Posts Tagged ‘health insurance’

Collective Health Introduces a New Model for Employer Health Insurance | Business Wire

SAN MATEO, Calif.–(BUSINESS WIRE)–Launching today, Collective Health introduces a new solution for

employer-sponsored health insurance. Collective Health provides

companies with a simple solution to sponsor health care on their terms

by extending the benefits of self-insurance to companies of all sizes,

without the complexity or expense that is traditionally associated with

the self-insurance process. The company has raised a series A venture

investment led by Founders Fund with participation from Formation 8, the

Social+Capital Partnership, and prominent angel investors including

Scott Banister, Max Levchin, Jeremy Stoppelman and Amr Awadallah.

Health care spending, and health insurance premiums in particular, are

increasing at an unsustainable rate, with spending on health care

growing twice as fast as overall GDP1. With over ninety

percent of private health insurance paid for by employers, companies

have borne the brunt of these increasing costs and have until now been

held hostage to rapid and unpredictable increases in traditional health

insurance premiums2. Collective Health was created to offer

companies a better way to control and manage health care costs, while

offering superior health coverage uniquely tailored to the needs of

American workers.

“While insurance is supposed to be a risk-sharing business, health

insurance has increasingly become a middleman business ­ devised to

generate profit for the health insurers above all else. As a result,

there is a fundamental disconnect between the incentives of traditional

health insurance companies and people’s and organizations’ health

insurance needs,” said Ali Diab, co­founder and CEO of Collective

Health. “At Collective Health we have created a complete replacement for

employer-sponsored health insurance: a replacement that is focused on

people’s and organizations’ health and happiness, not on health insurer

profits.”

Collective Health’s cloud-based self-insurance platform extends the

benefits of self-insurance to businesses of all sizes, bringing

technological innovation and efficiency to an industry infamous for its

opaque business practices, antiquated technology and processes, and

unpredictable price increases. Additionally, Collective Health’s

solution is underscored by a user experience that is built from the

ground up for the people it was designed to serve – employees and their

dependents.

Delivered as a software-as-a-service (SaaS) solution with a flat-fee

pricing structure, Collective Health provides employers of all sizes

with a fully integrated health self-insurance platform – including

actuarial analysis, customized health plan design, legal and regulatory

compliance, plan funding, claims administration, health provider network

access and real­time data analytics – all in one seamless package.

Self-insurance provides true transparency into the real costs of health

care and substantial financial savings and cost control compared to

traditional health insurance, as evidence by the ninety-four percent of

large US employers that self-insure their employee health plans today3.

Yet, until today, self-insurance has not been a viable option for most

businesses due to the complexity and high fixed costs associated with

establishing a self-insured employer-sponsored health plan. Collective

Health makes self-insurance easier than buying a fully-insured health

plan, giving employers a clear path toward health insurance independence.

Through Collective Health, employers and employees have access to a

single, unified platform to view and manage their health care activities

and costs, direct access to real-time customer service, and health plan

features and descriptions that are presented in clear, unambiguous

language. Collective Health self-insured plans are optimized by

employers to meet the unique needs of their employees and can be

integrated with popular perks such as telemedicine, nutrition programs,

gym memberships, free rides to doctors’ appointments and more.

“Fundamental reform is long overdue in the health insurance industry,”

said Scott Nolan, Partner at Founders Fund. “Collective Health is

challenging the status quo of the entire private health insurance

industry, using technology to dramatically bring down costs for

employers of all sizes while providing higher quality care to employees

and their dependents.”

Collective Health was founded in late 2013 by Ali Diab, previously Vice

President of Product Management and Business Operations at AdMob,

acquired by Google in 2010, and by Dr. Rajaie Batniji, a physician and

political economist on faculty at Stanford University. The company is

headquartered in San Mateo, California. Collective Health is currently

enrolling companies for a January 1, 2015, health plan coverage start

date. For more information, please visit collectivehealth.com.

