Knowledge Center

Health Insurance Should be Personal — Not Transactional

By Alan Wiederhold

For brokers, employers, and their employees, health insurance has always been seen as largely transactional. Every year, brokers sit down with HR managers to discuss the latest and greatest health insurance plans. Usually, the process goes something like this: the broker collects quotes from different carriers, they put the quotes on a spreadsheet, walk their clients through the numbers, and companies make decisions on which carrier to go with based on the bottom line. It’s like that old game show “Let’s Make a Deal,” but with people’s healthcare at stake.

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An Illustrated Guide to the Benefits of Self-Funding

Want to learn more about lowering health care costs and switching to a self-funded health insurance plan? We’ve made it easy to explore the benefits and see why more than 100 million Americans receive their health insurance through self-funded solutions.

Want to learn even more? Contact us today.

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Partially Self-funded Health Insurance: What it Is, Why it Matters, and Who it Benefits

Health insurance companies want you to believe that health insurance is some big, complicated, monolithic concept, but it’s really very simple.

At their hearts, health insurance plans are divided into three core components: claims, administration, and reinsurance. But you wouldn’t know, because insurers present their offerings as an opaque package that makes it difficult to discern what’s in their plans. Brokers show the plans to their customers, who ultimately decide based on the bottom-line price without really knowing what they’re paying for.

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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.

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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.

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