In Reviewing Two Separate Health Claims for the Same MRI Procedure, How Can the Charges Be So Drastically Different?
We see cases of this all the time. The same procedure is performed at two different locations (sometimes within just a
Compared to Traditional Health Plans, How Is the Claims Review Process Different in Self-Funding?
With a self-funded plan, employers aren’t cutting a check for the same amount every month to cover health claims. Instead, the
Is It True That Self-Funding Only Makes Sense for Large-Size Companies?
No, but this is definitely a common misconception that’s been circulating out there. While it’s true that many large-size companies do
How Can Employee Engagement Affect Savings in a Self-Funded Plan?
Great question! I’ll explain this one by first referencing the self-funded structure. In it, health claims receive a lot of attention.
Why Is It So Important to Be Able to Access Data From Your Health Plan?
In a fully insured health plan, employers will generally receive some basic, cumulative data at the end of the year. This
How Does Evolving Technology Play a Role in Employee Benefits?
It’s hard to imagine what employee benefits would look like today without so many advances in technology. As people have moved
With Self-Funding, What Happens if a Plan Participant Incurs an Unexpected, High-Cost Claim That Could Break the Bank?
This is where stop loss insurance comes in as a risk management tool for self-funded plans. It doesn’t insure your plan
Can choosing care at one facility over another really make that much of a difference savings-wise for health plans?
It can and it does. In the self-funded world, I hear people make reference to general examples quite often, but sitting
When Moving to a Self-Funded Plan, Do the Savings Extend Beyond the First Year?
The beauty of self-funding is that employers can realize savings in both the short- and long-term. Once you take control of
Is Behavioral Health Something Employers Should Consider When Structuring Their Benefit Plans?
The simple answer? Yes! When employers contemplate what to build into their employee benefit plans, there’s typically a lot of emphasis
