The TPA SLA Blind Spot
I can't count the number of renewal meetings I've walked into where the TPA's performance dashboard looked like a neon sign of success. Claims accuracy:...
ContactContactInsights on preventive care, employee benefits, and the Health-to-Wealth™ revolution.
2,273 posts · explore all topics →
I can't count the number of renewal meetings I've walked into where the TPA's performance dashboard looked like a neon sign of success. Claims accuracy:...
Association health plans (AHPs) have long been promoted as a vehicle to make health coverage more affordable for small businesses. At their core, AHPs allow...
The cost of employer stop-loss coverage is on a steep upward trajectory, driven by a confluence of forces reshaping the self-funded health plan landscape....
For self-funded employers, the decision to assume direct financial responsibility for employee health claims comes with both significant opportunity and...
Employer healthcare costs are profoundly shaped by plan design, and the choice between a Preferred Provider Organization (PPO) and a Health Maintenance...
I’ve sat across from enough eager CFOs to recognize the look-the one that says they’ve just been handed the keys to a financial Ferrari. The pitch for...
Most people think network adequacy is a simple math problem. Regulators draw circles on a map: one primary care doc per 2,000 members, a specialist within...
When employers evaluate their health plan spend, the difference between covering employees only and covering their entire family often represents the single...
Stop-loss insurance serves as the critical financial safety net for employers that choose to self-fund their health plans. Unlike fully insured arrangements...
I've spent the better part of my career untangling the invisible wiring that connects a health plan's promise to what actually happens when an employee...
30-minute call • Personalized retirement & Store projections
• No disruption to your current plan