The Admin Fee Is a Distraction
Every year the spreadsheet shows up. You scan the PEPM column, brace for the usual back-and-forth, and get ready to grind out a dollar or two in savings....
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Every year the spreadsheet shows up. You scan the PEPM column, brace for the usual back-and-forth, and get ready to grind out a dollar or two in savings....
Everyone loves the idea of a narrow network plan on paper. Lower premiums, tight cost controls, a curated list of high-quality providers. It feels like the...
I’ve lost count of how many benefits conferences I’ve sat through where someone stands up and brags, “Our wellness program hit 72% participation this year.”...
Hospital consolidation-the wave of mergers, acquisitions, and health system affiliations-has quietly become one of the most powerful forces inflating...
I've sat through dozens of reference-based pricing pitches, and they all sound the same after a while. Medicare multiples, stop-loss triggers, provider...
Meet Maria. She has Type 2 diabetes, hypertension, and works in logistics. Over the past month, she’s received a glossy welcome kit from a disease...
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:...
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...
Every fall, the ritual kicks off with a familiar ache. Consultants project medical trend at 8%, maybe 10%, pointing fingers at the usual villains-specialty...
Every winter, the same ritual unfolds in benefits departments across the country. Screens glow with 1095-C previews, spreadsheets multiply like rabbits, and...
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