Knowledge Center

Finding a Needle in a Haystack may be Easier than Shopping for Hospital Pricing

2020 will surely go down as a difficult year, but there are a few things we can celebrate. Efforts to create transparency between hospitals and insurance companies emerged, even as the American Hospital Association fought to keep people in the dark about pricing.

As of January 1, hospitals must publicly disclose pricing in a comprehensive machine-readable file or via a consumer-friendly cost estimator tool for at least 300 shoppable services.

…
Read More  [+]

Value-based Pricing from HSTechnology and Evolution Healthcare

Health Benefits – Value-Based Pricing

Evolution Healthcare is excited to announce that starting in Q2 2021, we’re working with HSTechnology (HST) to add another impactful option to our reference-based suite of solutions.

…
Read More  [+]

Evolution Healthcare Understands Brokers

In a recent survey, the broker community revealed their primary reason for pursuing self-funded healthcare products for their clients in 2021. The results are in and Evolution Healthcare hears you loud and clear!

The latest Healthcare Turnkey Solutions Broker Survey results point to increased opportunities in the self-funded market heading into 2021. According to the survey, 94% of brokers have clients asking for information about self-funded plans (if you’re part of the 6% of brokers yet to explore self-funding options for your clients, what are you waiting for?).

…
Read More  [+]

Information on the COVID-19 Vaccine and the COVID-19 Vaccine Interim Final Rule

The COVID-19 vaccine will be paid for by the federal government through funding authorized by the Coronavirus Aid, Relief, and Economic Security (CARES) Act, but administration of the vaccine by a provider will be paid for by the applicable plan or insurance policy.

The U.S. Departments of the Treasury, Labor and Health and Human Services, released an interim final rule (IFR), effective Nov. 2, 2020, on the COVID-19 vaccine and testing for COVID-19 with a request for comments.

…
Read More  [+]

Rise of Rx Costs and Why You Should Care

The coronavirus (Covid-19) pandemic has caused most employers to rethink almost every area of their business as they struggle to survive.  While health insurance companies haven’t released their 2021 “renewal rates” yet, an analysis by Covered California estimates premiums could be increased anywhere from 4 to 40 percent. …
Read More  [+]