[S2E7] Mark Flores: The Healthcare Black Hole

Episode notes

Recovering Millions in Mismanaged Employee Benefits When employers sign healthcare contracts, they assume they're getting what they pay for. Mark Flores, Vice President and Co-Founder of AVYM Corporation, reveals a disturbing reality: most employers are losing 15-30% of their healthcare spend to undisclosed fees and systematic billing errors - and they don't even know it. In this eye-opening episode, Mark walks Vincent through his experience as a key architect of a landmark $100 million settlement against Horizon Blue Cross Blue Shield of New Jersey, exposing how insurance carriers operating in hybrid arrangements acting as both provider and administrator create inherent conflicts of interest that cost employers millions. Mark explains why most companies lack the independent resources needed to verify claims and fees, leaving them unable to fulfill their fiduciary responsibilities to employees. From the "lesser of" provision violations to the cultural shift employers need to make, this conversation delivers practical insights on protecting your organization's healthcare investments and ensuring employees receive the benefits they've earned.

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