Why Cost Sharing is Not Working

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Thursday, March 28, 2013 4:06:00 PM Categories: Prior Presentations


The “good old days” of first dollar coverage are a distant memory. Self-funded plans now contain a bewildering array of customized, cost sharing arrangements. Different levels of deductibles, copays, coinsurance, and out-of-pocket limits are offered with the belief that this will help control costs by engaging enrollees in claim payment. While sound in theory, in practice this is not always working. Why? Plan administration has not kept pace. 

A growing number of self-funded plans are finding that the cost sharing arrangements they defined with such care are not being administered as planned. This webinar presents case studies illustrating how this happens. The problems and costs associated with this failure are outlined. We also review ways to tell if your plan has this problem and responses available to self-funded plans.

To download a copy of the presentation, click here. To view the slides via Slideshare, click here.

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