Affordable Health Benefits for Small to Mid-Size Employers
What if there was a way to get control over your healthcare spend, without sacrificing the coverage you want? What you’re looking for is a better alternative to a traditional, high fixed cost insurance plan. Paying an insurance premium every month without any control over the benefits or price for […]
By: Sue Russo, Underwriter With health insurance inflation rates skyrocketing and premiums escalating, American business owners must start looking for new ways to manage their per employee per year (PEPY) cost performance. Many have felt vulnerable to the mercy of the marketplace. Employers today are willing to try innovative new solutions in […]
Healthcare benefits are a top three-line item expense for most employers. Worse, they are ever increasing, often seeing yearly increases of 10% or more. Unfortunately, most employers believe there isn’t a viable alternative to those year-over-year increases or a way to help reign in health benefit spending. Here are four […]
Written by Cindi Roberts, Stop Loss Claims Operations Manager Cost containment solutions fall into two broad categories – those focusing on reducing the price of health services and those focusing on reducing the frequency of health services. Many solutions addressing utilization concentrate on improving health so less health care is […]
Written by Book Chrobak, Health Analytics Manager Many of us read about the importance of the plan document language in last month’s By the Numbers. Eligibility is an important part of a strong plan document and is the topic of our CSI bulletin this month. Employers are the main source […]
By Jamie L.C. Pience, Associate General Counsel At Roundstone, we believe in a proactive approach to cost containment and plan language. Precise language which strictly states available coverage and full compliance to the terms required for coverage, combined with an administrator committed to the protection of the plan, are essential […]
By Book Chrobak, Health Analytics Manager Switching to self-funding health benefits allows employers to take control of their costs, design their benefit coverages, and understand their healthcare spend. The plan document is the “formal, written, legal statement listing the provisions of the insurance plan.” It is the instrument that sets […]
By Ellen Winson, Policy Administration Specialist Employers are continually looking for ways to control medical costs. This is especially true for self-insured employers. One strategy that has emerged is the implementation of Referenced-Based Pricing (RBP). With RBP, the employer sets a maximum reimbursement tied to a particular benchmark. The amount […]
Matt Monda, Chief Operating Officer At its most basic, self-funding is a mechanism an employer uses to pay for its employees’ health care costs. But it’s also an investment in controlling a major cost of doing business. The employer relies on three consultants to deliver a return on that investment: […]