1 National Health Expenditure Projections 2010-2020, Centers

for Medicare & Medicaid

2 2013 Employer Health Benefits Survey, Kaiser Family

Foundation

3 2013 Employer Health Benefits Survey, Kaiser Family

Foundation

Be the first to comment - What do you think?  Posted by admin - December 5, 2017 at 10:27 am

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Factors To Consider When Deciding Between HMO And PPO Health Care Plans

Faced with ever-increasing medical costs, selecting the best health plan for you and your family requires informed decision-making on your part. There are two basic forms of employer sponsored health care plans: HMO & PPO. Both of them have distinct advantages and disadvantages that you must be aware of in order to be able to make the best decision possible.

Families without a health plan receive far less preventative health care and very often, they are not diagnosed with a disease until it reaches later, less treatable stages. Compounding the problem, individuals without a health insurance plan, even after diagnosis, receive less treatment. Studies have shown that approximately 18,000 people die each year from inadequate medical care. Studies also show that individuals without a health care plan are hospitalized 30-50% more often for avoidable conditions. With an average emergency room visit costing $3,300, the investment in a health insurance is clearly worthwhile.

Managed Health Care Benefits

Managed health care plans reduce medical costs to enrollees, allowing them to receive medical care that they might not otherwise be able to afford without a medical plan. Health insurance companies develop contracts with health care providers, promising to provide specific doctors and hospitals with more business through their health insurance. In return, doctors and hospitals agree to provide those services at a lower cost.

HMOs and PPOs are both managed health care plans that reduce the cost of medical treatment by combining contributions of enrollees and gaining the benefits of scale. There are other medical plan mechanisms put into place to reduce medical costs by encouraging such incentives as preventative care, enforcing limitations to coverage and increased beneficiary cost sharing. Each health care plan has advantages and disadvantages that must be considered. There are significant price, service, and flexibility differences between these two types of medical plans. Whichever medical plan you select, you will be able to receive more medical care for far less money than if you had no insurance at all.

HMOs Are An Inexpensive Option

HMOs, or Health Maintenance Organizations, are health plans characterized as cooperatives of doctors, hospitals, and other medical providers. HMOs such as Kaiser Permanente and Aetna are your least expensive and most restrictive health care plan. Under HMO policies, health insurance providers have agreed to provide their services at fixed prices and copayments are generally very low. Since health care providers receive less money for their services, they tend to see as many patients as possible.

There are many rules covering HMO medical plan services, the most important one being the requirement that your physician be a member of the HMO. If you need to see a specialist, you must see your primary physician for a referral. HMOs focus primarily upon preventative health care services such as immunizations and physicals. HMO doctors are paid on a per office visit basis.

PPOs Cost More And Provide More

PPOs, or Preferred Provider Organizations, are health care plans that have contracts with insurance companies to reduce medical expenses to enrollees. PPOs like Blue Cross Blue Shield are more expensive than HMOs, but you have much more freedom about who you see. Referrals are not needed to see a specialist, but your medical plan will require that you pay more to see a doctor that is not a member of the PPO medical plan.

Enrolling in a PPO provides you with more control over your health care plan as well as greater autonomy. Unlike HMOs, emergency room visits are generally covered under PPO medical plans. PPO doctors are paid on a retainer basis, thereby providing them with no incentive to unnecessarily prolong treatment.

One aspect of a managed health care plan is that treatments are reviewed by the insurer. In some cases, this can eliminate unnecessary procedures and overcharging, thereby saving both the insurer and enrollees’ time and money. Whichever coverage you select, you will provide your family with access to the benefits of regular, preventative care and early diagnosis of more serious conditions, increasing the likelihood of recovery. Eat right, stay fit, and enroll in a health care plan!

Be the first to comment - What do you think?  Posted by admin - at 4:21 am

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eHealth Appoints Ian Kalin as the Company’s Chief Data Officer | Business Wire

MOUNTAIN VIEW, Calif.–(BUSINESS WIRE)–eHealth, Inc. (NASDAQ: EHTH), announced today that Ian Kalin has joined

the organization in the role of chief data officer. Mr. Kalin brings

more than 15 years of experience modernizing highly complex, regulated

systems in the private and public sectors. Prior to eHealth, Mr. Kalin

was the first chief data officer for the U.S. Department of Commerce.

eHealth operates eHealth.com, the nation’s first and largest private

online health insurance exchange.

