It’s time to check your stoploss reimbursement

By Austin Johnson, Head of Customer Success​ Situation Would your leadership team be upset to learn that stoploss reimbursement was underpaid? Would they be happy to know that it was your diligent review that identified gaps in payment, that you then recovered? Well,...

What is proactive plan management?

By Bill Frack, Chief Product Officer Another benefit renewal season is almost complete, and many employers have been told that – barring action – their second largest fixed expense will be increasing by 7%+. The actuaries are expecting inflation to flow through...

Oncology: Finding the Right Care Team

Situation The journey to treat cancer is arduous, complicated and expensive. Cancer care is the highest spend category for high-cost claimants in many employers’ health plans. Effective cancer care is a function of three key variables:   Timely discovery – early stage...