For many self-funded plans, prescription claim costs approach or exceed medical claim costs. A modern claim audit needs to include a review of prescription claims. In this webinar, Health Decisions was pleased to present Don Champoux, Senior VP of... read more

Here’s the “dirty little secret” about the new “pay-or-play” requirements:  Most plans will pass easily and few plans will have any problems with penalties. Here’s the less obvious part of compliance: The steps called for by the new... read more

This is the second in our three-part webinar series on health reform support around the employer mandate regulations. This webinar focuses on the four levels of calculations associated with Pay-or-Play decisions every plan must make. How to count... read more

This is the first in our three-part webinar series on health reform support around the employer mandate regulations. This webinar explores how new regulations completely change the way health plans handle cost sharing. No plan currently meets the... read more

  Keeping up with the deluge of health reform regulations and requirements makes it easy to overlook a fundamental fact: Health reform directly impacts your plan enrollees, and how they react directly impacts your plan. Do you know what your... read more

Many companies with self-funded insurance plans hope to save money through cost-sharing. This webinar explains that these companies may not actually cut costs--and why this happens.

 

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  National insurers, while late entrants to self-funding, have dramatically altered the self-funded market. Each of the national insurers has very similar administrative policies. These policies make good business sense for the insurers. But... read more

Claims and enrollment data are a self-funded plan’s most important (and often most overlooked) asset.  Do you know where your plan’s 2012 data are?  They are warehoused somewhere.  Whoever controls that warehouse controls your... read more

Every major reform has winners and losers.  Obamacare is no exception.  With all the talk about state health exchanges, new fees, and pay-or-play, the opportunity for union trusts to be big winners can be easily overlooked.  This... read more

Plan year-end is the time when self-funded employers, trustees and fiduciaries can exert the most control and get the changes they want.  All too often, however, this opportunity is missed entirely, ignored, or used by plan administrators to... read more