Your SPD Is a Cost-Cutting Machine
Every year, I watch benefits teams chase the latest shiny object-a new point solution, a rebate tweak, a wellness challenge that promises to get people...
Self-Funding
215 posts
Every year, I watch benefits teams chase the latest shiny object-a new point solution, a rebate tweak, a wellness challenge that promises to get people...
Tucked inside every employer health plan’s claims warehouse is a damning report nobody runs. Open a folder of last year’s professional claims, lay it beside...
When most employers think about the soaring cost of healthcare, they focus on big-ticket items: hospital stays, specialty drugs, and rising physician fees....
A 900-life employer I worked with recently learned a lesson the hard way - to the tune of $105,000. An employee's dependent needed a complex spinal fusion....
I sat in a client’s quarterly review not long ago, watching their broker point to a slide that read “58% average network discount-well above benchmark.”...
Everyone loves the idea of a stop loss captive. You grab a handful of sharp employers, pool your stop loss risk, and finally get off the fully insured...
Reference-based pricing (RBP) fundamentally rewires how an employer-sponsored health plan pays for medical services, and its impact on healthcare costs can...
Walk into any benefits conference and you'll hear the same chorus: deductibles are a necessary evil. They nudge people toward smarter care, keep premiums in...
Every benefits director knows the standard story. Stop loss insurance catches you when a catastrophic claim threatens to blow up your self-funded plan. The...
I was sitting across from a client last fall, watching her slide the carrier’s renewal letter across the table. The number was ugly-a 14% increase on a...
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