by Gregg Bond

Vice President, Channel Solutions

SHPS

Self-insured health plan sponsors manage unique health benefits, underwrite healthcare costs and assume financial risk tied to their population’s health. For third party administrators (TPAs) and employers, today’s healthcare market makes it difficult to optimize the value of a self-insured health plan while still managing escalating costs. Adding to these challenges is the plan participant’s desire for greater support and information when navigating our nation’s complex healthcare system.

How can TPAs and employers subdue spiraling healthcare expenses while boosting the health and satisfaction of their covered population? The answer is simple: integrated care management (ICM).

by Hossein Abdollahi
Senior vice president, professional services
MphasiS Healthcare Solutions/Eldorado 

As the pressure to hold down health costs grows, and as margins become leaner, an increasing number of third-party administrators (TPAs) and health plans are outsourcing some of their work to business process outsourcers (BPOs). They’re doing this mainly to reduce claims processing costs and to cope with staffing problems. But smart administrators are also looking for BPO partners that offer innovative solutions, can help them reengineer internal processes, have a strong onshore presence, and have the flexibility to meet all of their outsourcing needs.

by Shawn Jenkins
Co-founder and CEO
Benefitfocus

Imagine you are an HR manager for an 18,000-employee company with facilities in eight states. Your HR and benefit offerings are complex encompassing payroll, 401(k), three PPO plans, two HMOs, wellness and disease management programs, life and ADD, and more. You face administrative challenges while your employees sometimes feel confused and overwhelmed with all their benefits. Considering the critical role you serve as the gatekeeper for your members’ health and wealth, why aren’t there solutions to consolidate and organize benefits communications?

When considering cost containment solutions for medical bills, don’t just stop at PPOs.  There are a number of options to decrease your risk and increase your bottom line.  Medical bill negotiation can create a positive result for both healthcare providers and payors of medical bills.