Have Your Cake and Eat It, Too: How Employers Can Cut Costs and Take Care of Employees

Employers with self-funded health insurance plans can prioritize both employees and cost savings, without sacrificing either.

Mar 31, 2020

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4 min read

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Rethink Your Criteria: Are You Assessing TPAs Correctly?

It’s impossible to know what the variable costs of a self-insured plan will be, but a TPA with the right systems in place can help reduce the cost of claims.

Mar 26, 2020

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3 min read

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How to Mitigate Risk With a Self-Insured Health Plan

Offering a self-insured health plan can be an ideal strategy for large employers interested in cutting costs and providing robust benefits for their employees. Assessing and mitigating the risk of self-insuring is a gap that employers need help spanning. 

Mar 24, 2020

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3 min read

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Data-Driven and Human-Focused, Latest RBP Plans Learn From Earlier Mistakes

VBP plans have learned from the mistakes of the first generations of RBP plans. A focus on high levels of service from a care team, plus the power of real-time data to better inform decision-making, helps deliver on the promise of RBP.

Mar 19, 2020

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4 min read

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Why has it become so appealing for people to travel internationally to receive medical care?

The concept of medical tourism/travel – or traveling outside the country to receive care – has been around for a long time, but yes, I’d agree that the appeal is definitely growing. While staying domestic remains the go-to for most pre-planned surgeries, many U.S.-based patients and health plans are finding...

Nov 20, 2019

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3 min read

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What kind of advances in technology are shaping health care/benefits right now?

Hmmm, where do I even start with this one? There’s so much going on behind the scenes every day on the health care front and we don’t always see or hear about many of these developments on a regular basis. But the progress with technology has been incredible and...

Oct 30, 2019

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2 min read

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Is the industry seeing any resolution with inaccurate and fraudulent health claim billing?

Unfortunately, the health care industry has long been plagued by widespread issues of mis-billing. Think about it for a minute. How often do we see reports of extreme overcharges in the news that have us gasping at the thought of being billed hundreds of dollars for something as simple...

Sep 30, 2019

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2 min read

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How are health plans being proactive about handling the opioid crisis?

Reports from the CDC say that an average of 130 deaths in the U.S. each day are attributed to opioid addiction. That’s a startling statistic. This was a topic that came up at our last Cypress University. It’s one that Ron Peck of The Phia Group encouraged plan administrators and...

Sep 12, 2019

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2 min read

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How effective has the new requirement for hospitals to publish procedure costs been in improving price transparency?

Before diving into this one, here’s a little background on the topic. As a potential solution for improving price transparency in health care, a new federal requirement went into effect on January 1. It states that all hospitals operating in the U.S. must post prices online for the...

Jul 25, 2019

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2 min read

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What’s being done to regulate surprise billing in health care?

Surprise billing has been a hot topic in the news lately as the current administration is looking to pass legislation in 2019 that will put an end to this widespread, high-cost problem in the health care industry. How common is it? According to a report published in Modern Healthcare, 1...

Jul 11, 2019

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2 min read

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