In his role, Mr. Kalin assumes leadership of all data operations for

eHealth, including unlocking new applications for eHealth’s data assets

and empowering customers with the information they need to navigate

important healthcare decisions.

“I’m very pleased to announce Ian’s appointment as chief data officer, a

role well served by his extraordinary record of data-driven

innovations,” said Scott Flanders, CEO of eHealth. “Ian’s leadership and

experience build on eHealth’s rich history of being a trusted provider

of health insurance information and discovering new ways to empower our

customers.”

As chief data officer, Mr. Kalin’s role is cross-functional and

enterprise-wide. In addition to leveraging business intelligence to

improve operations and optimize products, he oversees research into the

development of new data services to revolutionize the health care

industry. Mr. Kalin also manages the creation of a new data science

practice designed to equip eHealth’s industry-leading health insurance

specialists with today’s most powerful digital technologies. eHealth

job opportunities are posted now for this new data science team. Mr.

Kalin brings his experience working in heavily regulated data

environments to all these initiatives.

“I believe eHealth’s immense data resources can be used to create new,

innovative tools and efficiencies for consumers,” said Mr.

Kalin. “eHealth.com is an amazing, vast marketplace full of insurance

products with more than 15 years of data that we can use to help people

take control of their health care.”

A seasoned data tactician, Mr. Kalin comes to eHealth with a wealth of

experience from both the private and public sectors. As the U.S.

Department of Commerce’s first chief data officer he oversaw data

strategy and pioneered new products that transformed the way government

agencies accomplish their missions. As a former Presidential Innovation

Fellow, Mr. Kalin led the U.S. Energy Data Initiative, leveraging open

data to spur entrepreneurship, empower citizens and support economic

growth. He also acted as a consultant to Google and had leadership roles

in data and clean-tech start-ups. Mr. Kalin began his career in the U.S.

Navy, where he served as a counter-terrorism officer and a nuclear

engineer.

Mr. Kalin holds a bachelor’s degree in international politics from

Georgetown University and a master’s degree in engineering management

from Old Dominion University. He was also awarded the Robert Seamans

Fellowship from Harvard Kennedy School for leadership in technology and

public policy.

eHealth

eHealth, Inc. (NASDAQ: EHTH) owns eHealth.com, a

leading private online health insurance exchange where individuals,

families and small businesses can compare health insurance products from

leading insurers side by side and purchase and enroll in coverage

online. eHealth offers thousands of individual, family and small

business health plans underwritten by many of the nation’s leading

health insurance companies. eHealth (through its subsidiaries) is

licensed to sell health insurance in all 50 states and the District

of Columbia. eHealth also offers educational resources and powerful

online and pharmacy-based tools to help Medicare beneficiaries

navigate Medicare health insurance options, choose the right plan and

enroll in select plans online through Medicare.com (www.Medicare.com),

eHealthMedicare.com (www.eHealthMedicare.com)

and PlanPrescriber.com (www.PlanPrescriber.com).

Be the first to comment - What do you think?  Posted by admin - December 4, 2017 at 11:13 pm

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Clarabridge Transforms the Member Experience for Health Insurance Companies through New Customer Experience Management Solution | Business Wire

RESTON, Va.–(BUSINESS WIRE)–Clarabridge,

Inc., the leading provider of Customer

Experience Management (CEM) solutions for the world’s top brands,

today announced the first-ever full-service solution built specifically

for health insurance companies that will transform the way insurers

manage and improve their member experience. Clarabridge’s health

insurance solution—designed for rapid deployment and immediate

results—empowers insurers to listen to and convert the mountains of

feedback members are sharing across various channels into actionable

insights that increase member satisfaction and lead to dramatic

cost-savings.

As enrollees continue to demand affordable, consumer-directed plans,

health insurance companies need to prioritize the member experience more

than ever before in order to thrive in this new era of consumer-focused

healthcare. For years, Clarabridge has helped its healthcare customers––UnitedHealth

Group, Blue

Cross Blue Shield of Michigan and Health

Care Service Corporation—enhance the member journey, resulting in

long-term benefits, including: lower churn rates, improved STAR ratings

and higher Net

Promoter Score (NPS).

