Born on May 8, 1950 in Bangor, Maine to John J. Nahra and M. Hilda (Fowler) Nahra, Si Nahra attended St. John’s Grammar School. He spent his high school years at Sacred Heart Juniorate, Ipswich, MA, anticipating a future as a seminarian for the... read more

PLYMOUTH, MI – June 12, 2019 – Health Decisions, Inc., a company with more than 30 years helping employers and trusts discover, recover, and remove waste, abuse, and fraud in their health plans, announced the sale of select assets to Part D... read more

We have exciting news to share with you. For more than 33 years, Health Decisions, Inc. has successfully helped employers, trusts, plan fiduciaries, and health payers reduce wasteful expenditures with our cost-containment services. We recently... read more

In our latest "Prudence Says" video, Prudence addresses provider billing and fraud. Check it out!     Click here to view previous “Prudence Says” videos. Enjoy! Questions? Comments? Give Prudence a call at 1-855-PRU-SAYS.... read more

A dependent eligibility audit, when DONE RIGHT, is not a burden on your workforce, and still generates a positive return on investment. In order to do a DEA the RIGHT way, the focus needs to be on the response rate. Earlier this year, a number of... read more

For many of you, it's Open Enrollment season. Whether it is or isn't, it's definitely a good time to consider a Dependent Eligibility Audit (DEA). Many groups use Open Enrollment as a time to... read more

A  Dependent Eligibility Audit (DEA), when DONE RIGHT, is an extremely effective tool for managing a plan's rising health care costs. At this point, every organization is in one of three... read more

This article makes a good case for billing and payment reform. Reference-based pricing using Medicare is a vast improvement over meaningless PPO “discounts” that currently dominate the self-funded market. Providers have completely co-opted PPO... read more

Check out Michael Frank’s personal experience with health care billing. The fact that he is very familiar with how the health care system works makes his comments even more powerful. This is not an unusual event. What is unusual is that someone had... read more

In this video, Prudence discusses the ongoing fiduciary responsibilities that need to be accounted for. The resources Prudence refers to are: https://www.irs.gov/pub/irs-pdf/p969.pdf;... read more