92% of executives at self-funded health systems say their employee health plan is successful, but 35% are actively re-evaluating whether their approach to keeping care in-system is still the right balance. A growing number of large U.S. health systems have made a...
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How TPAs Simplify Employee Benefits Administration for Self-Funded Plans
From keeping eligibility records accurate to processing claims and answering employee questions, benefits administration demands time, attention and the right expertise. For self-funded employers, the work can be even more complex — often requiring coordination across...
Are Americans Rethinking the Value of Health Insurance?
After years of rising premiums, growing deductibles, and expanding plan complexity, American consumers are showing signs of fatigue with the health insurance status quo. While many still rely on their plans and participate in employer-based systems without complaint,...
Understanding TPA Services: The Operational Engine Behind Your Health Plan
When it comes to managing health plan benefits, many organizations turn to a behind-the-scenes partner to keep everything running smoothly. Meet the Third Party Administrator, or TPA. Put simply, a TPA is an independent entity that takes care of the daily operations...
Medical Management for Self-Funded Health Plans: How It Improves Care and Reduces Costs
As healthcare grows more intricate and costly, health plan sponsors can’t just sit back and let things unfold. They need more than simple claims processing; they require smart, proactive oversight that spots risks early, engages members directly and ensures that care...
Pharmacy & Ancillary Benefits in Health Plans: What Employers Need to Know
Offering competitive ancillary and pharmacy benefits continues to be a key differentiator for employers looking to attract and retain talent. While medical coverage is the foundation of any employee benefits package, offerings like pharmacy and ancillary services like...
Outsource Medical Billing Services: 5 Signs It’s Time to Make the Switch
Medical billing isn’t just another administrative task—it’s a core financial function that directly impacts your bottom line. But as billing processes become more complex and staffing challenges grow, many healthcare organizations are realizing that their current...
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