Self-insurance

Archway Health Announces Partnership With A-Rated Insurance Carrier on Launch of Value-Based Risk Protection for Providers

Retrieved on: 
Tuesday, March 26, 2019

Today, Archway Health, an innovator with healthcare organizations and self-insured employers in risk-based payment programs, has announced a new partnership with an A-rated insurance carrier to provide a new stop-loss program to help protect the downside risk of healthcare providers participating in value-based payment programs.

Key Points: 
  • Today, Archway Health, an innovator with healthcare organizations and self-insured employers in risk-based payment programs, has announced a new partnership with an A-rated insurance carrier to provide a new stop-loss program to help protect the downside risk of healthcare providers participating in value-based payment programs.
  • The stop-loss protection program, called Value-Based Risk Protection, combines both financial risk protection through an A-rated insurance carrier with risk mitigation through Archways comprehensive package of analytics and care management tools.
  • It has recently become clear that both CMS and commercial payers are shifting risk out of their hands and onto the books of healthcare providers.
  • Value-Based Risk Protection leverages national provider data to offer interested providers competitive premiums with maximum coverage.

5-Day Seminar: Certificate in Employee Benefits Law (Orlando, United States - July 15-19, 2019) - ResearchAndMarkets.com

Retrieved on: 
Tuesday, March 12, 2019

The "Certificate in Employee Benefits Law Seminar" conference has been added to ResearchAndMarkets.com's offering.

Key Points: 
  • The "Certificate in Employee Benefits Law Seminar" conference has been added to ResearchAndMarkets.com's offering.
  • Certificate in Employee Benefits Law is a 5 day program that is designed to be the most comprehensive and practical seminar available in its field.
  • The seminar covers employee benefits issues that arise in the design and administration of employee benefit plans, the management of their assets, controversies between plan sponsors, trustees, participants and the numerous government agencies that regulate these plans.
  • The 4 day Certificate in Employee Benefits Law Seminar is designed to give participants the practical information they need to be more effective professionals.

Carrum Health Announces New Partnership with Rush Health, Expanding Benefit Opportunities for Midwest Self-Insured Employers

Retrieved on: 
Thursday, March 14, 2019

The partnership with Rush Health makes it easier for self-insured employers in the Midwest to provide top-quality, affordable healthcare benefits to their employees and their dependents.

Key Points: 
  • The partnership with Rush Health makes it easier for self-insured employers in the Midwest to provide top-quality, affordable healthcare benefits to their employees and their dependents.
  • "Carrum Health measures all potential COE providers against strict quality standards, which is why we chose to partner with Rush Health," said Sach Jain, CEO at Carrum Health.
  • With Rush Health, Carrum can now offer more options for high-quality, cost-effective employee health benefitsto self-insured employers in the Midwest.
  • Rush Health includes more than 1,800 physicians and advanced practice providers, and four hospitals: Riverside, Rush Copley Medical Center, Rush Oak Park Hospital and Rush University Medical Center.

Clarity Benefit Solutions Discusses Five Ways ERISA Wrap Documents Can Save Employers Time and Money

Retrieved on: 
Friday, February 8, 2019

NEW YORK, Feb. 8, 2019 /PRNewswire/ --Clarity Benefit Solutions discusses five ways that ERISA wrap documents can save employers time and money, while remaining compliant with a number of regulatory laws.

Key Points: 
  • NEW YORK, Feb. 8, 2019 /PRNewswire/ --Clarity Benefit Solutions discusses five ways that ERISA wrap documents can save employers time and money, while remaining compliant with a number of regulatory laws.
  • However, industry research shows that as many as 75% of employers are out of compliance with ERISA requirements.
  • ERISA wrap documents simplify the process by combining all ERISA-required documents into one umbrella document that help employers stay in compliance while saving time and money on the process.
  • About Clarity Benefit Solutions: Clarity Benefit Solutions provides technology that makes the health insurance plan selection process fast, easy, and straightforward.

New Product Available from Self Insured Reporting Helps Employers and Brokers with Self Insured Plans, Claim Analytics and Population Health

Retrieved on: 
Wednesday, January 2, 2019

Self Insured Reporting worked with some of the most astute companies in the country to create a platform that will give employers everything they need to manage their self insured plans from one spot.

Key Points: 
  • Self Insured Reporting worked with some of the most astute companies in the country to create a platform that will give employers everything they need to manage their self insured plans from one spot.
  • The software that has been released by Self Insured Reporting works directly with employers to help them enhance their reporting, but Self Insured Reporting can also work with brokers to perform the same functions.
  • Self Insured Reporting simply wants to provide brokers and employers with a solution to help their plans perform better.
  • Self Insured Reporting has pricing readily available on their website and are prepared to offer initial consultations today.