Drawing from these experiences, Clarabridge has built the most

comprehensive industry-standard solution that provides insurers with the

tools to gain a complete understanding of member behavior and

satisfaction drivers. New features include:

  • More relevant, effective data: Connecting data from common

    sources of member feedback in the health insurance industry––grievance

    and appeals files, call recordings, social media, CAHPS survey data,

    ratings and reviews websites, etc.––enables insurers to capture what

    members are saying about their company across channels and identify

    frequently asked questions about specific interactions like billing

    and fees, so they can implement business initiatives that resolve

    those issues.

  • Faster insight discovery: New out-of-the-box healthcare

    category models—such as Insurance, Prescriptions and Medications, Call

    Center, Claims Experience and Provider models—automatically organize

    member feedback and detect fraud.

  • Enhanced sentiment listening: Understanding sentiment for

    common topics ensures providers easily uncover friction points across

    the member journey in order to more efficiently recognize how they

    should handle those processes like enrollment, claims and support to

    improve the member experience.

  • Interactive insight dashboards: Drill down from an executive

    view into specific lines of business and analyze member feedback down

    to an individual’s response. Segment data by attributes such as

    contract or policy number, plan type or location, so executives can

    identify the needs and healthcare concerns of specific demographics to

    help future enrollees with plan selection and education.

  • Improving call center optimization: Best-in-class

    speech-to-text translation capabilities evaluate contact center

    interactions, allowing executives to identify and fix the root cause

    of expensive cases through better self-service options and agent

    training, which reduces the volume and cost of member support.

  • Competitor benchmarking: Unprecedented ability for users to

    identify key trends and data metrics of their member journey and

    compare against those of their competitors, guaranteeing that

    insurers’ customer experience investments result in profits.

“The health insurance industry is rapidly evolving, and member demands

are ever-changing. Insurers now need to engage and attract

digitally-savvy enrollees across a variety of channels, while keeping

cost of service down,” said Julie Miller, VP of Product Marketing at

Clarabridge. “Clarabridge offers an all-inclusive solution for health

insurance companies that enables insurers to understand the member’s

voice and deliver a quality member experience across all touchpoints

affordably.”

“Clarabridge has been a great partner for us, helping us reduce member

pain points and ease friction across the member journey. The value that

Clarabridge brings to our customer experience program through text and

sentiment analyses really makes their solution an essential tool for

us,” said Paul Long, VP of Enterprise Customer Experience Strategy at

UnitedHealth Group.

Insurers can implement Clarabridge’s health insurance solution

themselves, or Clarabridge can provide CEM consulting experts with

health insurance knowledge to assist. For more information on

Clarabridge’s complete and cohesive solution for health insurance

companies and other industries, visit http://www.clarabridge.com/customers/industries/.

About Clarabridge

Clarabridge’s SaaS customer experience management solution helps

hundreds of the world’s leading brands put customer feedback to work.

Offering the most comprehensive solution for omni-source listening,

accurate customer and text analytics, and real-time, guided action is

why leading brands trust Clarabridge to power their CX programs and

drive a customer focused strategy. The result: better customer

experiences. For more information, visit www.clarabridge.com.

Be the first to comment - What do you think?  Posted by admin - November 29, 2017 at 12:28 pm

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Large Deductible Wellbeing Insurance policies Can Help save You A lot of Money

Have you listened to about the new Large Deductible Wellbeing Insurance policies Designs? These new designs can give you major health care coverage at quite low costs when as opposed to other styles of overall health insurance policies. Permit&#39s get a seem at what this sort of plan is all about.

Large Deductible Individual and Family members Wellbeing Insurance policies Designs

HDHPs or Large Deductible Wellbeing Designs are increasing speedily as People in america seem for techniques to save cash on overall health insurance policies. If you&#39re wanting for low charge overall health insurance policies, and want coverage for significant injuries or sickness, a superior deductible overall health plan may be just what you require.

