How Reference-based Pricing Works

How Reference-based Pricing Works

A full-service health plan solution with the savings of reference-based pricing (RBP) built-in provides savings that could never be achieved with a PPO, and more freedom too. And with those cost savings, employers are laying the groundwork to be more competitive. The reference-based pricing (RBP) model starts at the bottom with an actual cost amount,…

Congress Extends Pre-Deductible Telehealth Coverage for HDHPs
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Congress Extends Pre-Deductible Telehealth Coverage for HDHPs

The Consolidated Appropriations Act, 2023 (CAA), which was signed into law on Dec. 29, 2022, extends the ability of high deductible health plans (HDHPs) to provide benefits for telehealth or other remote care services before plan deductibles have been met without jeopardizing health savings account (HSA) eligibility. This extension applies for plan years beginning after…

Unlock your health plan’s hidden potential.
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Unlock your health plan’s hidden potential.

Learn how healthcare can deliver the strategic advantage your business needs. Combat rising business costs by rethinking your health plan strategy. Rising healthcare costs were once viewed as a necessary evil over which you had little control. Another year, another cost increase. But that mindset has shifted as companies have discovered new strategies that put…

Upcoming ACA Reporting Deadlines
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Upcoming ACA Reporting Deadlines

Employers subject to Affordable Care Act (ACA) reporting under Internal Revenue Code Sections 6055 or 6056 should prepare to comply with reporting deadlines in early 2023. For the 2022 calendar year, covered employers must: Penalties may apply if employers are subject to ACA reporting and fail to file returns and furnish statements by the applicable…

Reference-based Pricing: A Health Plan Solution for Today
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Reference-based Pricing: A Health Plan Solution for Today

It has never been more important to be educated about emerging trends in health plan solutions and be ready, able and equipped to have open and honest conversations about all available models. Employers are faced with increasing healthcare costs and they’re looking for replacement solutions that are more affordable for them and their employees. Healthcare…

Employee Benefit Plan Limits for 2023
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Employee Benefit Plan Limits for 2023

Many employee benefits are subject to annual dollar limits that are adjusted for inflation by the IRS each year. The following commonly offered employee benefits are subject to these limits: This Compliance Overview includes a chart of the inflation-adjusted limits for 2023. Due to high rates of inflation, all of these limits will substantially increase…

Alternate Funding: Captives
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Alternate Funding: Captives

It has become increasingly important for employers to offer some form of an employee benefits package in order to attract and retain a strong workforce. Additionally, employers may want to protect their company from the risks associated with offering employee benefits. While employers have traditionally insured their employee benefits risks through an outside insurance carrier,…

6 Strategies for Tackling Rising Health Care Costs in 2023
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6 Strategies for Tackling Rising Health Care Costs in 2023

Most employers are concerned about their health care costs rising in 2023. According to Willis Towers Watson’s (WTW) 2022 Emerging Trends in Health Care Survey, 94% of employers reported managing health care benefits costs will be their top priority over the next two years. Employers will likely avoid shifting costs to employees because of the…

5 Tips for Effective 2023 Open Enrollment Communication
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5 Tips for Effective 2023 Open Enrollment Communication

Now more than ever, employees are looking to their employers for guidance on navigating their available benefits. Employees are likely paying more attention this year as they navigate record-high inflation and work to maximize every hard-earned dollar. During the 2023 open enrollment season, employers should be poised to provide their employees with resources and tools…