Insurance Carriers Reducing the Cost of Care

Man at the table fills in the form of health insurance. Healthcare concept. Vector illustration flat design style. Life planning. Claim form. Medical equipment, money, prescription medications.

This week I am attending the Cigna National Producer Advisory meeting. I am pleased to say that Cigna, as well as all the national insurance carriers, are busy moving forward the goal of reducing healthcare costs by aligning interests. Physicians will receive additional compensation if results establish quality care, a favorable member experience and affordability… [Read More]

2017 Kaiser Family Foundation Survey Results

medical cost, stethoscope on dollar banknote money. concept of health care costs, finance, health insurance fund.

Kaiser has just published its 2017 annual benefits survey and I think the folks in Washington, D.C. all need a copy. Approximately half of the United States’ non-elderly population gets healthcare coverage through their employer, so this survey reveals what many Americans are experiencing. While employer coverage is far better, in many respects, than the coverage… [Read More]

Anthem Gets Tough with Hospitals

Anthem Gets Tough with Hospitals2

One of the greatest frustrations our self-funded (and to a lesser extent, fully-insured) clients voice is that – despite the hundreds of thousands or millions of dollars they pay the insurers to assist in managing their health plan spend – too often it appears the insurers are complicit in the rising healthcare spend by not… [Read More]

Insurers, Providers and Employers on a Collision Course 

Insurers, Providers and Employers on a Collision Course 

Trying to control healthcare costs is like trying to pick up Jell-O pudding with a pair of chop sticks. It is virtually impossible. The employer-based healthcare system relies on their intermediaries – primarily the large national insurers – to negotiate discounts, provide claims-paying acumen, fraud oversight and clinical expertise, among other things, in the administration of… [Read More]

Limiting the Employer Exclusion for Healthcare Is the Wrong Idea

Limiting the Employer Exclusion for Healthcare Is the Wrong Idea

The Republicans are looking everywhere for funds to fix healthcare, as well they should. This problem is not an easy one to solve, however. Under ACA, employers were faced with the Cadillac Tax and as a result they wasted no time in planning to mitigate the effect. While the Democrats seemed to believe that this… [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]

The “Sitting Disease” is Killing Your Employees

The Sitting Disease is Killing Your Employees

As I deposit a check through an app on my phone (for my bank that’s less than 6 blocks from my apartment) I realize just how easy humans have it nowadays. In an age of convenience we’re more sedentary than ever. The average office worker sits for around 10 hours each day – moving from… [Read More]

Are Association Health Plans a Good Idea?

Are Association Health Plans a Good Idea

A topic often discussed in the healthcare debate is Association Health Plans (AHPs). Proponents believe that small businesses with a common thread should be able to join together to purchase healthcare in the same way larger employers do, negotiating component costs with bargaining clout of the combined employee lives. And recently, the “Small Business Health… [Read More]

Is the AHCA Shifting the Deck Chairs on the Titanic?

Is Trumpcare Shifting the Deck Chairs on the Titanic

The healthcare news wires are ablaze this week with the introduction of Republican bill to repeal the Affordable Care Act. Led by Speaker Paul Ryan, he pledged that the bill would “drive down costs, encourage competition and give every American access to quality, affordable health insurance.” As a budget reconciliation bill, only items impacting revenue… [Read More]