Over the past several months, the Trump administration has introduced several ideas intended to fight skyrocketing prescription drug prices – everything from forcing manufacturers to display prices in their television commercials to having Medicare base payments for costly drugs on average prices in other industrialized nations, which are much lower than in the U.S. While [...]
This article was published on September 10, 2018 on BenefitsPro, written by Darick Bradford. Why are more small businesses offering self-funded health benefit plans? I see three big reasons. Source: BenefitsPro “Wait, what’s a self-funded plan again? And why does it make sense for my clients?” These are questions I hear from brokers [...]
This article was published on August 7, 2018 on Employee Benefit News, written by Corte Larossi. We all know that making changes to your health plan can have major consequences for your company. It can impact your medical costs and company bottom line, the health and welfare of your employees, employee satisfaction and performance, as [...]
From a drug manufacturer that contributes money to a non-profit Copay Assistance foundation and then steers Medicare patients taking their drugs to that foundation to a diagnostic lab that pays doctors for every blood test they refer, disguising the payments as “processing and handling fees”, there seems to be no end to the costly schemes [...]
With More Families Forced to Choose Between Healthcare & Housing, It May Be the Future As a TPA, employer groups count on us to make their health benefits work. While that sounds easy enough, it can be anything but easy when ordinary working families face hospital bills they can’t handle. One couple recently found themselves [...]
As a Third Party Administrator, employers and plan members count on us to make their health benefits work. While that sounds easy enough, it can be anything but easy when ordinary working families are forced to face exorbitant hospital bills. One couple recently found themselves confronted with a very difficult situation when their son needed [...]
If It Helps to Control Costs...We Say Have At It! While many healthcare providers and insurance carriers are raising concerns about the recently announced partnership by these mega employers, I say Thank You! That's right – thank you for caring enough about runaway healthcare costs to do something disruptive. For making a commitment to get [...]
In at least one big city, a major carrier is providing 100% coverage to public employees for MRIs, CT Scans and other imaging services only when free-standing, non-hospital based facilities are used. What do you know? Independent TPAs have been helping self-funded health plans do things like this for years. Too many people have long [...]
The article below was published on October 17, 2017 by PRWEB, written by Chevy Chase, MD. The Society of Professional Benefit Administrators (SPBA) has released its State of the TPA Industry & Forecast for 2018. Developed annually for the last 37 years, this report shares current happenings in health benefits and self-funding along with projections [...]
Experts agree that a lack of true price transparency has contributed significantly to the inefficiency in healthcare. Several websites compare the costs for certain procedures at varying hospitals, but it’s still very difficult, if not impossible, to make an informed choice when preparing for a non-emergency procedure. As a result, most people still go to [...]
