The Telemedicine Cost Paradox No One Talks About
A $49 virtual visit that replaces a $150 trip to the doctor’s office. It’s the kind of math that makes CFOs smile and benefits teams look like heroes. And...
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A $49 virtual visit that replaces a $150 trip to the doctor’s office. It’s the kind of math that makes CFOs smile and benefits teams look like heroes. And...
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:...
Most people think network adequacy is a simple math problem. Regulators draw circles on a map: one primary care doc per 2,000 members, a specialist within...
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...
Let me paint a picture you’ve probably lived a dozen times. The renewal spreadsheet lands on your desk, and within seconds all eyes lock onto a single...
A few years back, I sat across a conference table from a benefits director who had just finished walking me through her company’s progressive...
Value-Based Insurance Design is one of those ideas that sounds like a no-brainer. Make insulin cheap. Make mental health visits free. Nudge people away from...
At first glance, mental health parity laws like the Mental Health Parity and Addiction Equity Act (MHPAEA) appear to be a straightforward compliance...
A few years ago, I sat across from a CFO who couldn't understand why his stop-loss renewal had jumped 32%. His claims experience was flat. No new high-cost...
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