COVID-19

Here is a brand-new strategy for you – How to control the FREQUENCY of claims. This will bring you faster, better, shinier results. Pinkie promise.See the thing is, when most people talk about Controlling the frequency of claims, they tell you that means you need to limit care or increase the “member responsibility.”  When you do that…. […]

Every plan is calculated on claims + margin + admin cost + reinsurance + pooling. What happens if the underwriter miscalculates and overestimates your claims? Do you keep that money in your pocket or does it stay in someone else’s pocket?  If you are fully insured, it stays in someone else’s pocket.  Is that ok with you? Watch Full

Do you know what keeps you on top?Many entrepreneurs and “household brands” can find themselves at the top of their industry for a year or two — But do you know what the difference is between the titans and the one-hit-wonders? Innovation and Crazy Ideas…What we are going to share today is a crazy idea

An old friend told me this one: If you are not at the table, you are on the menu Big bad wolf imagery aside… most of us don’t want to be on the menu! Are you on the menu when it comes to negotiating your health care plan? If you don’t have full and transparent access to your data

About two months ago, we negotiated a fairly large technology purchase for our office – laptops, monitors, docks, the whole nine-yards…. You would have thought we were conducting a military operation with the planning that went into this project.• Apple or Microsoft?• Who needed more storage, cache, or did we all need the same?• Did

Are you paying your benefits advisor for activity or for results? Are you paying them to administer your plan or to control your costs? There are eight questions you can ask to find out. In the previous article, I shared with you the first four questions. Here are the next four.   5.  What do you do

Are you paying your benefits advisor for activity or for results? Are you paying them to administer your plan or to control your costs? There are eight questions you can ask to find out. 1.  Are you able to provide my medical and claims data and insights from my fully insured health plan? You will find out

Many midsize employers believe that self insurance is full of rules and redtape that fully insured plans don’t have. However, that’snot necessarily the case. Compliance is integral to self insurance and there are several items that you are responsible for as a self-funded employer, including:• ERISA fiduciary responsibilities,• Non-discrimination rules,• Reporting and disclosure,• Requirements notices,•