Managing health plan costs can be challenging for employers and their HR teams. Not only is
the process of obtaining and securing the claim file in a HIPAA compliant environment
necessary, understanding how to review and interpret the data is imperative to
identifying those areas that are...
The Consolidated Appropriations Act (CAA) provides access to claims data and is a valuable resource for employers, providing them with a treasure trove of information about employee healthcare utilization, costs, and demographic patterns. By effectively harnessing this data, employers can gain...
A small self-funded employer group was spending about $500k annually on medical expenses and needed a way to contain costs. The group had little insight into the types of claims that were driving costs, if claims were being processed according to plan provisions, or if provider bills were correct.
The Company which services customers nationally, was spending $16 Million dollars annually on healthcare-related expenses. Over the last 3years, premiums increased by over 30% and costs nearly doubled. They were forced into a vicious cycle of reducing benefits and passing premium increases onto...
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