Every self-funded employer should consider how Reference-based Pricing (RBP) will affect their health plan. In addition to reducing the medical claims payments on behalf of members, reference-based pricing can have an impact on the risk assessment and pricing of stop-loss underwriters. A well-chosen stop-loss carrier is vital for the Self-Funded Planning team since it can be more […]
The No Surprises Act requires health plans to notify eligible members when a provider or facility is terminated from the network due to contract expiration or non-renewal. This notice informs the plan members of their right, as a “continuing care patient,” to elect to continue the course of treatment for a period of time from […]
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