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Cigna sued (again) for allegedly using software that ‘automatically’ denies claims
The lawsuit alleges Cigna’s “procedure-to-diagnosis,” or PxDx software, reviewed and denied customer claims in batches without a medical professional reviewing those decisions.
Biden to ban medical bills from credit reports: Could this lead to upfront payment?
The Consumer Financial Protection Bureau is developing rules to bar unpaid medical bills from affecting patients’ credit scores, however, industry leaders are questioning why medical providers are being singled out in their billing.
The ongoing search for the triple aim
Of course, there’s no magic bullet when thinking through these challenges, but most industry experts have determined that a series of strategically placed interventions that are highly customized, thoughtfully executed, and carefully measured will provide the greatest chance of achieving success.
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Is It Time To Change Your Team's Wellness Plan?
If your health & wellness plans aren’t cohesive, don’t include costly aspects of wellness like chronic conditions, or don’t feel tailored to the specific needs of your people, it’s time to consider another solution. Download this white paper to learn how to check all the right boxes and deliver value--for both your people and your bottom line.
Checklist
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What Type of Employer Should Brokers and Consultants Be Introducing to TPAs?
This checklist will help you determine which of your clients will benefit most from a TPA and acts as a helpful resource for them to ensure a successful transition from a fully funded model to a self-funded plan.
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4 Business Problems Solved With Health Benefits
Amidst the evolving HR landscape, benefits brokers face challenges that require creative solutions. Explore how one innovative health benefit can solve key business problems, strengthen client relationships and position you as a valued advisor.
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