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SPBA Releases Industry Update & 2018 Forecast for TPAs & Self-Funding

In preparing for the year ahead, the Society of Professional Benefit Administrators (SPBA) has released its State of the TPA Industry & Forecast for 2018. Fred Hunt, SPBA’s active past president, has been writing this report annually for the past 37 years.... As with years past, the 2018 Forecast shares a candid perspective on current READ MORE>

More Smaller Companies Are Self-Insuring Health Benefits

Small and midsized companies are increasingly providing their own health coverage for employees instead of buying fully insured plans .... As the Affordable Care Act drives up premiums because of more requirements and taxes, self-insurance has become a more attractive option because it is often less expensive than purchasing fully insured plans.... But some policy READ MORE>

Self-funding Health Plans is Hot, But Could Get Tougher to Do

Small employers are facing formidable hurdles as they consider self-funding health insurance plans. But self-funding still holds appeal.... Increasing regulation of self-funded health plans is complicating the efforts of some employers as they seek an alternative to plans offered under the Affordable Care Act, one analyst says. Most of the stiff regulation involves stop-loss, the READ MORE>

Views: Why Employers Should be Thinking TPA

When it comes to healthcare plan administration, ASOs (administrative services only) say they offer a big discount to self-funded plans. If you look closer, however, you’ll see that they actually do come with a cost, both monetarily and in terms of lack of flexibility.... Here are five benefits of working with a TPA... READ MORE

SPBA Member and TPA Owner Testifies Before Department of Labor’s ERISA Advisory Council

In some cases, plain words supported by facts carry the greatest impact. This was the case with the recent testimony provided by SPBA past Board of Directors member, Mary Smith, of Insurance Management Administrators, before the U.S. Department of Labor’s ERISA Advisory Council. Smith proved the point that... READ MORE

Forward-Thinking Employee Benefits Lead to More than $2 Million in Savings and Healthy Outcomes for Plan Members

When offering health benefits to employees, employers face the risk of experiencing high-cost claims if plan participants are diagnosed with a serious illness or disease. Self-funding allows the flexibility to plan for these situations … proactively. In this example, Tom Doney of Cypress Benefit Administrators shows how implementing two innovative benefit solutions – organ transplant READ MORE>

Non-Traditional Health Benefits are the Focus of New Piece in Self-Funding Series

SFS News Release: Non-Traditional Health Benefits are the Focus of New Piece in Self-Funding Series - Continuing to expand its collection of educational resources, the Self-Funding Success website has published another piece related to the benefits of self-funding. This latest resource explores the more non-traditional health benefits being implemented today and how they are saving plans READ MORE>

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

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 READ MORE>

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

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

Cognitive Health Systems Provide Custom Analysis for Employees

With the healthcare price tag rising to $10,000 or more a year per person, employers and healthcare providers looking to lower costs and help employees manage their health are turning to big data and analytics to better handle surging costs.... cognitive health systems ... integrate patient-level data from health records and other sources to create READ MORE>