A superior deductible overall health plan is created to protect you and your spouse and children from superior health care fees and inspire preventive overall health treatment. If you are reliably nutritious, this plan can save you a great deal of cash. This is how it performs:

1. You opt for from a assortment of superior deductible amounts ranging from $ 500 all the way up to $ ten,000 dependent on which insurance policies enterprise you are operating with.

2. You agree to a overall health insurance policies plan in which you are accountable for health care fees up to the deductible quantity you have selected.

3. Soon after you have attained your deductible quantity, the insurance policies enterprise agreements to address up to one hundred% of your health care fees, up to the plan limitations.

Selecting a superior deductible overall health plan can radically decrease your month to month payments radically. As considerably as fifty% in some cases. The draw back of superior deductible overall health insurance policies, is that you soak up some of the possibility…



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Be the first to comment - What do you think?  Posted by admin - November 27, 2017 at 12:25 am

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Why It Is Significant To Get Overall health Insurance plan Quotations On the net

Do you know why organizations take care of unique price for their insurance policy address? They have unique guidelines and fees. For the earlier ten years purchasers were being not able to get quickly the guidelines via internet, as overall health insurance policy estimates can be attained easily. Presently, there are approaches to know about the overall health insurance policy estimates via internet websites which assists an unique or a relatives or small business human being. They make purchasers know the cheapest health care insurance policy guidelines as a substitute of selling directly. It is much easier for the purchasers to get the representatives for the estimates from the exact condition. By performing that so, we can make the agents to receive much more with the better choices and attain the possibility to match up to other current choices. Those people On the net internet sites will help the shopper to get much more facts to stick to but several will be supplying a way to invest in people guidelines.

As all facts can be attained via on the web it is difficult for the one particular to pick the greatest facts and address with its remuneration.

It is better to select the coverage to be selected throughout the initial phase by itself. It will be much easier to look for in that category in which we decided to insure. It is also a will have to to pick the greatest business which will give a better standard of quality and assurance. It is better to have the guidance of doctors and get some health care treatments just about every yr 2 times even if you are feeling very well. It is vital to test on a overall health quotation as it may make you to insurance policy at least in some most basic…



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Be the first to comment - What do you think?  Posted by admin - November 23, 2017 at 8:23 pm

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If You Have Pre-Current Medical Situations, It Is Much better to Get Team Insurance policies

If you have a pre-current healthcare problem, you may be painfully knowledgeable of just how complicated it can be to find enough overall health insurance policies. Numerous insurance policies corporations will either deny folks with current healthcare situations or imposes extended exclusion periods in which you will spend rates devoid of getting any gains. There are other options obtainable, nonetheless. Numerous group designs do not discriminate centered on your healthcare background some, in point, are created particularly for those people with pre-current healthcare situations.

If you can get a overall health insurance policies strategy sponsored by your employer, this may be the greatest alternative. These group designs do not test your healthcare background and usually present competitive gains at a really discounted amount. If you are married and your employer does not offer you insurance policies protection, try out to get on your spouse&#39s overall health strategy if at all possible. If you belong to a union, guild, or other group, you may be equipped to attain overall health insurance policies by way of them. If you need to adjust or renew your strategy right after enrollment, rest assured that your correct to protection will be protected below HIPAA, the Well being Insurance policies Portability and Accountability Act.

HIPAA will also protect against you from dropping protection if you find you unemployed. To be eligible for a HIPAA strategy, you will need to have overall health insurance policies for at least 18 months prior to dropping your overall health strategy. The most latest insurance policies strategy will need to be sponsored by an employer for you to qualify, and…



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Be the first to comment - What do you think?  Posted by admin - November 20, 2017 at 3:19 pm

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Group Options – Kinds of Group Well being Insurance policy Options

Whilst there are quite a few types of unique and spouse and children insurance strategies out there in the United States, quite a few of them are neither appealing nor reasonably priced for the typical particular person. A team insurance plan, if out there, usually delivers overall health insurance at a significantly discounted price, with quite a few of the very same benefits supplied by an unique plan. Group strategies include individuals offered by an employer, college, or the federal government in the case of a significant-danger pool. Every single will be suitable for distinctive types of persons and will deliver various benefits.

