Hospital Price Transparency Is a Claims Audit Tool
A hospital now publishes the exact rates it negotiated with your health plan. Most self-funded employers have not opened the file. That is a chance most...
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A hospital now publishes the exact rates it negotiated with your health plan. Most self-funded employers have not opened the file. That is a chance most...
KFF's 2023 Employer Health Benefits Survey found 65% of covered workers are in self-funded plans. Those employers pay claims directly. They buy stop-loss...
There is no fixed statutory price for mental health parity compliance. The cost depends on four factors: how many mental health and substance use disorder...
Pharmacy benefit manager (PBM) transparency determines whether an employer can see what it pays for prescription drugs, how much the PBM keeps, and what a...
US healthcare spending averages about $12,900 per person each year. Employers cover a large share of that bill, and the number keeps climbing while outcomes...
The cost difference comes less from the health savings account (HSA) itself and more from the high-deductible health plan (HDHP) that an HSA requires....
Employers ask the same question every time a wellness vendor walks in the door: can we write off the program? The answer is yes. Accountants have deducted...
Employee assistance programs are among the least expensive benefits an employer can offer. A standard EAP contract typically costs between $12 and $40 per...
A high-performance provider network is a plan design tool, not a separate benefit. Employers and health plans use claims data, clinical quality measures,...
Employers that track where surgeries happen can cut their healthcare spend by thousands of dollars per case. The price difference between a procedure...
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