Have you asked your insurance carrier about your auto adjudication rate and how it compares to the industry average? The answer may surprise you.

Are you planning to conduct an audit of your health plan claims administration next year? Consider incorporating these recommendations for a more effective engagement.

In order to properly manage a health plan, the plan sponsor and its board need to receive a good deal of financial and non-financial data. Board reports will come from many sources so compiling this information into a concise reporting package is often difficult, but vital.

As phase two of the Healthcare Transparency Act is quickly approaching, we wanted to discuss what is in the plan, what it means, and how it will impact plan sponsors.

When constructed properly, performance guarantees serve as an objective means for the plan sponsor and its vendor to ensure the service provider is meeting the contract’s expectations.

As more technology-driven solutions disrupt the traditional healthcare model, many plan sponsors are moving away from the turn-key approach offered by insurance carriers. Before making such a decision, plan sponsors should determine if they are ready to take on the fiduciary challenges associated with this move.

The administrative complexities of the healthcare system and its onerous regulatory environment continue to increase the cost to administer a self-funded health plan – not  [Read More]

Employers who choose to self-insure their group health plan (GHP) have significant fiduciary responsibility to the plan’s participants and beneficiaries. In order to manage  [Read More]

A group health plan sponsor and its administrator are responsible for managing the plan and its assets. In order to properly manage the plan’s  [Read More]