“Accountability is the glue that ties commitment to the result.” Bob Proctor Are you worried that if claims mistakes are found in your healthcare data set that you will be held responsible? We hear this a lot, but the fact is, NOT finding the mistakes and leaving them uncorrected is what makes individuals or companies … Read more
Each year, companies – and their employee benefits manager or health insurance broker – hold negotiations with third-party administrators (TPAs) to handle the details of self-funded healthcare plans. These agreements can directly impact a company’s bottom line. Considering the rising cost of healthcare and incidences of significant overpayments of claims, including fraudulent or abusive claims, … Read more
It’s that time of year. Time for the annual reflections on the past year and predictions for the next. While you might think there isn’t much change when it comes to employee benefits and healthcare trends, the past two years have proven to be full of surprises. So, we’ll look at the highlights from 2021 … Read more
Are self-insured CEOs asking the right questions of their benefits managers when it comes to healthcare spending? Do they even know that there are crucial questions to be asked? Every year, millions of dollars in overpaid healthcare claims are funded in error by self-insured employers. Asking the right questions can help ensure that those dollars … Read more
At the holidays, many of us spend a lot of time selecting gifts for our friends and family. We deliberate and try to pick gifts that we hope will not be returned to the store the day after they are given! However, returns can be a good thing, especially when we are talking about the … Read more
“We wanted to let you know that we settled all the outstanding audits that you performed for the County. It was a long process that centered around your analysis and tracking credits to our monthly billings from the TPA’s recovery efforts. The TPA agreed to pay approximately $1 million for the three years of audits. … Read more
Not wanting to rock the boat at contract renewal time, benefits managers can sometimes miss some big picture savings that can come from renegotiating their company’s healthcare plan audit rights. What they may not realize is that by blindly agreeing to standard language in their services agreements, companies are typically limited to random sample audits. … Read more
According to this month’s Employee Benefit Adviser article, The Secret to Differentiation and Building Competitive Advantage, providing “great service” to your clients is not enough. It only gets you in the game. “No, you have to be more creative than that. What will make you invaluable to your clients? What will cause third-party centers of … Read more
We understand that the complexity and constant change in the industry can cause headaches for benefit managers and brokers. We are here to provide a solution. Since healthcare benefits are often the second largest expenditure for companies after payroll, it’s a natural go-to when CEOs are looking for cost containment measures. When your CEO comes … Read more