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TPA Controls High Claimant Costs through Claims Management, Early Detection

Mar 17, 2017|0 Comments

A study shows that claimants who accumulate $50,000 or more in annual benefit costs represent nearly a third of total spending as it relates to employers’ health plans. What can be done to help contain these high costs? Third party administrator (TPA) MedBen explains how READ MORE>

Success in Self-Funding

What’s Actually Working for Employers in Controlling Health Plan Costs

Today’s health benefits landscape is more challenging for employers to navigate than ever before. Yet, there’s a reason why nearly 70% of employees who have health coverage in the U.S. are now enrolled in some sort of self-funded plan and why that number is growing – they work. It’s that simple. Companies of all sizes and types, including public entities, are finding this to be true as they make the switch from the more limited fully-insured plans to the added flexibility and customizable health benefit options self-funding offers. The goal of this website? To showcase success stories from the employer-entrepreneurs who are experiencing the savings because of their self-funding efforts and from the SPBA-member third party administrators (TPAs) who are the facilitators in making these success stories happen.

NEW to the concept of self-funding?

Here’s a quick introduction:

Self-Funding 101

Recently Submitted Articles:

The most recently posted real success stories about self-funded plans and how they’re working, as shared by the third party administrators (TPAs) who manage them.

Flexibility, Savings & Engagement: 3 Reasons Employers Choose Self-Funding

Dec 16, 2016|0 Comments

As more companies consider the move to self-funding, Tom Doney and team at Cypress Benefit Administrators are regularly fielding questions about what kind of advantages these health plans can offer. This prompted the third party administrator (TPA) firm to put together a whitepaper that serves READ MORE>

Employers Weigh In: 10 Main Benefits of Self-Funding

Sep 8, 2016|0 Comments

As president and CEO of The Kempton Group since 1992, Jay Kempton works closely with self-funded (self-insured) employers on a regular basis and has been part of many insightful conversations with them about what makes their health plans so effective. In this article, he shares READ MORE>

Read more of our articles: Self-Funding in Action …

In The Industry:

A sampling of employee health benefits industry articles, with an emphasis on self-funding-related topics and perspectives.

Fiduciary Burden of the Quarter: Strictly Abiding by the Terms of the Plan Document

May 18, 2017|0 Comments

ERISA is very clear that the Plan Administrator is required to administer benefits strictly in accordance with the terms of the applicable plan document. Plan Administrators, though, are often faced with difficult situations – situations where paying a claim that might otherwise be excluded under the plan document would avoid considerable headache, appease a member of the C-suite, or more accurately reflect what the drafter of the plan document intended… READ MORE

Ready or Not, Leaders Prepare for a Value-Based Future

May 10, 2017|0 Comments

The future of the healthcare industry may be uncertain when it comes to Congressional action, or the lack thereof. But one concept that has been widely embraced for the past few years is the commitment of healthcare leaders to a value-based model for care and reimbursement. READ MORE

Read more of our Industry Articles …