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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Self-Funded Health Plans Work. The Administration Behind Them Often Doesn’t.
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...
Benefits Administration Outsourcing: An Employer Guide
Managing employee benefits has never been more demanding. As health plans grow in complexity, as compliance requirements multiply and as employee expectations rise, the administrative burden on HR teams keeps growing alongside them. For many employers, that burden has...
HEA 1004: Indiana Is the First State to Mandate Direct-to-Employer Contracting for Health Systems.
What Health Systems in Every State Need to Know Now. Indiana’s mandate is already in effect. Other states are drafting their own versions. Here’s what every health system needs to understand — regardless of where you operate. In early 2025, Indiana Governor Mike Braun...
5 Administrative Risks That Undermine Self Funded Health Plans
Self funded health insurance gives employers more control over plan design, cost transparency, and long-term savings. But that flexibility also comes with responsibility. When an organization assumes financial risk for employee claims, administrative execution becomes...
Health Insurance BPO: How Insurance Carriers Scale Operations Without Losing Control
Health insurance carriers today are facing growing operational pressure. Enrollment volumes continue to rise, regulatory requirements are expanding, and administrative processes are becoming more complex. At the same time, workforce constraints, aging systems, and...
Insurance Back Office Outsourcing: 5 Signs it’s Time to Make the Shift
Insurance operations teams are being asked to do more with less. As claim volume shifts, member expectations rise, and administrative complexity increases, the back office often absorbs the pressure first. Even strong teams can feel stretched when staffing is...
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