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Healthcare Costs

23 items

  • Why is medical necessity a factor when reviewing health claims?

    As employers work to get more control of the health plan dollars they’re spending, closer claim review has become a key

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  • What will the prescription drug cost picture look like in 2018?

    If you missed the number that many sources were reporting last year, it’s predicted that prescription drug spending could reach as

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  • With a self-funded plan, what are the main things to consider when choosing stop loss insurance?

    Stop loss coverage serves as a fundamental layer of risk protection in self-funded plans, so I can’t stress enough how important

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  • When Reviewing Health Claims, Do Only the Ones That Total Large Dollar Amounts Need Closer Scrutiny?

    The way we have always approached this at Cypress, each health claim should receive careful review. Sure, it’s not as likely

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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

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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

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  • 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

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  • 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

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