Healthcare plans

Savvy Florida employers are controlling the frequency and severity of claims while delivering better, more consistent care in the face of a doctor shortage.

In the face of tempting bonuses, overrides, extra commissions and vacation incentives, level-headed producers are embracing transparency and disclosure to deliver better service to clients.

For about the same cost as covering two annual visits at 100%, employer clients could cover four at 80% to prevent more serious problems, as well as treat cavities painlessly.

Patients appreciate that they can participate from the privacy of their homes, and health plans and employers value the high effectiveness rates — higher than traditional treatments, in many cases.

As employers establish procedures to manage their liabilities under the Consolidated Appropriations Act, brokers will be held to a new standard.

Karthik Ganesh, CEO of EmpiRx Health, explains why his company stands by a value-based model when working with employers.

Heather Monaghan, director of culture communications and programs at Ally, shares her journey from infertility to motherhood.

These steps will help employer clients make the most of their investments.

By 2021, 36% of large employers were offering fertility support.

Any violation of plan eligibility rules allows the stop-loss insurance provider to deny reimbursement of the individual whose eligibility was mismanaged.

PI reviews have become a practical and legal necessity that generates savings, protects members and meets fiduciary obligations.

Employers can help level the playing field by adopting an Individual Coverage Health Reimbursement Account, which will allow them to customize their benefits and avoid subsidizing coverage for segments of the workforce.

A seismic shift in what employees value most in an increasingly competitive labor market has left employers scrambling for guidance on how to best meet changing expectations.

A carve-out plan offers greater transparency, negotiation of better deals, wider access to financial assistance, improved adherence and optimal outcomes.

Healthcare cost navigation platform Turquoise Health released a scorecard that tests hospitals’ compliance with the Hospital Price Transparency Rule.

Want to be a true warrior in the eyes of your clients? Start by recognizing the need to do better on finding proven healthcare solutions.

Establishing clear expectations and measures, as well as gathering outside evidence, will help avoid buyer’s bewilderment.

When talking to a manager about stress and anxiety isn’t enough, artificial intelligence can offer a solution for support.

A team-based care model is extremely effective at improving clinical outcomes for high-risk patients with chronic conditions and lowering healthcare costs.

Megan Greenfield and Jeris Stueland from McKinsey explain how healthcare inequity plagues diverse workforces, and how business leaders need to respond.