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. CONTINUE READING