Reference-Based Pricing – Not Just for Large Groups Anymore

Reference-Based Pricing – Not Just for Large Groups Anymore

“It’s not health insurance that’s expensive; it’s the cost of healthcare,” a keen observation from a recent blog post by Frenkel Benefits’ president, Craig Hasday. It’s safe to reason that anything which lowers the cost of healthcare should lower premium rates – but is it that easy to get done? Employers try to mitigate healthcare costs in… [Read More]

And You Thought There Was Nothing New in Healthcare? Shifting from “Volume” to “Value”

And You Thought There Was Nothing New in Healthcare

High deductible plans are running their course. Wellness, while useful, isn’t delivering immediate savings. Many of our clients are wondering what “the next big thing” is in healthcare delivery. Alongside the rising trend of healthcare consumerism, Accountable Care Organizations and the buzz of private exchanges stormed into the healthcare delivery conversation. We’re now starting to… [Read More]

Online Enrollment – More Than Just Simplifying Administration

Online Enrollment—More Than Just Simplifying Administration 

Enrollment and reporting are just the tip of the iceberg when it comes to the features and functions of online enrollment platforms. Technology is playing a huge role in communicating benefits information to employees outside of the open enrollment period and enrollment platforms can really maximize your communications efforts, pushing out education to employees and… [Read More]

Pharmacy Cost Confusion

Pharmacy Cost Confusion

What is going on with the pharmaceutical industry? Sometimes I feel like they are taunting all of us. I have been writing about the abuses the industry has been imposing on our healthcare system (see related posts here, here and here). There is a lot of subterfuge and non-transparency surrounding costs and the vultures are circling. Pharmacy Benefit… [Read More]

Examining Multi-Tiered Networks to Minimize Premiums and Foster Consumerism

Examining Multi-Tiered Networks

As health insurance premiums, copays and deductibles become unbearable, we’re often faced with clients who feel completely out of options during renewal conversations. They don’t want to switch carriers, but are out of levers to pull in order to control costs. Now we’re seeing carriers step in with an interesting solution: multi-tiered networks that align… [Read More]

Millennial Shopping: Browsing > Splurging

healthcare cost2

I’m a millennial, and my generation currently comprises over a third of the U.S. workforce. At 53 million, we’re a population that deserves some degree of attention because both our numbers and spheres of influence are growing, and quickly, might I add. My peers and I are often found tethered to our smartphones. We do… [Read More]

Your Employees are Enrolled in a CDHP…Now What?

Healthcare Cost  Medical  Health Coverage

Congratulations on a successful annual enrollment, especially if you introduced a high deductible health plan with a Health Savings Account (HSA) or moved more of your employees to a Consumer-Directed Health Plan (CDHP). That’s a big accomplishment, but your communication job is really just beginning. Here are five great ways to support your employees and help… [Read More]

Is Consumerism a Field of Dreams?

healthcare cost2

The ACA Times, an online industry publication, recently reported on a JAMA Internal Medicine research survey of factors considered when choosing physicians. Significantly, only 10% of respondents considered changing doctors and only 4% considered cost comparisons when making their choice. This was the case whether the plan was a traditional plan or a high deductible… [Read More]

Education is Critical in High Deductible Plan Management

Education is Critical in High Deductible Plan Management

A recent study by Truven Health Analytics confirms that there are savings in consumer-directed health plans (CDHPs). In a three year study of 183,000 continuously enrolled CDHP members, an annual savings of $457 to $532 per member per year, or almost 10%, was demonstrated. This, while the number of employers offering CDHPs increased to 64%… [Read More]

Where Are All the Aggrieved Employees?

logo-sq-no-border

Nearly ten years ago when I first started in healthcare consulting with a national firm, I was advised that this business is about much more than data and analytics. Recognizing the myopic nature that often defines actuarial majors, my mentors explained that it’s not just about the numbers. While true in most businesses, this is… [Read More]