The most widely out there team strategies are employer-sponsored. These may or may not be offered to part-time staff. Normally this kind of plan entails a quite minimal deductible with copays for visits to the doctor’s place of work. Even though most strategies are not extensive in that they do not include dental or eyesight, benefits are usually supplied a lot more cheaply than unique strategies. There are negatives, having said that. Enrollment is usually open only the moment a yr, you may have to get the job done a particular range of several hours to be suitable, and you may not have the choice to pick out your insurance provider. Advantages and premiums will differ dependent on your employer.

University student overall health insurance is a very good choice for pupils who show up at college considerably from house and are not covered by their parents’ overall health insurance plan. University student team strategies are usually offered by the college or university and deliver low-cost coverage for primary health-related care. Advantages may be restricted having said that, on-campus overall health…



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Be the first to comment - What do you think?  Posted by admin - November 18, 2017 at 4:14 pm

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Inexpensive Health and fitness Insurance plan in Los Angeles, California

Even motion picture stars get unwell and though they may not necessarily be as well worried with the value of their health insurance coverage premiums, most persons who are living in Los Angeles, California are. Getting low-cost health insurance coverage gives a person not only peace of thoughts but it also keeps a small more dollars in their wallet. There are small recognized approaches to secure a more affordable insurance coverage system and they consist of:

o Opting not to have co-payment coverage for standard physician visits. Many health insurance coverage corporations will offer you their clients the possibility of having to pay less per check out at a physician&#39s place of work in trade for decrease premiums. By having that clause out of the plan an personal can be expecting to see their premiums plummet.

o Only having out clinic coverage. If you are generally a seriously healthful person you may not need to have considerably extra than clinic coverage. Take into account how several moments you&#39ve frequented a physician in the very last several many years prior to deciding on a plan like this.

o Check with about coverage with your employer. Many companies offer you team health insurance coverage coverage to their employees at a minimized fee. This can be a excellent benefit to get advantage of.

Pupils who are living and show up at school in the Los Angeles space are usually qualified for coverage through their educational institution. This is a excellent source for little ones who are no for a longer time coated by their father or mother&#39s system or for those who have not experienced any coverage in some time. The premiums are usually thanks at the identical time as the school expenses are. If…



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Be the first to comment - What do you think?  Posted by admin - November 11, 2017 at 9:17 am

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Getting Lower Cost Health Insurance policies – Alternatives And Tips

Why are there so a lot of People in america who are uninsured? Simply because it expenditures much too much. It&#39s actually that straightforward. Unbiased contractors and small organization owners usually forego receiving their very own overall health insurance policy plans, hoping absolutely nothing comes about that could damage their organization and place them in the poorhouse. And, the developing quantity of People in america residing prior to the poverty line could not find the money for overall health insurance policy if they wanted to.

There are some ways to get very low-price tag overall health insurance policy if you require to. We can all stand to preserve a few bucks, but for some of us it&#39s a necessity. In this article are some strategies to enable you get very low price tag overall health insurance policy.

Person Health Insurance policies Strategies

Every person understands that you can preserve with team insurance policy plans, but not everyone understands that the common price tag of person plans is dropping. This is since more and more individuals are picking person plans since of the flexibility they supply, and that is forcing overall health insurance policy organizations to be more aggressive.

Go With An HMO

An HMO, or Health Maintenance Firm [http://www.medicalhealthinsuranceguide.org/Affordable_Health_Insurance policies/], is a way to get insurance policy on a fastened budget. Consider of it as a overall health insurance policy package deal. The HMO has a network of health professionals that you can opt for from. If you require to see a specialist or go to the healthcare facility, they can refer you to just one that is also below the very same HMO program.

HMOs are typically very affordable, and they supply you a fastened value, so you do not have to be concerned…



by [http://www.medicalhealthinsuranceguide.org/Affordable_Health_Insurance policies/]

Be the first to comment - What do you think?  Posted by admin - November 9, 2017 at 4:21 am

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