Cost-Containment

Out-of-network price benchmarking through government regulation, competition with Medicare fee-for-service, and the fact that insurers actually bear risk in the MA market may drive down prices in MA.

As organizations prioritize the welfare of their employees, they lay a robust foundation for enduring success and prosperity.

As a trusted advisor, your role is to keep employers informed about trends and options that may not currently be on their radar. Here are four questions and four common misconceptions to get the conversation started with your clients.

Emergency department (ED) spending has increased substantially over the past decade despite the number of visits per capita remaining relatively stable.

Almost 5% of respondents increased contributions as a way of offsetting increases to medical premiums.

If self-funding sounds like too big a leap from a fully insured health plan, level funding is a strong option for your clients or company to consider.

With financial pressures expected to increase for nonprofit hospitals, these are the states seeing the highest expenses per inpatient day, including all operating and non-operating expenses incurred for both inpatient and outpatient care.

Although more than 12 million Americans are enrolled in both Medicare and Medicaid, many enrolled individuals face challenges and issues arising from the program, according to a new report from KFF.