Cara Kirsch

Who: Ben Krambeck Where: West Des Moines, IA What: A 60 Minutes-style Interview Why: To share the powerful story of ClaimDOC We hope you enjoy this journalistic look at how ClaimDOC came to be. #rbp #referencebased #medicalpricing #medicalbilling #healthinsurance #insurance #claimdoc #selffunded

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Michael Combs, CorVel’s President and CEO, discusses the workforce shift in the industry and how leveraging technology can help mitigate labor challenges and equip the future generation of claims professionals. Read it here!

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Very much of a changing landscape for GLP-1 insurance coverage for obesity. Employers need to have a completely separate carved out wholistic program addressing mental health, nutrition, exercise, with medications used as a tool when members get stuck in their health journey with their disease of obesity. #GLP1 #obesitycoverage #wegovy #zepbound #healthinsurance #employeebenefits #PBMs #weightlossmeds #burnhambenefits #theBaldwinGroup

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REGISTER FOR OUR BenefitMall JUNE 12th Compliance Webinar. Gain a comprehensive overview of the Patient-Centered Outcomes Research Institute Fee (PCORI), covering who pays the fees, how they're calculated, and essential filing deadlines. We'll also delve into the intricacies of 5500 requirements, including recent changes and best practices. https://lnkd.in/d_PyutpE

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ClaimDOC CEO Shares insights on what makes Fair Pricing work and market insight. Quality Fair Pricing Matters. ClaimDOC Matters.

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Dave Milich, our regional CEO for UnitedHealthcare Employer & Individual, shares how employers in the Midwest and around the Country are managing their costs: leveraging different health plan and network designs, investing in clinical programs and empowering employees. Hear more from Dave Milich.

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Really good article on the state of primary care from a physician and if you read it, please comment below whether you agree or disagree with his conclusions.

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#Medicare Advantage plans have historically provided value for hospitals.But that trend could be changing as profitability for insurers is on the decline. This article explains what this could mean for #healthcare.

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While some experts are predicting that healthcare insurance challenges may ease in 2024 due to reduced inflation rates, organizations need to remain vigilant against risks. Read HUB Healthcare Practice Leader Pete Reilly's perspective on the current state of the industry to help your organization address and manage those challenges: https://ow.ly/fNaV50Rljew #HealthcareIndustry #Risk #Insurance

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While some experts are predicting that healthcare insurance challenges may ease in 2024 due to reduced inflation rates, organizations need to remain vigilant against risks. Read HUB Healthcare Practice Leader Pete Reilly's perspective on the current state of the industry to help your organization address and manage those challenges: https://ow.ly/Of0n50RlPaL #HealthcareIndustry #Risk #Insurance

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Self-funded health insurance plans are a viable fringe benefit offering for some businesses. But it’s important to explore all the details first, including stop-loss coverage. #healthinsurance #stoplosscoverage #businessplanning https://lnkd.in/gxw6rCRg

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With the healthcare delivery system in the US facing various challenges, the evaluation of healthcare consolidation on Capitol Hill is crucial. The scrutiny reflects good intentions, but there are concerns about whether the underlying issues will be addressed thoughtfully. Partisan politics could impact care delivery and healthcare professionals. It's essential to monitor this trend closely as its implications may be more far-reaching than anticipated. #healthcare #healthcareconsolidation #enterpriseriskmanagement

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"Intensity analysts estimated the costs of Medicare coverage for weight-loss drugs would range from $1.9 and $2.7 billion a year, less than 2% of annual drug spending. This figure does not include the estimated cost offsets of treating obesity. Analysts estimated Medicare would save about $500 million in obesity-related costs annually." Benistar Administrative Services, Inc. Worldwide Employee Benefits Network NABIP BenefitsPRO Employee Benefit News SHRM State and Local Government Benefits Association Government Finance Officers Association (GFOA) National PELRA AHIP Self-Insurance Institute of America, Inc. Medicare Rights Center American Benefits Council National Native American Human Resources Association (NNAHRA) New England Employee Benefits Council (NEEBC) George Kaiser Family Foundation KFF Better Medicare Alliance U.S. Department of Health and Human Services (HHS) Centers for Medicare & Medicaid Services International Foundation of Employee Benefit Plans (IFEBP) The Council of Insurance Agents & Brokers National Labor and Management Conference AGRiP (Association of Governmental Risk Pools) Illinois Municipal League ASCEND Agency Growth & Leadership Summit Midwest Coalition of Labor Becker's Healthcare Tara Lane Kelly Loussedes Eli Tate #medicare #medicareadvantage #retirementgoals #groupbenefits #retirementplan #retireemedicalbenefits #benistar #retireegroupbenefits #medicaresupplement #egwp #seniors #retirees

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A great deal to unpack in this article, but I would have to say that in Wisconsin, the government has already put a lot of money into dental care for folks who are more challenged financially, and it has not led to better results. Many times the dentists (who are more than happy to help people) were losing so much money that they could not provide care any longer. It will be interesting to see where this goes! #hr #cfoinsights #ceoinsights #employeeexperience #thinkingdifferently #hrbenefits

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The uninsured rate in Kansas (8.6 percent) was higher than in the U.S. overall (8.0 percent) for the second year in a row in 2022, even as the rate in Kansas and the nation improved between 2021 and 2022. Kansas had the 13th highest uninsured rate among all 50 states and Washington, D.C., in 2022, a shift of 17 positions from 2009, when Kansas had a lower uninsured rate than the U.S. overall (12.6 percent compared to 15.1 percent). Learn more in the Annual Insurance Update 2024, which provides a comprehensive review of health insurance coverage in Kansas using the most recent data available, highlights trends over the last decade and identifies groups that are experiencing disparities in coverage.   https://lnkd.in/gjMa9bYy #KSLeg #KSHealth, Kansas Department of Health and Environment, Kansas Department of Insurance, Community Care Network of Kansas, REACH Healthcare Foundation

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Remaining Second Quarter Deadlines and Reminders 2024 June 01  -  Submit prescription/medical plan cost reporting to CMS (RxDC)   PCORI Fees Due by July 31, 2024 Employers that sponsor self-insured group health plans, including health reimbursement arrangements (HRAs) should keep in mind the upcoming July 31, 2024 deadline for paying fees that fund the Patient-Centered Outcomes Research Institute (PCORI). Further Consolidated Appropriations Act, 2020, extended to plan years ending on or before September 30, 2029 The amount of PCORI fees due by employer sponsors and insurers is based upon the number of covered lives under each “applicable self-insured health plan” and “specified health insurance policy” (as defined by regulations) and the plan or policy year end date. This year, employers will pay the fee for plan years ending in 2023. -         For plan years that ended between January 1, 2023 and September 31, 2023, the fee is $3.00 per covered life and is due by July 31, 2024 -         For plans years that ended between October 1, 2023 and December 31, 2023, the fee is $3.22 per covered life and is due by July 31, 2024 NOTE: The insurance carrier is responsible for paying the PCORI fee on behalf of a fully insured plan. The employer is responsible for paying the fee on behalf of a self-insured plan, including an HRA. In general, most health FSAs are not subject to the PCORI fee.   Source: https://lnkd.in/e6nuQgxT [irs.gov]

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