self-insured employers Coverage - MedCity News https://medcitynews.com/tag/self-insured-employers/ Healthcare technology news, life science current events Tue, 30 Apr 2024 14:48:37 +0000 en-US hourly 1 https://wordpress.org/?v=6.5.3 228111745 Which AI Applications Interest Your Employer Clients the Most? Where Will They Have the Greatest Impact? https://medcitynews.com/2024/04/which-ai-applications-interest-your-employer-clients-the-most-where-will-they-have-the-greatest-impact/ https://medcitynews.com/2024/04/which-ai-applications-interest-your-employer-clients-the-most-where-will-they-have-the-greatest-impact/#respond Thu, 25 Apr 2024 18:48:21 +0000 https://medcitynews.com/?p=125577

If you advise self-insured employers on healthcare benefits, your expert insights will help provide a comprehensive perspective of the state of healthcare benefits for employers in our second annual survey, the 2024 Benefit Consultant Sentiment THE INDEX.

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Share Your Insights on the Changing Healthcare Landscape https://medcitynews.com/2024/04/share-your-insights-on-the-changing-healthcare-landscape/ Tue, 02 Apr 2024 11:45:40 +0000 https://medcitynews.com/?p=668979

Do you advise self-insured employers? Your insights will offer leading, innovative points of view that can guide employers and peers. Join us for this year’s survey!

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We Need Your Self-Insured Employer Health Benefits Insights for Our Annual Survey https://medcitynews.com/2024/03/we-need-your-self-insured-employer-health-benefits-insights-for-our-annual-survey/ Tue, 19 Mar 2024 11:30:28 +0000 https://medcitynews.com/?p=666525

Do you advise self-insured employers? The 2023 Benefit Consultant Sentiment INDEX offered robust insights and cast a spotlight on the evolving roles of employers as they navigate the changing healthcare landscape. Your insights offer leading, innovative points of view that can guide employers and peers. Join us for this year’s survey!

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Proliferation of Benefits Providers Highlights Greater Need for Integration and Navigation, Survey Finds https://medcitynews.com/2023/10/proliferation-of-benefits-providers-highlights-greater-need-for-integration-and-navigation-survey-finds/ Tue, 24 Oct 2023 11:30:20 +0000 https://medcitynews.com/?p=652860

Consultants are spending more time evaluating vendors and parsing options in growing areas such as mental health, inclusive family planning and chronic care, according to “The 2023 Benefit Consultant Sentiment Index” conducted over the summer in partnership with Quantum Health.

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Share Your Expert Insights! How Is the Landscape for Healthcare Benefits from Self-Insured Employers Evolving? https://medcitynews.com/2023/06/landcsape-for-healthcare-benefits-from-self-insured-employers-survey/ Thu, 29 Jun 2023 11:30:36 +0000 https://medcitynews.com/?p=639789

Experts suggest that the healthcare benefits landscape is evolving rapidly. Tell us whether you agree or disagree and what you think may be driving these changes. Your participation in this research will ensure the report results will be a valuable resource for you and the healthcare industry as a whole.

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Making Pharmacy Benefits Transparent and Returning Control to Patients and Employers https://medcitynews.com/2023/01/making-pharmacy-benefits-transparent-and-returning-control-to-patients-and-employers/ Mon, 09 Jan 2023 12:30:48 +0000 https://medcitynews.com/?p=617188

Transcarent wants to transform the digital pharmacy benefit experience, enabling self-insured employers and their staff to make more informed choices.

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Uber Health Dips Into the Employer Space https://medcitynews.com/2022/11/uber-health-dips-into-the-employer-space/ Wed, 16 Nov 2022 19:45:00 +0000 https://medcitynews.com/?p=613669

Historically having worked with Medicaid and Medicare Advantage populations, Uber Health is now expanding its services to self-insured employers. The company made the announcement at the HLTH conference in Las Vegas.

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The financial journey in healthcare https://medcitynews.com/2022/07/the-financial-journey-in-healthcare/ Thu, 14 Jul 2022 12:05:04 +0000 https://medcitynews.com/?p=595193

Employee health benefits and consumer-focused digital health are the themes of the MedCity INVEST Digital Health conference in Dallas, scheduled for September 28, in collaboration with Health Wildcatters. Register today.

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Cancer care poses challenges for employers; Transcarent shares vision for how it can help https://medcitynews.com/2022/07/cancer-care-poses-challenges-for-employers-transcarent-shares-vision-for-how-it-can-help/ Wed, 13 Jul 2022 11:30:46 +0000 https://medcitynews.com/?p=593666

As they seek to support their staff, self-insured employers are turning to innovative programs to balance evidence-based programs with the need to manage healthcare costs.

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Transcarent’s $200M haul makes it healthcare’s newly minted unicorn https://medcitynews.com/2022/01/transcarents-200m-haul-makes-it-healthcares-newly-minted-unicorn/ Wed, 12 Jan 2022 00:52:09 +0000 https://medcitynews.com/?p=565491

Transcarent is the latest entrant in the world of healthcare unicorns announcing a $200 million Series C investment round led by Kinnevik and Human Capital. Other investors in the round included top health systems.