Health Transformation Alliance Takes On Rising Prescription Drug Costs Through Rx Savings Solutions Partnership

Retrieved on: 
Thursday, November 1, 2018

Rx Savings Solutions' concierge-style model offers pharmacy technician access to all members to assist in navigating their pharmacy savings options.

Key Points: 
  • Rx Savings Solutions' concierge-style model offers pharmacy technician access to all members to assist in navigating their pharmacy savings options.
  • Maximize savings for employers and employees Rx Savings Solutions drives consumerism and engagement for employees by focusing on pharmacy spend.
  • In addition to large, Fortune 500 Employers, Rx Savings Solutions also services health plan clients.
  • Located inKansas City, Rx Savings Solutions serves self-insured businesses, employer groups, health plans and their 2.5 million members nationwide.

SPBA Chairman Kevin Schlotman Joins Digital TPA Flume Health as COO

Retrieved on: 
Monday, September 10, 2018

Prior to joining Flume Health, Kevin served as Director of Operations at Benovation, a Cincinnati-based medical third party administrator (TPA), responsible for operations, compliance, and sales.

Key Points: 
  • Prior to joining Flume Health, Kevin served as Director of Operations at Benovation, a Cincinnati-based medical third party administrator (TPA), responsible for operations, compliance, and sales.
  • Kevin also serves as chairman of the Society of Professional Benefits Administrators (SPBA), the largest TPA professional organization, where he regularly consults with industry leaders and lawmakers on federal and state healthcare initiatives.
  • Flume Health has created a digital platform that can revolutionize the delivery of care and make the experience affordable, reliable and predictable.
  • Flume Health Inc. is a digital third party administrator managing health plans for self-insured employers.

WellNet Healthcare Hires Five Additional Business Development Executives

Retrieved on: 
Monday, August 13, 2018

SOUTHAMPTON, Pa., Aug. 13, 2018 /PRNewswire/ -- WellNet, a healthcare management firm that provides lower cost, level-funded and self-funded replacement health insurance plans for companies that offers healthcare benefits to their employees welcomes five new, full-time business development executives from across the country.

Key Points: 
  • SOUTHAMPTON, Pa., Aug. 13, 2018 /PRNewswire/ -- WellNet, a healthcare management firm that provides lower cost, level-funded and self-funded replacement health insurance plans for companies that offers healthcare benefits to their employees welcomes five new, full-time business development executives from across the country.
  • "Lowering health insurance costs for businesses and their employees around the nation has accelerated the need to bring on additional subject matter experts," said Keith Lemer, Chief Executive Officer of The WellNet Healthcare Plan.
  • "After receiving attention from CNBC and The Wall Street Journal on how WellNet is fixing the cost of healthcare, we have seen a 65% uptick in businesses pursuing our private-sector solution.
  • Our nationwide healthcare management firm creates and offers lower cost, level-funded and self-funded replacement health insurance plans for companies that provide healthcare benefits to their employees.

Centivo, a New Type of Health Plan, Raises $34 Million in Series A Funding

Retrieved on: 
Wednesday, July 18, 2018

NEW YORK, July 18, 2018 /PRNewswire/ -- Centivo , a new type of self-funded health plan, has raised $34 million in Series A funding.

Key Points: 
  • NEW YORK, July 18, 2018 /PRNewswire/ -- Centivo , a new type of self-funded health plan, has raised $34 million in Series A funding.
  • The Centivo model emphasizes the partnership between individuals and their primary care team as the proper model to coordinate healthcare needs.
  • Centivo serves as a health plan or third-party administrator (TPA) for employers and partners closely with local health plans to enhance their offerings.
  • Centivo is a new type of self-funded health plan built specifically for employers and their employees and families.

Million-dollar+ medical claims increase 87 percent from 2014-2017: Sun Life report

Retrieved on: 
Monday, July 16, 2018

WELLESLEY, Mass., July 16, 2018 /PRNewswire/ -- In Sun Life Financial's 2018 High-Cost Claims Report , cancer remains the costliest medical condition, with $798.7 million in reimbursements to self-funded employers from 2014 to 2017.

Key Points: 
  • WELLESLEY, Mass., July 16, 2018 /PRNewswire/ -- In Sun Life Financial's 2018 High-Cost Claims Report , cancer remains the costliest medical condition, with $798.7 million in reimbursements to self-funded employers from 2014 to 2017.
  • Employers who self-insure their health plans use stop-loss coverage to protect themselves from excessive financial losses from high-dollar claims.
  • Sun Life, the largest independent stop-loss provider in the country, analyzes its vast database of client medical stop-loss claims each year to assess industry and health care trends.
  • Sun Life's broad portfolio of products and services in the U.S. includes disability, absence management, life, dental, vision, voluntary and stop-loss insurance.