Before getting into the details of how it works, let me explain one of the fundamental reasons why reference-based pricing (RBP) […]
I’m not sure I can articulate just how fundamental the summary plan description (SPD) is to self-funded plans. Not to be […]
There are many ways a TPA is involved in managing plan costs, but two things immediately come to mind when considering […]
As TPAs, we have a responsibility to our clients to understand the laws that affect the employee benefit plans we administer. […]
Ineligible employee/dependent coverage has become a big issue with health plans today. Sometimes it’s a matter of not realizing coverage has […]
The high rate of hospital readmissions has long been a topic of debate, especially those that are considered avoidable and happen […]
It’s unfortunate, but yes … health claim errors happen way too often, even by the big-name companies. As Strategic Finance Magazine […]
Let’s back up for a minute. One of the ways that self-funded health plans administered through Cypress differ from many fully […]
Do you remember the old episodes of ER when it seemed someone was always getting slapped with a malpractice suit? These […]
With an estimated $700 billion or more in health care waste each year, there are definitely some fraudulent practices to be […]
