.S. Healthcare Costs Exceed CPI as Much as 347%. Stop the Madness!

How can an image be worth a thousand words when it leaves you speechless? How can anyone justify why trillions of dollars in doctor services, drugs, and medical care expenditures exceed the Consumer Price Index, with hospital services exceeding at a whopping 347%?

By Vitori Health

| December 8, 2021

Telehealth Provides Better Employee Access to Important Mental Health Care

Vitori Voice

| 2 min

Telehealth Provides Better Employee Access to Important Mental Health Care

As we approach two years of coping with COVID-19 and its latest variants, there is a burgeoning need for mental health services. The American Psychological Association (APA) describes it as a “health care tsunami” with 84% of psychologists reporting an increase in demand for anxiety treatment since the start of the pandemic.

By Vitori Health

| December 2, 2021

BV Investment Partners Takes an Ownership Stake in Vitori Health

Press Releases

| 2 min

BV Investment Partners Takes an Ownership Stake in Vitori Health

Giving Employers and their Members a Less Costly, More Compassionate Health Plan

By Vitori Health

| December 2, 2021

Consumers Paid $1.6 Billion More for 7 Drugs with No Proof of New Benefits

Industry News

| < 1 min

Consumers Paid $1.6 Billion More for 7 Drugs with No Proof of New Benefits

2020 was a very good year for pharmaceutical manufacturers. According to an independent analysis by the Institute for Clinical and Economic Review (ICER), Americans spent an additional $1.67 billion on seven drugs whose price increases were not supported by new or improved clinical evidence. And this was after pharmaceutical rebates and other concessions!

By Vitori Health

| December 1, 2021

Vitori Health CEO Shares Market Success and Growth Plans

Vitori News

| 2 min

Vitori Health CEO Shares Market Success and Growth Plans

In an interview with Mergermarket, a leading provider of M&A data and intelligence, Tim O’Brien, CEO of Vitori Health, shared that he would consider acquisitions as part of the firm’s overall growth strategy.

By Vitori Health

| November 30, 2021

5 Principles of Next Gen Healthcare Leadership in Our New Normal World

Vitori Voice

| 3 min

5 Principles of Next Gen Healthcare Leadership in Our New Normal World

We are living in a time when leadership is at a premium. This is especially true as we adapt to a “new normal” in our personal and professional lives. In the healthcare arena, the premium on leadership is multiplied by several factors.

By Tim O'Brien

| November 21, 2021

Patient Charged $809 for an $80 Item. Typo or Scandal?

Really?!

| < 1 min

Patient Charged $809 for an $80 Item. Typo or Scandal?

A woman in California received treatment for a broken foot at a reputable orthopedic facility. She was happy with their service until she looked at her bill: $809 for a plastic walking boot that costs about $80 on Amazon. She assumed it was a typo but after contacting the facility, she was shocked to learn the charge was correct.

By Vitori Health

| November 18, 2021

How to Deliver Really Great Support to Health Plan Members

Vitori Voice

| 2 min

How to Deliver Really Great Support to Health Plan Members

When evaluating a traditional employee health plan, employers and brokers typically focus on premiums, deductibles and co-pays, and the nuts and bolts of the plan’s coverage. Customer service is an afterthought. Historically, it has been enough that employees can call a toll-free number when they have questions.

By Johanna Newsome

| November 11, 2021

Health System CFO is Fired for Trying to Fix Known Problems. Really?!

Really?!

| < 1 min

Health System CFO is Fired for Trying to Fix Known Problems. Really?!

Imagine you’ve been hired as the CFO of a well-known regional health system. You’re told during your interview that they’re looking for someone who can make difficult changes to address systemwide financial and accounting issues.

By Vitori Health

| November 9, 2021

Why Aren’t Providers Being Paid Fast, Accurately, and Fairly?

Industry News

| 2 min

Why Aren’t Providers Being Paid Fast, Accurately, and Fairly?

Payment disputes between insurers and providers are nothing new. Even with their secret, self-serving network contract arrangements, these relationships have been perpetually uneasy.

By Vitori Health

| November 2, 2021

Welcome, Tim!

Vitori News

| 2 min

Welcome, Tim!

When your mission is to deliver a lower cost, better health plan that's unsurpassed in the industry, you need a Chief Executive Officer who not only shares that mission, but has the experience and entrepreneurial mindset to shake things up and blaze a unique path.

By Vitori Health

| October 26, 2021

UN-MINCED | Stardate 20210101

Un-Minced

| 4 min

UN-MINCED | Stardate 20210101

New Year's Entry There must be some kind of way outta here Said the joker to the thief There's too much confusion I can't get no relief

By Neil Quinn

| January 1, 2021

Isn't it time for a less costly, more compassionate health plan?

Vitori Health has eliminated the excess costs and conflicts of interest in legacy health plans and upgraded what really matters – payment controls and the member experience.

$2,885 Average Savings Per Employee with NO Cost Shifting | Estimate Your Savings

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