paid sick leave

The Chinese character for crisis contains two symbols –danger and opportunity. I think this is an accurate depiction of 2020!! And, yes, of the danger and opportunity in your health plan also. Conservative folks, and underwriters are absolutely conservative folks, have a hard time managing (pricing for) risk, in an uncertain market. This is the […]

Last week we talked about how insurance drives the cost of care. This week, I am going to talk about control. I imagine you have a high degree of control in how you run your business. Would you be interested to know that you can use the same principles to guide your health plan… and

If you are like most people –employers, employees, patients –you probably think that healthcare is expensive. Sometimes… but usually it is just expensive when the insurance “apparatus” gets in the middle. Would you prefer to pay $1860.97 for a CMP … or $12 Would you prefer to pay $9900 for a colonoscopy or $1852? Learn

An insurance carrier is being sued again for “cross-plan offsetting.” I imagine that is a new term for most of you… It is a cost-containment tool that penalizes employers. And, we are not going to pick on any one insurance company… I suspect every insurance company does this. So… what is it, why is it

Never insure anything you can afford to replace is good insurance advice… yet we do exactly the opposite with our healthcare budget. This might be a brand new take on health care payment strategies in a way that will bring you faster, better results. See the thing is, when most people when they talk about health care

Armies march on their bellies said Napoleon Bonaparte… and Health Plans run on their Summary Plan Description (plan document). When you think about it like that, can you see how your plan document makes it simple to bend your health care plan to your goals and budget? When most people talk about plan documents, they shrivel

Want a brand new take on your healthcare budget?How about 100% Healthcare Coverage in a way that will bring you faster, better, shinier results. Industry Experts are not talking about 100% coverage… what you are typically hearing is….. we have negotiated the best renewal we can… the benchmark increase is 8% and we have negotiated yours

Here is a brand-new take on The Pareto Principal… let’s call it the Lack (thanks to Craig Lack!) Principal: 10% of your employees are driving 90% of your costs. When most people talk about The Pareto Principal, they don’t think it applies to benefits. Take a look at your claims data (you have that… right?)

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

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