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Combating Health Care Costs Through Data Integration and Cost Driver Identification
It’s news to no one that health care costs continue to burden consumers and employers of all sizes. Premiums rise without commensurate returns in improved access, quality, and meaningful outcomes. Instead, tensions arise where employers are tempted to shift more...
read moreBroker interviews on what they want from their TPAs
If you are a Third Party Administrator (TPA), you are most likely responsible for insurance claims and performing other admin services mainly in employee benefits. Other services provided by a TPA could include processing, negotiation of claims, actuarial consulting,...
read moreWhy is it important to keep your employees engaged in healthcare?
It may seem like a secondary option to some employers, especially, when they are mostly concerned with bringing the healthcare costs down. However, it’s two sides of the same coin. In the long run, employee engagement will not only help reduce costs by 20% but will...
read more10 Takeaways from a Top Healthcare Summit
I had the opportunity to attend a prestigious healthcare convention organized by a top health insurance company. It was a huge invite-only event for sponsors who got a chance to showcase their offering at their respective booths. There was a fairly large sponsor pool...
read moreWhy are small-to-medium self-funded employers paying much more than the large ones for their healthcare costs?
Here’s a scenario for you to ponder. A small manufacturing company’s healthcare costs have been rising at a 19.6% rate per year over the last 5 years. The tragedy is that this employer-owned organization is paying much more per employee on healthcare costs than a...
read moreThe Overuse of Emergency Rooms by Patients: Why It Costs Everyone More in the End
The world of healthcare is a constantly evolving one, and several unsettling trends have emerged so far in 2016. Healthcare costs are increasing and customers are struggling to figure out why as their wallets are consistently empty. More and more large medical and...
read morePBM carve-out is the solution to non-optimized pharmacy spend
In our series of opinion pieces on questions that companies should be asking their carrier at all times, one of the most important one is related to non-optimized pharmacy spend and variability in drug costs. Everyone claims to be offering a transparent PBM. The...
read moreANALYTICAL INSIGHTS: Impact of wellness programs on healthcare costs
The Problem Workplace wellness programs have grown significantly in popularity. A recent study showed that some 92% of employers with 200 or more workers offered them in 2009. These programs may range from simple gym subscriptions to robust programs that include...
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