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Company News and Articles

Cost of Care, News, TFG Partners News

How New Hospital Price Lists Can Help Medical Claim Auditing

The health 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. Read more

January 28, 2021/by TFG Partners
https://www.tfgpartners.com/wp-content/uploads/2021/01/hospital-prices-unsplash.jpg 1050 700 TFG Partners /wp-content/uploads/2020/06/logo.png TFG Partners2021-01-28 04:36:392021-02-18 02:35:28How New Hospital Price Lists Can Help Medical Claim Auditing
Cost of Care, Employee Benefits, TFG Partners News

Combining Health and Pharmacy Benefit Administrators

company mergers are an opportunity to audit medical benefits and pharmacy claims. Auditing can also include continuous monitoring.

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 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 ways to reduce costs. In the past couple of years, combining health and pharmacy benefit administrators was heralded as a way to do it. Yet a survey of corporate benefits executives found that only 50-percent had confidence it would work. The rationale from the combined companies is that cost-savings result when fewer entities are trying to earn a profit. Read more

January 22, 2021/by TFG Partners
https://www.tfgpartners.com/wp-content/uploads/2021/01/handshake-5217189_1920.jpg 1078 1920 TFG Partners /wp-content/uploads/2020/06/logo.png TFG Partners2021-01-22 21:40:302021-02-18 02:35:28Combining Health and Pharmacy Benefit Administrators
Covid 19, News

Huge COVID Test Overcharges are Making News

covid testing overcharges that require your plan to get a medical audit and benefits assessment.

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 to the nonprofit investigative journalism organization Pro Publica. Read more

October 30, 2020/by TFG Partners
https://www.tfgpartners.com/wp-content/uploads/2020/10/test-tube-5065426_1920.jpg 1282 1920 TFG Partners /wp-content/uploads/2020/06/logo.png TFG Partners2020-10-30 10:57:252021-02-18 02:35:28Huge COVID Test Overcharges are Making News
Covid 19

Making a Case for Monitoring COVID and All Claims

covid is dominating the headlines, we're here to help control the overcharges by medical insurance claims.

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 hospital costs of patients with pneumonia. Read more

October 30, 2020/by TFG Partners
https://www.tfgpartners.com/wp-content/uploads/2020/10/corona-5002341_1920-2.jpg 1280 1920 TFG Partners /wp-content/uploads/2020/06/logo.png TFG Partners2020-10-30 10:53:372021-02-18 02:35:28Making a Case for Monitoring COVID and All Claims
Benefit Trends, Cost of Care, News, TFG Partners News

Continuous Claims Monitoring Keeps Administrators Accurate

We audit claims and continuously monitor your company's medical benefits claims to make sure that insurance companies are not over-charging for prescriptions and benefits.

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, a surprising percentage falls outside of the agreed-on parameters. It means plan members (your employees) may not be receiving the most effective outcomes, and costs can rise needlessly.  Some of the processing abnormalities are inadvertent, and others may be more purposeful — because no one thinks you’re watching. Read more

October 20, 2020/by TFG Partners
https://www.tfgpartners.com/wp-content/uploads/2020/10/video-camera-3121655_1920.jpg 1005 1920 TFG Partners /wp-content/uploads/2020/06/logo.png TFG Partners2020-10-20 17:12:192021-02-18 02:35:28Continuous Claims Monitoring Keeps Administrators Accurate

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