Have you called to schedule an appointment with your doctor lately? If so, how soon did they get you on the schedule? I'm guessing it wasn't the same day you called. In fact, only 1 out 10 folks are lucky enough to score a same day appointment. 80% of patients report...
How do health insurance brokers get paid?
Does it even matter how your broker gets paid if they are paid by the insurance carrier? Let me stop you right there. First of all, your broker may be paid by the insurance carrier, however, as a business with a group health plan, you are the one footing the bill....
10 Reasons an Organization’s Benefit Strategy Stalls and What You Can Do About It
54% of the U.S. population has employer based healthcare. As a business owner, HR director, or chief financial officer, it's essential to have a benefits strategy for your employees. It's a vital factor in creating a positive work environment and retaining your best...
What exactly is Prior Authorization in Health Insurance: Perspectives from Employers, Employees, and Insurers
With the high cost of healthcare services and treatments in the United States, it is essential to balance the coverage provided while still maintaining affordability. One way that insurance providers do this is by requiring prior authorization for certain medical...
What’s in a level-funded health plan? A lower monthly premium!
Are you an employer, HR director, or CFO looking for a healthcare plan that offers cost savings, flexibility, and customization? Allow me to introduce you to level funded health insurance. A level funded health plan works similarly to a traditional fully insured...
Why Choosing a Boutique Agency Can Benefit Your Company
In the labyrinth of insurance and benefits, choosing between a boutique agency and a national giant is not merely a question of size. It's a strategic decision that can significantly affect the well-being of your company and, by extension, your employees. Let's...
How Benesmart’s Market Analysis is Reducing Costs and Improving Access to Care
Picture this: your business has spent years navigating the labyrinthine world of health insurance, yet costs keep climbing, and coverage seems to shrink right alongside the health networks. It's a common refrain among business owners and HR professionals, who often...
Are speciality drugs posing a threat to the stability of your group health plan?
Think back to the last time you were watching a football game on primetime or maybe Dancing With the Stars or The Bachelor, there is a pretty good chance you saw at least a few commercials from drug manufacturers. You know, the ones that have the laundry list of...
Low Hanging Fruit, How a new PBM can save your health plan money
Let's start with the facts. How much money do we actually spend on prescription drugs? The Centers for Medicare and Medicaid Services reported that retail prescription drug expenditure in the United States came to some 378 billion U.S. dollars in 2021. According to...
Managing Chronic Illness For Better Health Outcomes and Lower Costs
Welcome back to our blog series, "20 Tips to Save 20% on Your Group Health Plan". Today, we're diving into the 18th tip of our series, focusing on managing chronic illnesses. As HR or CFO, navigating your group health plan can be a daunting task, particularly...