by mike | May 15, 2023 | Newsletters
By Austin Johnson, Customer Success Team Lead Situation Stoploss reimbursements are critical to self-insured employers to mitigate the cost of catastrophic claims and to smooth out related financial shocks. Since 2012, the incidence of claims exceeding $1MM more than...
by mike | May 14, 2023 | Newsletters
Situation At the beginning of the COVID-19 pandemic, not just patients and providers were thrown into disarray. Health plan vendors and administrators were scrambling to define the impact of Covid on their health plan costs – current and future – namely which costs...
by mike | May 13, 2023 | Newsletters
By Jake Steepleton, Rx Product Specialist Situation Specialty drug expenditure has been growing by leaps and bounds at 7.4% per annum due to aggressive price increases and new specialty drugs hitting the market. As of 2021, specialty drugs account for half of total...
by mike | May 12, 2023 | Newsletters
Situation and Complication Surprisingly, many self-insured employers do not have standard financial controls in place to verify expenses, cross-check contract terms, monitor guarantees, maximize credits, and hold their health plan partners accountable. Why not? After...
by mike | May 11, 2023 | Newsletters
Problem Do you ever check your bill at the restaurant? As someone who checks occasionally, I am always surprised by the number of errors that occur. Have you ever checked your health plan bill? Part of my job is doing just that –checking self-insured employers’ health...
by boomer | May 10, 2023 | Newsletters
Situation and Complication The impact of record high inflation will begin hitting health plans in 2023, with costs estimated to rise on average by at least 6.5%. This will lead to higher insurance premiums and more costly care for both employers and employees....
