As long as the U.S. military has existed, veterans have struggled with health issues related to their service. A recent survey by the Wounded Warrior Project finds that among post-9/11 veterans, 94% experienced severe physical injuries, 91% experienced severe mental health issues, and over a third of those injured require daily assistance. While the U.S. […]
Did you know that billing errors are shockingly common in the medical reimbursement process? Unfortunately, as much as 80% of all medical bills contain some kind of error. The healthcare industry likes to present a meticulous, professional appearance that projects a sense of authority to patients whose lives they may hold in their actual hands. […]
Rising healthcare costs in the United States have made cost containment more important than ever. Read to learn why and how you can combat it.
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.
Successful cost containment in healthcare gets support from legislation governing the public sector initiative to cut overspending and boost transparency.
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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 […]