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In MedCity Pivot podcast, Glen Tullman says other care navigation firms aren’t really taking risks https://medcitynews.com/2021/04/in-medcity-pivot-podcast-glen-tullman-says-other-care-navigation-firms-arent-really-taking-risks/ Wed, 14 Apr 2021 18:05:19 +0000 https://medcitynews.com/?p=524969

Livongo’s founder has created a new care navigation venture because he believes that both the experience that people undergo as they look for care and the level of risk that vendors are willing to take when they work with self-insured employers leave much to be desired.

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A look at direct contracts as one approach to value-based care https://medcitynews.com/2018/09/direct-contracts-and-value-based-care/ Tue, 04 Sep 2018 14:05:25 +0000 https://medcitynews.com/?p=445093

As stakeholders in the healthcare industry figure out how to navigate value-based care, the use of direct contracts between providers and companies is one option that can be fraught with challenges. Here’s an overview of some of them.

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4 reasons why Walmart could Be Good for Health Care https://medcitynews.com/2018/06/4-reasons-why-walmart-could-be-good-for-health-care/ Tue, 19 Jun 2018 14:32:06 +0000 https://medcitynews.com/?p=443010

The company clearly knows how to create efficiencies in areas where there previously were none, and analyze and activate on its abundance of consumer data. Those two qualities are in high demand in the health care sector.

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Moving the needle takes all of us: The employer-led healthcare movement ahead https://medcitynews.com/2018/05/moving-the-needle-takes-all-of-us-the-employer-led-healthcare-movement-ahead/ Fri, 18 May 2018 20:47:39 +0000 https://medcitynews.com/?p=442078

The vast majority of working Americans get health insurance through their employer and employers can adopt various strategies to move the needle in healthcare.

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Employers find ways around FDA crackdown on drug imports to reduce prescription costs https://medcitynews.com/2017/12/ways-around-fda-canadian-drug-crackdown/ Sun, 10 Dec 2017 22:08:59 +0000 https://medcitynews.com/?p=437151

Congress has passed legislation legalizing the importation of prescription drugs several times in the past 20 years, but both Democratic and Republican administrations have opted not to implement it.

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Profiting from health: The self-insurance story https://medcitynews.com/2016/10/profiting-health-self-insurance-story/ Mon, 24 Oct 2016 21:47:26 +0000 https://medcitynews.com/?p=386981 For decades self-funding has been the method of choice for very large companies, but now companies as small as 20 employees are looking to get out of fully-funded plans.

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What’s the outlook for 2017 employee healthcare costs? https://medcitynews.com/2016/08/employee-healthcare-costs-2017/ Tue, 09 Aug 2016 16:42:25 +0000 https://medcitynews.com/?p=381861

Moderate cost trends in the large-employer market seemingly contrast with those in the Affordable Care Act’s online marketplaces.

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Startup DoctorGlobe seeks to turn price transparency on its head https://medcitynews.com/2016/07/doctorglobe-price-transparency/ Wed, 20 Jul 2016 11:45:27 +0000 https://medcitynews.com/?p=380108

DoctorGlobe, which serves members and sponsors of self-insured employer health plans, displays patient out-of-pocket responsibility rather than the price providers bill the employer for.

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What’s driving increased catastrophic claims for self-insured employers? (Infographic) https://medcitynews.com/2016/07/catastrophic-claims-infographic/ Mon, 11 Jul 2016 23:04:13 +0000 https://medcitynews.com/?p=379543 The 10 most common conditions for stop-loss payments accounted for more than half of all such claims in the last three years, according to Sun Life Financial U.S.

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Arbitration agreement showdown pits Sutter Health against employers, splits insurers https://medcitynews.com/2016/04/sutter-health-and-arbitration-agreement/ Thu, 07 Apr 2016 13:46:32 +0000 https://medcitynews.com/?p=371604 The current fight centers on larger employers that tend to self-insure because they have the financial resources to pay their own medical claims. They often hire an insurer to negotiate with hospitals for discounted rates as part of their health plan network for employees.

