Insights from TFG Partners
The medical plan audits and continuous monitoring we provide at TFG Partners are expected to benefit from the Federal Hospital Price Transparency Rule that took effect on January 1, 2021. It requires hospitals to post prices online for 300 services, including MRIs, heart procedures and surgeries, joint replacements, new patient visits, and lab tests.
Can Merged Companies Better Reduce Health Costs? Each year in the United States, health care costs increase. It’s something we watch every day at TFG Partners as we conduct medical claim audits. Rising costs are a budget issue for businesses, the government, and all of us as individuals. Therefore, the search is always on for […]
After a freestanding emergency room billed an Austin, TX, man’s insurance carrier $10,984 for a COVID-19 test, the case has come under scrutiny. Ironically, the man is a physician and had been on staff at the emergency care clinic. The case has gained widespread attention after the doctor left his job and reported the incident […]
Rarely does an event occur that affects a company’s unexpected medical plan expenses as is the case COVID-19. The Kaiser Family Foundation estimates coronavirus treatment for the average patient without complications averages $9,763. If someone has complications, it doubles to a cost of $20,292. The Kaiser researchers arrived at the numbers by tracking and reviewing […]
Self-Funded Plans Benefit from Continuous Monitoring. There is enormous financial and plan performance value in continuous monitoring of benefit claim payments. When you entrust a health insurer or other administrator to process claims for your self-funded plan, you hand them an open checkbook in many regards. While much of what they do goes as expected, […]