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Data Proves Key as Plan Cuts ER Costs by Nearly 50% Over Three Years

May 9, 2019|0 Comments

The combination of working with a TPA to better understand the health care usage habits of your employee population (through plan data analysis) and having the flexibility to make plan adjustments when needed is a big benefit of the self-funding structure. A TPA with 25-plus 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.

A Proactive Approach to Plan Data Lowers Number of ER Visits

Nov 14, 2018|0 Comments

Having access to plan data is a unique advantage in self-funding that gives employers the ability to identify cost-driving trends and make the necessary adjustments to address them. Nova Healthcare Administrators, Inc., shares an example of how this diligent data monitoring led one client to READ MORE>

Thorough Claim Review Leads to At-Home Treatment Solution that Saves Nearly $100K Per Year for Individual Member

Nov 30, 2017|0 Comments

One thing that’s often a real difference maker for self-funded clients is the emphasis that’s placed on health claim review. As third party administrator (TPA) MedBen noted in a recent blog post, the savings opportunities identified can be quite substantial – even on an individual 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.

SPBA Part of Collaborative Effort to Encourage Congress to Address Surprise Billing in Health Care

Apr 16, 2019|0 Comments

Following a recent hearing that covered the issue of surprise billing in health care, the Society of Professional Benefit Administrators (SPBA) was part of a collaborative effort in which 30-plus organizations urged the United States Congress to pass additional legislation as a protection to patients…. “As an advocate for our third party administrator members and their plan participants, SPBA understands the real-world burden and effects of surprise billing”….  READ MORE

Views: The Case for Self-Funded Health Benefit Plans and Reference-Based Pricing

Dec 10, 2018|0 Comments

Self-funding and reference-based pricing are hot topics with small businesses. They are so popular, in fact, that a recent survey shows an overall increase in their 2019 projection of small employer clients having a reference-based pricing health benefit plan design…. Self-funded health benefit plan designs that use reference-based pricing can allow for a great deal of flexibility with a variety of arrangements and overall cost-savings…. READ MORE

Read more of our Industry Articles …