The Search for a Good TPA — Part 2
Selecting the right vendors for a reference-based pricing health plan isn’t an exact science. At the end of the day, it often comes down…
Resources
The Search for a Good TPA — Part 1
Building a successful self-funded health plan demands skilled and efficient vendor partners that have the expertise to deliver on their promises. Identifying the best…
Why RBP Success Starts With HR
In 2022, Featherlite Trailers partnered with ClaimDOC to implement a new reference-based pricing health plan for its employees. It’s no secret that moving to…
Vetting Your Vendors’ Cyber Vulnerability
If your organization sponsors a self-funded health plan and cybersecurity isn’t part of your vendor evaluation criteria, it’s time to reassess. Protecting your own…
Making Sense of Cash Pay
Paying cash for healthcare services is not a new concept, but it’s also an option that is not widely used. The reason is because…
Adapt or Fall Behind: Making Nontraditional Plans Thrive
For nontraditional health plans to work — whether they use reference-based pricing or another strategy — they often require customized solutions. As health plans…
Direct Contracts & Healthcare Pricing Complexities – Part 2
Whether you’re using a reference-based pricing strategy or some other alternative, there are many challenges in creating an effective direct contract. Much of…
Direct Contracts & Healthcare Pricing Complexities – Part 1
Provider access is the biggest hurdle to successfully implementing a non-traditional health plan. Whether you are utilizing a reference-based pricing strategy or another alternative, direct…
Claim Denials: Their Rippling Effect on Health Plans
Claim denials are a complex piece of the healthcare system, and they can cause frustration for patients and providers alike. There are many…