What you need to know about Broker and TPA Disclosure Obligation. Consolidated Appropriations Act of 2021 Compensation Disclosure Obligation Since the enactment of the Consolidated Appropriations Act of 2021 (the “CAA”), effective December 27, 2021, Brokers and TPAs are required to report compensation received directly, or indirectly, in connection with services provided to health and […]
You’ve probably overheard employees or employers complaining about out-of-pocket healthcare costs and how these expenses keep growing. It seems such grievances are well-founded, as medical costs in 2022 rose by 4.4% per employee, and are expected to rise another 5.6% in 2023, according to global professional services firm AON. That means the average employer can expect to spend about […]
Written By Bruce Shutan Payment-integrity services evolve as tool to help self-insured health plans weed out fraud, waste and abuse It’s almost hard to fathom that an estimated 25% of $4.1 trillion in U.S. health care spending has been traced to fraud, waste and abuse. In some cases, overcharging for medical services represent egregious attempts to […]
If you’re an employer looking to compare reference-based pricing and PPOs, this guide can help.
Switching to self-insured plans is easier than it may first seem. Use this step-by-step guide to see how reference-based pricing works.
Interested in switching to a reference-based healthcare model? Knowing how to explain reference-based pricing to employees is an important first step.
In today’s unpredictable economy, saving money is more important than ever. Employers understand that providing quality healthcare for their employees is key for recruitment, retention, and productivity. When employers struggle to retain employees due to rising healthcare costs, that loss of labor makes it difficult to generate revenue. This can create a vicious cycle: as […]
What Is It? On Jan. 1, 2022, legislation designed to protect patients from surprise medical bills, dubbed the No Surprises Act (NSA), took effect. The passage of this act offers patients federal protection from unavoidable out-of-network charges, such as when people in emergency medical situations later receive unexpectedly outsized bills for their care. These inflated […]
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