DPC Sponsorship and the Claims Data Blind Spot
Direct primary care sounds like a clean deal. The employer pays a monthly fee per employee. The clinic offers same-day visits with no copay. Nobody thinks...
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Direct primary care sounds like a clean deal. The employer pays a monthly fee per employee. The clinic offers same-day visits with no copay. Nobody thinks...
Cancer is the highest-cost condition category in most employer-sponsored health plans, and survey data show it has stayed there for several years. In the...
KFF's 2024 Employer Health Benefits Survey puts the average annual family premium at $25,572, and single coverage at $8,951. With those numbers on the...
Your stop loss underwriter knows which employees will drive next year's renewal before your benefits committee does. The renewal packet is where...
Most health plan audits stop at the claim. Employers and their third-party administrators pull paid claims, check eligibility against the payroll file, hunt...
A third-party administrator holds something more valuable than its call center scripts or its network discounts. It holds your plan's memory. Who enrolled,...
Employers run two health budgets that rarely talk to each other. Occupational health handles work-related injuries, fitness-for-duty exams, and...
Self-care and digital health tools can lower employer healthcare costs when they redirect care to lower-cost settings, increase preventive care completion,...
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...
Preventive services cost employers a fraction of what treatment costs. A preventive visit is a scheduled, coded, predictable event. A hospital admission for...
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