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Every Healthcare Claims Data Set Has Errors

In this two-part series, we will examine a few of the top categories of claims payment errors. Missing these common errors means that self-insured employers are leaving possibly hundreds of thousands of dollars on the table every year.Rather than asking your employees to contribute more in terms of higher premiums or reducing their benefits, self-insured … Read more

Don’t Cut Benefits, Stop Overpaying Healthcare Claims

Money wasted

BenefitsPro reported in May that Americans’ healthcare costs rose again by 4.5 percent, bringing them to about $28,000 per family. According to 2018 Milliman Medical Index, employers are paying more (3.5 percent), but employees are paying a lot more (5.9 percent). This trend shows a shifting of the healthcare cost burden to employees. As self-insured … Read more

Making a List, Checking it Twice

As we approach the end of 2017, what do you have planned to close the year out strong?  Have you decided how you can best evaluate your medical spend of 2017?  Have you considered ways to lower your costs in 2018? One unintended consequence of self-insuring is that claims payers have no financial incentive to … Read more

Thankful open enrollment is almost over? Now what?

Each year, self-insured employers pour a great deal of time and energy into creating the best benefit plan for their employees.  They carefully review and compare benefit packages,  consider costs and expectations, enroll employees, and communicate changes.  If you have been part of the process, you may feel like it is time to put it … Read more

The Last Days of Summer and Planning Ahead

Labor Day has come to symbolize the official end of summer, with family gatherings, final trips to the beach, and the wafting aroma of BBQ on the grill. It’s also a time to start thinking about fiscal planning for the next year. Labor Day began as a yearly, national tribute to the contributions workers had … Read more

An Interview with Randy King

Interviewer: Randy King is the president of Healthcare Horizons Consulting Group. Randy, what is Healthcare Horizons and why do organizations choose your firm to help them? Randy King: At Healthcare Horizons, we focus exclusively on providing healthcare claim audits for self-insured employers. Self-insured employers are directly at risk for their medical dollars. For example, when … Read more

Healthcare Horizons President: ‘It’s time to negotiate air ambulance charges’

Healthcare Horizons’ President Randy King offered Employee Benefit News his thoughts on how to control the out-of-control costs associated with air ambulances and planes. Four cost-saving suggestions are provided in the February article, including tips on how to negotiate better rates for emergency air travel support. Click here to read the full article on Employee … Read more

How Self-Insured Companies Can Avoid Gigantic Overcharges

Overpaying claims

Some Fortune 500 companies – adept at tracking the costs and location of every product they make – are surprisingly lax when it comes to double-checking healthcare costs. See Employee Benefit News for the full article. Randy King is president of Healthcare Horizons Consulting Group, Inc.  Healthcare Horizons has performed healthcare claims audits for over … Read more

July Industry News

Pace of U.S. Healthcare Spending Increased in 2015 http://www.wsj.com/articles/pace-of-u-s-health-spending-increased-in-2015-with-further-rise-expected-1468440002 Health insurance mega-deals aren’t winning over large employers http://www.modernhealthcare.com/article/20160601/NEWS/160609999