Reference-based pricing (RFB) strategies are increasing in popularity as employers seek more affordable options for their health benefit plans. Although PPO networks and their negotiated discount agreements have been in place for decades, they provide very little transparency to the true costs of services provided. How can an employer control health care costs when the [...]
Many fully-insured organizations, negatively impacted by PPACA and hearing more and more about the benefits of self-funding, are looking to their advisors for information on self insurance. Often, these companies are told that they can easily move to a partially self-funded plan with their same carrier and there's no need to involve a TPA. This [...]
In the June issue of Self Insurer magazine, Brooks Goodison, President of Diversified Group, was asked to weigh in on the recent buzz surrounding private exchanges. His observations provide an opposing viewpoint and insight from a third party administrator (TPA) dedicated to helping client groups identify and attack the real causes of spiraling health care [...]
When it comes to Medicare Part D, we know you have questions. Luckily, Diversified Group has answers! Below are a few of the frequently asked questions we have received regarding Medicare Part D. How Do I Determine if Our Prescription Plan is Credible or Not? Employers are not required to obtain an attestation by a [...]
Healthcare reform is driving more and more organizations to consider self-funding as a more effective and affordable alternative to traditional fully-insured employee benefit plans. How do you know if a self insured plan could be right for your organization? Here are 4 simple questions to ask yourself... 1. Have your healthcare costs increased? Any time [...]
