Finding claim overpayments is easy.  Collecting them is not.  Claim audits routinely find 5% to 10% in overpayments.  But collection efforts typically yield 1% to 3%. Why does this happen?  What can be done to improve... read more

  Automation has revolutionized health claims payment. More claims are paid faster by fewer people. Yet administrative costs and payment errors have not gone down and in many instances have actually increased. How can this be? This webinar... read more

  The longer you work in health benefits the more you realize that all costs are enrollment driven. That’s right, all costs: premiums, claims, risk, fees, liability, compliance, etc. FACT: Health care cost control requires accurate,... read more

Nationwide, the self-funded, group health market has become dominated by high cost administrators who justify their high costs with assertions of larger “provider discounts.” Competition in this market relies on meaningless and misleading criteria.... read more

  Health reform is forcing every existing plan to decide whether it wants to maintain its status as a "grandfathered" plan. Not every plan will come to the same answer. This webinar will help attendees weigh the pros and cons of maintaining... read more

  Every self-funded plan fiduciary places trust in an administrator for day-to-day plan operations. Both the fiduciary and the administrator benefit if they follow President Reagan’s maxim:  “Trust but verify.” This free webinar... read more

  Change creates challenges and opportunities. The change brought by the new health reform law is no exception. Self-funded plans will find that parts of health reform are not in their interests. Those that look and prepare will also find... read more

  One of the most immediate and significant impacts of health reform for employers will be changes to dependent coverage rules.  All dependents are now covered until age 26 regardless of student status, residency, support, or other... read more

  Learn from medical claim and enrollment auditing experts Si Nahra, Ph.D., and Judy Mardigian as they share best practices for Dependent Eligibility Auditing. Co-founders of Health Decisions, Inc., the presenters will discuss the Dependent... read more

  Auditing is the most fundamental of self-funded plan fiduciary responsibilities.  It is also often the most overlooked or ignored.  Whether you have just ended a plan year or are preparing for year-end renewals, auditing ... read more