Association Health Plans – Will They Help?

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.

The Trump Administration has released its final rule on Association Health Plans (AHPs). This has been a long-debated topic. Advocates feel that groups in the same trade, industry, line of business or profession – or those that exist within the boundaries of the same state or metropolitan region – should be able to band together to have… [Read More]

Reviewing Contracts: An Essential Part of Health Plan Management

Reviewing Contracts An Essential Part of Health Plan Management

And you thought it was tough to decide on plan design, communication strategy and contributions for your medical benefits plan… Once the crush of implementation begins, the plan documents will start coming to your inbox and it’s critically important that you understand them completely. The obvious first steps would be to check the principal plan… [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]

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]

There is More to Medical Trend Than Healthcare Inflation

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Whether your health insurance plan is fully insured, a self-insured plan, or a combination of the two, healthcare trend is an important determinant of your pricing. Often misinterpreted as just inflation of unit costs of services, trend is far more complex, encompassing other cost drivers, such as: Cost shifting by providers as more people are… [Read More]