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Alex Arnet Jim Meadows and Brett Rodewald Todd Cato Tom Doney Dr. Jim Meadows Brett Rodewald Clay Timmons Jim Meadows and Todd Cato

Does Your TPA Offer a Custom Solution?

There’s no one-size-fits-all solution for employer health benefits. Lucent Health’s self-insured health plans combine strong data and a knowledge of how to use that data to better control costs.

Tom Doney

TPAs (Third Party Administrators)

Apr 07, 2020

3 min read

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...

Tom Doney

Cost Savings

Nov 20, 2019

3 min read

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...

Tom Doney

Data Science, Technology

Oct 30, 2019

2 min read

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...

Tom Doney

Claims

Sep 30, 2019

2 min read

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...

Tom Doney

Opioids, Addiction

Sep 12, 2019

2 min read

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...

Tom Doney

Price Transparency, Healthcare Costs

Jul 25, 2019

2 min read

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...

Tom Doney

Billing, Balanced Billing

Jul 11, 2019

2 min read

How can benefit plans gain some control over the high cost drivers in health care?

This is an age-old question that we’ll probably be asking for years – decades even – to come. But before we tackle the how, I think we have to first consider the what … as in “what’s driving costs so high?” A recent report from Milliman sheds some light on...

Tom Doney

Claims, Healthcare Costs

Jun 27, 2019

2 min read

Is any progress being made with drugmakers in containing rising prescription costs?

As frustration has been mounting among groups like consumers, providers, employers and lawmakers for some time now, the system for prescription drug pricing is being described as “broken.” It’s an issue that, without government having more control over, is affecting health plans everywhere and making those much-dreaded announcements of needing...

Tom Doney

Healthcare Costs, Prescription Drug Costs

Jun 06, 2019

2 min read

What should employers be aware of when tying incentives to health screenings / workplace wellness programs?

Incentive-based health screenings and wellness programs have become a pretty widespread tactic among employers these days. The goal with these efforts is win-win in trying to promote a healthier workforce and lower employee benefit costs. But for as well-intended as these programs typically are, some are coming up short in...

Tom Doney

Healthcare Costs, Compliance

May 28, 2019

2 min read

Posts by Tom Doney

Tags

Authors

Does Your TPA Offer a Custom Solution?

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

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

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

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

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

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

How can benefit plans gain some control over the high cost drivers in health care?

Is any progress being made with drugmakers in containing rising prescription costs?

What should employers be aware of when tying incentives to health screenings / workplace wellness programs?

I'm ready.

Find a proactive solution
as unique as your people.

Posts by Tom Doney

Tags

Authors

I'm ready.

Find a proactive solution as unique as your people.

Find a proactive solution
as unique as your people.