How can we help employees better understand their health plan coverage?

No matter the plan type, confusion seems to be a universal, recurring theme when it comes to how coverage works with employee benefits. Member questions can stem from a lack of understanding in so many areas: what kinds of care are covered … how much a member’s payment responsibility...

May 09, 2019

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Are there any downsides to how traditional health insurance carriers determine a group’s monthly premium?

The process for how premiums are calculated in a fully insured health plan can be a bit complex, so let’s start with the fact that a premium even exists. In self-funding, employers aren’t paying a monthly rate that’s pre-determined by a pool of other similar-sized companies or last year’s overall claim...

Jun 21, 2017

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How do health benefits play a role in employee recruiting efforts?

In today’s job market, prospective employees aren’t just comparing salary ranges when searching for a new position. They’re also shopping benefit options and often zeroing in on something more specific: health coverage. I was reading a study from the Society of Human Resource Management (SHRM) not too long ago and one...

May 31, 2017

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Why do prescription costs continue to climb at such an unprecedented rate?

To understand why these prices are on such a steady climb, we must first take a closer look at the drug development and distribution process. As companies are developing new drugs, there are often market exclusivity requirements enforced by the U.S. Food & Drug Administration (FDA). This allows pharmaceutical firms to...

Apr 12, 2017

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What are some of the common mistakes associated with summary plan descriptions (SPDs)?

I’m not sure I can articulate just how fundamental the summary plan description (SPD) is to self-funded plans. Not to be confused with the written plan document, this is the comprehensive piece created for plan participants that spells out who and what your plan covers … the first source many...

Jul 27, 2016

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2 min read

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Cost vs. Quality: How to Get Both

At Cypress, we’re constantly watching the numbers in health care and studying the trends. But it goes much further than analyzing what’s happening in the moment. We’re focused on taking action … finding solutions to the challenges often associated with rising costs that confront our employer-clients every day. Consider imaging or...

May 18, 2015

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How has medical necessity and extra testing escalated into such a big issue?

What’s happening today is that patients are receiving extra procedures, tests and treatments that don’t qualify as medically necessary. This is a growing issue in so many areas, but especially with scans and electrodiagnostic (EDX) testing. As these procedures are ordered, patients often feel they must follow doctor’s orders. Consider this:...

Jan 21, 2015

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1 min read

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