Before we say goodbye to 2019, we’re reviewing our most popular posts across several topics from health benefit coverage negotiations to our Employer Quick Start Guide to understanding value-based care.
This free guide shares immediately actionable insights to take back control of your company:
You Weren’t Invited to Your Health Coverage Negotiations (And Why)
Self-Insurance by The Numbers
Five Ways to Maximize Your Current Health Plan
How Healthcare Benefits Are Key to Retaining Top Millennial (And Gen Z) Talent
Why Inappropriate Healthcare Matters and What Employers Can Do About It
The only sustainable, healthcare benefit solution that lowers the total cost of care year-over-year while improving employee health outcomes long-term is a self-insured, value-based care health plan, like Healthcare Highways Health Plan. Read more. Or download the guide immediately:
This free guide demystifies the steady stream of healthcare terms flooding the current news cycle–ACOs, Fee for Service, Benefit Negotiations, Total Cost of Care, Value-based care–and provides insights you can use to immediately maximize your current healthcare benefits package while seeking a better one to retain talent and protect profits. Read more.
Paying for inappropriate care makes it difficult to determine if you are paying the right price for your health plan. You may have a health plan that is paying reasonable unit costs for procedures and you have good outcomes, but the presence of inappropriate care skews the total cost of care so that the overall performance is unsatisfactory. These are the right questions to ask. Read more.
Outside the corporation, employers struggle with an opaque, complex health insurance industry filled with large insurers that lack the flexibility required to craft the solution their unique workforce requires. Employers may miss key insights vital to helping their workforce stay as healthy (and productive) as possible. Assessing the ROI of a benefits package requires measuring:
1) the business-critical impact of improved employee population health,
2) if this increased intervention is improving management of chronic care conditions without hospital interventions, and
3) if total-cost-of care per employee is steadily decreasing.
You weren’t invited to your health coverage negotiations. Here’s why.
When insurance carriers engage in health coverage negotiations with providers (hospitals, health systems, and independent practices) the focus is on how much they are going to pay providers for any given service, also called “unit price.” These negotiations have nothing to do with managing the number of units expended, known as utilization. If you’re a self-insured employer, know this: while companies might get a discount on unit costs, if the insurance carrier isn’t insisting its network of providers manage utilization, the net costs could be even more. Read more.