Many businesses are switching to self-funded healthcare plans—also called self-insured health plans—in response to the ongoing escalation of healthcare costs. In comparison to fully insured plans that go through private insurance providers, with self-funded plans, companies use their own funds to pay for employee healthcare. Why would businesses make this choice? Because eliminating the middleman […]
Among small to mid-sized enterprises, self-funded healthcare models are becoming increasingly appealing—especially as healthcare costs continue to rise, escalating premiums and deductibles as well. This continual creep in costs has made healthcare exceedingly expensive for employers, forcing many to consider cutting back on the healthcare they provide employees. Self-funded healthcare plans offer employers a viable […]
If you’re one of the many employers fed up with outrageous healthcare prices and skyrocketing health insurance premiums, you’ve likely considered switching to a self-funded healthcare plan—if you haven’t already. Savvy business leaders know that self-funded healthcare plans can provide significant savings on annual healthcare expenditures without affecting their employees’ quality of care. However, they […]
What is cost containment in healthcare? It’s a question employers are asking more urgently as they search for ways to save money and cut spending while healthcare prices continue to skyrocket. Healthcare spending has grown out of control. In fact, the United States currently spends more than three times as much as other high-income countries. […]
Increasing numbers of employers—with companies of various sizes—are considering self-funded healthcare models. Large corporations and small businesses alike are adopting cost-containment solutions within self-funded healthcare to help mitigate rising costs and exorbitant premiums from traditional private health insurance plans. While switching to a self-funded plan can enable employers to better control their healthcare spend, the […]
Healthcare reimbursement is a complicated process with few models—if any—for comparison. In just about every other business sector in the United States, industries rely on a standardized reimbursement process their customers use to pay for clearly defined products or services. This kind of procedure ensures quality and efficiency for the clients, and also gives them […]
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Brokers and TPAs Need to be Aware: The December 31, 2024 Gag Clause Attestation Submission Deadline Nears
Cost ContainmentBrokers and TPAs may have the obligation to complete the Gag Clause Prohibition Compliance Attestation Submission (“Attestation”) on behalf of their self-funded group health plan clients, pursuant to an agreement with their clients. Although plans are responsible for filing the Attestation, TPAs and brokers may file on behalf of their clients. What is a Gag […]