I’ve Been Hearing More About This Concept of Reference-Based Pricing. How Does It Work?
Before getting into the details of how it works, let me explain one of the fundamental reasons why reference-based pricing (RBP)
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