Pinterest has joined a growing rank of employers who are fed up with the healthcare system and doing away with traditional insurance models as a result. The social media platform switched from their traditional healthcare plan to a self-funded model.... Pinterest isn’t the only employer to seek out alternatives to the traditional healthcare system. Last year, Amazon.... READ [...]
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 [...]
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 [...]
Marilyn Bartlett took a deep breath, drew herself up to her full 5 feet and a smidge, and told the assembled handful of Montana officials that she had a radical strategy to bail out the state's foundering benefit plan for its 30,000 employees and their families. The officials were listening. Their health plan was going [...]
Drew Calver, a high school history teacher and swim coach in Austin, Texas, had a heart attack at his home on April 2, 2017. A neighbor rushed him to the nearby emergency room … which was out-of-network on his school district health plan. …his health plan paid nearly $56,000 …. but the hospital charged Calver [...]
Society of Professional Benefit Administrators (SPBA) Chair Kevin Schlotman, Benovation, testified on August 4, 2018, before the Health Insurance and Managed Care (B) Committee ERISA (B) Working Group at the National Association of Insurance Commissioners (NAIC) Summer Meeting held in Boston, Mass. One of the main issues discussed by the NAIC at the summer meeting [...]
Rising prices, billing disputes, and a quirk in federal law are creating a new health-care headache -- When three-year-old West Cox’s fever hit 107 degrees, doctors called a helicopter…. Flying would cut a 90-minute drive in half…. Three years later, his parents are still reckoning with the aftermath of his 76-mile flight: a bill for $45,930 [...]
Rising health care costs, shifting care delivery models, escalating mergers and acquisitions activity and a potential new megaplayer are all complicating the health care landscape, but could also boost the use of captive insurers to cover health care risks, particularly group captives.... Stop-loss captives can be a valuable tool for employers navigating the evolving health [...]
Is reference-based pricing the future of the health care industry? There are too many fluctuating variables currently in play to say for sure, but one thing is certain: it has a lot of appeal. “To me, being a financial guy, it made sense,” says Mark Gitter, chief financial officer for San Antonio-based GVTC Communications, which [...]
The New Year will bring in some exciting corporate wellness trends for 2018.... If you’re wondering what’s next for the ever-evolving wellness industry, take a look below for some workplace wellness trends can you expect to see in 2018.... When corporate wellness programs first took off, the focus was primarily on smoking cessation or weight [...]
