How health care reform will affect you
Wendell Potter tailors a narrative to explain how the current health policy debate could impact your company, organization, or association.
Pulling back the curtains on how insurers operate
What business leaders, health care executives, patients, and others need to know about how payers truly operate, and how to leverage that insider information to benefit your organization.
10 questions every employer should ask their health insurer
Health insurers are anything but forthcoming when it comes to providing detailed information to employer customers. Here's what to ask to get the information you really need.
The need to check aggressive prior authorization
A top concern of doctors nationwide is how aggressive insurers have become in requiring prior authorization. It is a practice that places greater burdens on doctors, and is harming the doctor -patient relationship. We'll examine how to fight back.
How and why health insurers are profiting off the pandemic
A review and analysis of health insurer profits in 2020, showing just how focused insurers are on maximizing earnings, at the expense of doctors, providers and the public.
The grave danger of dropping coverage for preexisting conditions
The Supreme Court's decision on the constitutionality of the Affordable Care Act will have far reaching implications -- particularly for those with preexisting conditions. This talk remembers a time when preexisting conditions were not covered, and the grave consequences of ACA invalidation. It also considers what Congress can and will do following the Supreme Court ruling.
Is your business self-insured? Then you need to know ERISA -- and your legal exposure
ERISA is a law that few people, including employers, understand, but it is a law that has an enormous impact on private health insurance in the U.S. Insurers are taking advantage of ERISA in ways that benefit payers, take advantage of workers -- and open employers up to major legal liability.
How to fight insurer denial and underpayment
Tactics, tools and resources your practice can employ to fight back against common health insurer practices that pick doctor's pockets, including aggressive prior authorization, claim denials, and underpayments.
The truth about surprise medical billing
America has become fixated with surprise medical bills. This talk will explain how health insurers systemically created "out-of-network" bills to drive higher profits, and have deftly shifted the blame for their creation of "surprise bills" to doctors and hospitals.
Wendell Potter is one of the most recognized whistleblowers and advocates for health care reform in the United States. Dubbed the “Daniel Ellsberg of corporate America,” he is the only former health care executive to testify before Congress against his former industry, and one of the news media’s most-cited sources for coverage of American health care access, coverage, and affordability. His voice was instrumental to passage of the Afford able Care Act, and has been a leading voice advocating for greater health care reforms to provide affordable care and coverage to Americans. He regularly collaborates on projects with elected officials and other national health care thought leaders.
Potter offers among the freshest and most insightful analysis available of the U.S health care system. His ability to articulate how large insurance companies have come to control every facet of the health care marketplace is regularly cited in publications like the New York Times, Washington Post, NPR, MSNBC and numerous other outlets. His level of understanding of American health insurance companies, one of the largest and most important industries in the world, is unique in its level of inside insight into how insurers play their game.
Potter has spoken to numerous physician groups about how insurers interrupt the doctor-patient relationship, and has spoken to groups focused on the social determinants of health and value-based care. He is regularly sought after by groups that seek to explore ways to expand insurance coverage, to lower deductibles and co-pays, to counter anti-health reform propaganda, and to increase the control doctors have over patient care. His counsel has also been sought by groups of attorneys seeking insight into how to obtain justice for clients foiled by an insurance company, and by large employers paying exorbitant sums to carriers.
Wendell lives in Philadelphia, PA with his wife. He can travel, as needed, and can do presentations via Zoom.