“I’m from the government; I’m here to help” seems comical. The funny thing is that when it comes to monitoring health plan performance and provider payment, it can be true. Medicare is America’s dominant payer. Its importance will only... read more

Why hasn't automation reduced health plan administrative costs? Health claim billing and payment processing is almost all automated. Yet health plan administrative fees have not been reduced - they have skyrocketed! Why is this?... read more

Do the self-funded health plans you work with have a management plan for 2011 (that goes beyond waiting for crises, open enrollment and renewal)? Whether they do or not, this webinar can be of help. If there is a 2011 plan, this... read more

Finding claim overpayments is easy. Collecting them is not. Claim audits routinely find 5% to 10% in overpayments. But collection efforts typically yield 1% to 3%. Why does this happen? What can be done to improve overpayment collection ... read more

Automation has revolutionized health claims payment. More claims are paid faster by fewer people. Yet administrative costs and payment errors have not gone down and in many instances have actually increased. How can this be? This webinar... read more

The longer you work in health benefits the more you realize that all costs are enrollment driven. That’s right, all costs: premiums, claims, risk, fees, liability, compliance, etc. FACT: Health care cost control requires accurate,... read more

Nationwide, the self-funded, group health market has become dominated by high cost administrators who justify their high costs with assertions of larger “provider discounts.” Competition in this market relies on meaningless and misleading... read more

Health reform is forcing every existing plan to decide whether it wants to maintain its status as a "grandfathered" plan. Not every plan will come to the same answer. This webinar will help attendees weigh the pros and cons of maintaining... read more

Every self-funded plan fiduciary places trust in an administrator for day-to-day plan operations. Both the fiduciary and the administrator benefit if they follow President Reagan’s maxim: “Trust but verify.” This free webinar will show... read more

Change creates challenges and opportunities. The change brought by the new health reform law is no exception. Self-funded plans will find that parts of health reform are not in their interests. Those that look and prepare will also find... read more