Why Employers Should Practice Medicine

Assorted Medical Insignias Logotypes Template Set. Line Art Vector Elements.

Every businessperson will tell you that the key to reducing costs in any industry vertical is by reducing the amount of friction in the transaction. Friction is created every time an additional party is brought to the transaction because that party will likely have its own profit incentive, thereby increasing the cost of the product… [Read More]

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]

What to Expect for 2018 Premium Increases

What to Expect for 2018 Premium Increases

UBS released its 2018 Large Employer Health Benefits Survey and the results are encouraging. Premium equivalents for this largely self-insured study group are expected to rise 6.1% on average from 2017. Interestingly, the shift to high-deductible plans and the increase in non-premium cost-sharing are expected to stabilize. Makes sense – the economy is improving and employees are… [Read More]

Comparing Discounts in a Self-Insured Arrangement

Comparing Discounts in a Self-Insured Arrangement

In a self-insured plan, where 85% or more of cost is the actual payments made for medical claims, one of the most important factors to consider is the network; which one will provide the best access and which will yield the best provider discounts. Let’s start with access: which network most closely aligns with the providers your employees and… [Read More]

Zombie Apocalypse: Health Insurer’s Tax

Zombie Apocalypse Health Insurers Tax

In 2014, fully-insured employer plans were greeted with a nasty surprise – the Health Insurance Providers Fee. The insured’s already massive healthcare costs were being further inflated 1.5–2% due to the new tax congress levied on insurers, which was based upon each carrier’s market share in the health insurance market. Of course that $8 billion… [Read More]

Take Advantage of Health Insurer Cherry Picking

Take Advantage of Health Insurer Cherry Picking

I frequently witness the frustration of small group employers over the inability to customize plan design or receive premiums that reflect the health of their employee population. Growing companies often look forward to hiring their 51st employee, the magical threshold where many state insurance laws allow rate negotiation and some plan design flexibility. Some states even… [Read More]

Wellness Incentives – a Case Study

Wellness Incentives – a Case Study

One of the most common questions I receive from my clients is, “how do we get more employees to participate?” While I wish my answer could be about appealing to the intrinsic value of improving one’s health, my most common responses are: Provide a more enticing incentive. Increase promotion. Get senior leadership onboard and involved…. [Read More]

Small Group Renewals – the Devil Is in the Details

Small Group Renewals – the Devil Is in the Details

With year after year of large premium increases, it’s no wonder many employers are happy to receive a health insurance renewal below 10% – but low-percentage renewals can often gloss over key changes to the policy that are not boldly highlighted in the renewal offer. So what kind of changes are we talking about here?… [Read More]

PEOs – Key Factors You Need to Consider

PEOs – Key Factors You Need to Consider

Professional Employer Organizations (PEOs) have continued surfacing as a solution for many small employers, but where do you begin when trying to understand if a PEO is right for your business? Decide if a PEO makes sense for your business BEFORE evaluating the savings. A PEO can seem tempting when quotes come back 10% to 20%… [Read More]

Insights From Inside Washington

Reshaping Healthcare in the United States

As the word game semantics continue regarding repeal, replace, repair and rebrand, our clients who have businesses to run and don’t really care if you call it Obamacare, Trumpcare or Putincare, are really just focused on one thing: what, in practice, will actually happen so we can adjust our strategic planning and investment decisions accordingly?… [Read More]