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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...
Employer healthcare costs vary more by geography than by industry. A 300-person trucking firm in Birmingham and a 300-person trucking firm in Seattle can...
Most employers that adopt reference-based pricing spend months preparing for provider balance bills. They negotiate hold-harmless language with repricing...
A hospital stay in December. The bill lands in February. The old stop-loss carrier says “no” because the policy ended at midnight on December 31. The...
Switching from a fully insured health plan to a level-funded arrangement changes an employer’s healthcare costs in three fundamental ways. You trade a...
Manufacturing has always carried two cost sheets for healthcare: one shaped by collective bargaining and one shaped by the open market. The differences are...
The cost gap between covering full-time and part-time workers is not a numbers game. Federal regulation sets the floor, but the real expense is shaped by...
Mental health claims are the fastest-growing cost category in employer-sponsored health plans. According to the Kaiser Family Foundation, outpatient mental...
The cost of an MRI does not change if the employer paying for it trades on the NYSE or is family-owned. What does change is how the organization thinks...
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