Direct Contracting Skips the Booking Decision
Most primary care direct contracting conversations start with the rate card. The CFO asks what a visit costs. The broker asks what the per-employee monthly...
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Most primary care direct contracting conversations start with the rate card. The CFO asks what a visit costs. The broker asks what the per-employee monthly...
A hospital sends a $6,200 bill for a knee MRI. Your reference-based pricing (RBP) vendor reprices it to $1,900. The vendor reports a 69 percent savings....
Most employers treat health reimbursement arrangement integration as a paperwork project. Draft the documents. Pick the HRA type. Connect the feeds. The...
The premium increase sitting in front of you is an actuarial output built from paid claims that are months old, trend factors the carrier selected, and a...
Every employer wants lower claims. The medical loss ratio does not reward a carrier for delivering them. The medical loss ratio (MLR) rule requires a large...
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...
Your stop loss underwriter knows which employees will drive next year's renewal before your benefits committee does. The renewal packet is where...
Every fall, benefits teams open the benchmark report and compare their employer contribution against a peer group matched by industry, size, and region. If...
Most employers start a direct primary care conversation with the per-member-per-month fee. That is the wrong first question. The fee tells you what access...
US healthcare spending averages about $12,900 per person each year. Employers cover a large share of that bill, and the number keeps climbing while outcomes...
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