Plan Design & Financing Strategies

We all know how important it is to stay current with preventive screenings and wellness visits to ensure our personal good health.

The Wall Street Journal reported on May 28 that national health plans are offering small employers (as few as 10 members) self-insurance. The purpose of this new option is to help small businesses avoid new requirements under the Affordable Care Act, such as richer benefits and pricing rules.

For more than 30 years I have had the privilege of sharing candid personal insights with stakeholders about the status of the TPA industry, employee benefits marketplace, and always-swirling government environment. My reports and predictions have sometimes seemed wild, but I am amazed that they have had about a 90

Hosts Brent Macy, Managing Director with The Institute for HealthCare Consumerism (IHC), and Ron Bachman, Chairman of the Editorial Advisory Board, speak with Cecily Hall, Executive Vice President, MedEncentive. Cecily talks about her FORUM workshop "Achieving the Triple Aim by Triangulating the Interests of Payors, Providers and Patients".

Consumer-directed health plans (CDHP), designed to make employees make more cost-and health-conscious decisions, have been shown to reduce the long-term use of outpatient physician visits and prescription drugs, according to new research by the nonpartisan Employee Benefit Research Institute (EBRI).

Capital BlueCross’ value-based benefits structure allows employers to streamline the way they reward members who make good health choices through health and wellness activities or through actual medical services. Actions such as completing health risk assessments, biometric screenings and online coaching courses and obtaining appropriate

New product provides never before seen transparency and standards to improve quality and affordability of health care for surgical procedures

In a white paper released by Change Healthcare, 91 percent of employees with families and 65 percent of employees overall would have spent less under a CDHP than a PPO. Families averaged $140 per month in savings.

The following is a white paper produced by Huron Healthcare.

The National Association for the Self-Employed (NASE) has produced a survey of their members