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unemployment

Some Insurers Step Up Group Health Plan Assistance

Some health insurers are helping business workers in group plans maintain employee benefits during the COVID-19 pandemic, a new survey has found.  Social distancing and stay-at-home orders have put the hurt on hundreds of thousands of businesses across the country, which has forced them to reduce employees’ hours, furlough them or lay them off. Besides …

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Reasonable Healthcare Cost

How Can I Offer Care Management and Patient Advocacy to my Employees at a Reasonable Cost?

If you’rereading this article, you’re likely considering offering care management and patient advocacy to your employees. Congratulations! You want to help your employees, but at the same time, it needs to be budget-friendly. The process to add patient advocacy and care management is relatively simple. However, like most things in the health insurance industry, it’s not …

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Covid 19 lawsuit

10 Potential Causes of Employee COVID-19 Lawsuits

The novel coronavirus that broke out in the winter has caused immeasurable suffering, both physical and economic. For employers struggling to stay in business, this is a fraught time where mistakes in managing their workforces could lead to employee lawsuits. Here are 10 potential trouble spots to watch for. Workplace safety – Businesses that still have …

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Bundled Pricing for Employers

How to Make Bundled Pricing Work for You and Your Employees

It’s no secret that employers want to control their costs, and at the same time help their employees to have access to the highest quality care at the lowest possible price. Bundled pricing is a one-off arrangement that employers have with a specific facility (i.e. hospital, outpatient facility, imaging center, etc.) where the price is negotiated …

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health plans

COVID-19 Changes to Health Plans Must Be Documented, Circulated

A number of plan sponsors have made changes to their group health plans in response to the COVID-19 pandemic, such as covering testing and sometimes treatment without any cost-sharing by the plan enrollee. But any changes that are made must be followed up by amending the plan and communicating the changes to the enrollees. Under …

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Lower Your Health Cost

Lower Your Health Care Costs by Offering High Quality Service

The buzz around health insurance right now is all about user experience and access to care. The problem is two-fold: insurance literacy and health literacy. Would it surprise you to learnthat 90% of employees do not know the difference between a copay,coinsurance,and a deductible?While that may seempretty basic to people like me in the insurance industry,this lack …

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Medicare Advantage

Medicare Advantage, Part D Plans Get COVID-19 Leeway

The Centers for Medicare and Medicaid Services has issued new guidance regarding how Medicare Advantage and Part D plans can respond to enrollees affected by the coronavirus outbreak. Under the guidance, the plans are authorized, but not required to waive out-of-pocket costs for testing, treatment and other services related to the coronavirus. The rules come …

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The Real Price of Your Prescriptions

For most employers, prescription spend.. drug costs… are steadily increasing. In fact, pharmacy costs account for almost 25% of most employers’ health care budget every year. The Pharmacy Benefit Manager (PBM), is a company that manages your prescriptions, including allowable medications on your formulary, what you pay for them, what the manufacturer paid for them, and …

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