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

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 years of experience, Integra Administrative Group was asked to bid [...]

A Proactive Approach to Plan Data Lowers Number of ER Visits

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 recognize a trigger behind the overutilization of emergency room visits [...]

How Using Benefits Data Led to 16% Lower Health Coverage Costs

Unlike traditional health plans, self-funding offers employers access to benefits data (generic data that in no way identifies covered individuals or employees). Caroline Fraker of MedBen explains how her company has been able to help clients use this data to identify major trends and savings opportunities. Fraker shares how analyzing de-identified plan data can help employers [...]