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
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)
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
How Do Tpas Help Employers Keep Costs Down With Their Self-Funded Plans?
There are many ways a TPA is involved in managing plan costs, but two things immediately come to mind when considering
How Well Do Tpas Understand the Laws Within the Affordable Care Act (ACA) Ruling?
As TPAs, we have a responsibility to our clients to understand the laws that affect the employee benefit plans we administer.
Why Is It So Important to Monitor Employee Eligibility Under Your Health Plan?
Ineligible employee/dependent coverage has become a big issue with health plans today. Sometimes it’s a matter of not realizing coverage has
How Can We, as Consumers, Be More Proactive About Avoiding Hospital Readmissions?
The high rate of hospital readmissions has long been a topic of debate, especially those that are considered avoidable and happen
Are health claims billing errors really all that common?
It’s unfortunate, but yes … health claim errors happen way too often, even by the big-name companies. As Strategic Finance Magazine
What are peer independent claim reviews and when are they needed?
Let’s back up for a minute. One of the ways that self-funded health plans administered through Cypress differ from many fully
What is this concept of defensive medicine all about?
Do you remember the old episodes of ER when it seemed someone was always getting slapped with a malpractice suit? These
