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…
Resources
The New Playbook — Manipulating HR
This year marks my 20th year in the employee benefits industry. It’s hard to believe two decades have passed since I took my first steps…
Member Saves $5,624.94 on Hospital Stay and Surgery
With DirectAccess+ — ClaimDOC’s reference-based pricing health plan solution — clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial…
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…
Mystery Markups: CT Scan Charges Vary Across Hospitals
A computerized tomography scan, also called a CT scan, uses a combination of X-rays and a computer to create detailed images of the body. It…
Blue Cross Blue Shield Sued for Mismanagement of Plan Assets
Human resources, company executives and consultants have a lot of fear factor thrown at them these days. Not all of the doomsday is applicable, however,…
Audit of Hospital Stay Saves Member $20,540.10
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…
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…
10 Common Medical Billing Errors
As healthcare costs continue to skyrocket, an escalated need exists for closer analysis of healthcare claims to identify egregious charges, improper medical coding and…