Founder and CEO
It’s estimated by experts that $1 out of every $3 spent on healthcare is wasted. Healthcare costs are a significant expenditure for self-insured organizations and in fact, represent one of the largest budgeted costs. You are entrusting your healthcare checkbook to a third-party administrator (TPA), who is generally NOT aligned to reduce your costs. In addition, the TPA has numerous, often undisclosed ways to profit from their relationship with you as a self-funded plan over and above “Per Head” fees. Because of the escalating medical and pharmaceutical costs, the high rate of billing errors, large variations in pricing for the same procedures in the same geographic area, and the overall lack of transparency over “your” data, we recommend this session to arm you with facts and strategies to make better healthcare decisions and save your organization money.
•Are you paying prices at or below market rates and only for eligible employees, spouses, and dependents?
•Do you use analytics to target savings opportunities and improve the quality of your employees care?
•Is your TPA following guidelines established by the American Medical Association and reviewing claims for errors such as incorrect coding, medically unlikely, and age/gender conflicts?
•Do you verify that you are receiving strong value for your healthcare dollar?
•Do you require full disclosure of any and all fees included in your contract with your TPA?
•What’s lurking in your TPA agreement that’s not in the best interest of your company?