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ACA changes on consumer out-of-pocket costs for medical care vexes employers https://medcitynews.com/2015/08/aca-price-cap-on-consumer-medical-care-costs/ Mon, 17 Aug 2015 09:00:56 +0000 http://khn.org/?p=561414 Many employers face a major plan design change or revision to the pricing structure to accommodate the additional cost

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Report highlights ethical concerns, questions financial gains of employer wellness programs https://medcitynews.com/2015/04/report-highlights-minefield-ethical-concerns-employer-wellness-programs/ Mon, 20 Apr 2015 22:27:58 +0000 https://medcitynews.com/?p=331811 The interest in employers cutting healthcare costs has purred the growth of companies claiming their employer wellness tools can make it easier for employers to satisfy those goals. But a new report sheds some light on the downside of employer wellness programs, particularly the invasiveness people feel in their personal lives and concerns by patient […]

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Corporate wellness entrepreneurs: Carrot and the stick is the wrong model https://medcitynews.com/2014/10/wellness-entrepreneurs-carrot-stick-wrong-model/ Thu, 02 Oct 2014 17:06:39 +0000 https://medcitynews.com/?p=316531 As I said at the close of the first day of ENGAGE, I heard this phrase much more often than I expected to: We have to meet people where they are. I am surprised at how fast this “how do we get employees to be healthy?” conversation has shifted, even since ENGAGE 2013. The focus […]

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Employer-sponsored health insurance gets ‘skinny’ as 16% of firms offer bare-bones plans https://medcitynews.com/2014/08/employer-sponsored-health-insurance-gets-skinny-16-firms-offer-super-low-benefit-plans/ Wed, 13 Aug 2014 21:14:00 +0000 https://medcitynews.com/?guid=e57fbcb8553fe536ddff12da15bf147d Nearly one company in six in a new survey from a major employer group plans to offer health coverage that doesn’t meet the Affordable Care Act’s requirements for value and affordability.  Many thought such low-benefit “skinny plans” would be history once the health law was fully implemented this year. Instead, 16 percent of large employers in a […]

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Obligations, options, focus: How the ACA has transformed how employers buy health insurance https://medcitynews.com/2014/08/employers-limit-health-plan-networks-seek-preserve-quality-says-adviser/ Wed, 13 Aug 2014 16:38:28 +0000 https://medcitynews.com/?guid=f7919851fb427cac251d2176cb22831b Dr. Robert Galvin is chief executive officer of Equity Healthcare, where he works with executives of nearly 50 companies that purchase health coverage for 300,000 people. Galvin says the 2010 Affordable Care Act has made employers more engaged in health benefits while encouraging their workers to be savvier health care consumers. “I think what the […]

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Some workers set to be automatically enrolled in health plans under controversial Obamacare provision https://medcitynews.com/2014/08/workers-will-automatically-enrolled-health-insurance-controversial-obamacare-provision/ Tue, 05 Aug 2014 18:53:50 +0000 https://medcitynews.com/?guid=6266ba5e79f108c3093abc8d98599694 Newly hired employees who don’t sign up for health insurance on the job could have it done for them under a health law provision that may take effect as early as next year. But the controversial provision is raising questions: Does automatic enrollment help employees help themselves, or does it force them into coverage they […]

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Boeing sets up employer based ACO deals to give workers access to first class healthcare https://medcitynews.com/2014/06/boeing-arranges-aco-deal-providers-give-employees-first-class-healthcare/ Wed, 18 Jun 2014 12:37:33 +0000 https://medcitynews.com/?guid=8e29690b970cb0079f03a0a7a9996ce7 Boeing and some of the Northwest’s largest health care providers are teaming up to provide what they say will be higher-quality, more-affordable care for some of the aerospace giant’s employees. To accomplish this, the company will work with accountable care organizations, or ACOs, an increasingly popular strategy for health-care delivery that puts more responsibility on […]

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Will ‘defined contributions’ become the post- ACA incarnation of employer-sponsored health plans? https://medcitynews.com/2014/05/defined-contributions-gaining-traction-employer-sponsored-health-insurance-market/ Tue, 13 May 2014 15:01:00 +0000 https://medcitynews.com/?guid=7876ac7dbc1ed8f78a7c892ce87f2c57 What if employers started giving workers a chunk of cash to buy health insurance on their own instead of offering them a chance to buy into the company plan? Are workers ready to manage their own health insurance like they do their 401(k)? The idea that employers might decide to drop their health plans and replace […]

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Keckley to Congress: Let the ACA work or we’ll lose more employer health insurance https://medcitynews.com/2013/09/keckley-to-congress-let-the-aca-work-or-well-lose-more-employer-health-insurance/ Mon, 16 Sep 2013 19:24:18 +0000 https://medcitynews.com/?p=243818 Paul Keckley sees one result of all the financial and policy battles going on around the Affordable Care Act: higher costs for everyone. In his second weekly memo as a consultant, he wants Congress and state leaders to drop the partisan gamesmanship and lift the ACA out of the political fight. He lists three reasons: […]

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Leapfrog’s calculator helps employers put a price tag on hospital errors https://medcitynews.com/2013/07/leapfrogs-calculator-helps-employers-put-a-price-tag-on-hospital-errors/ Mon, 29 Jul 2013 11:01:06 +0000 https://medcitynews.com/?p=231938 $6.9 million. That’s the error tax “average US employer” pays for hospital errors, given 1,000 admissions in a year for all covered lives. The Leapfrog Group got that number from its new calculator. It’s designed to help employers figure out the hidden tax that comes from getting care from C, D or F hospitals. The […]

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