Are your employees really getting the benefits you think you’re providing? You might be surprised to learn the answer. In fact, Truven Health Analytics™ experience typically shows that up to 8 percent of claims are paid incorrectly.
These incorrect payments can point to breakdowns in plan implementation or occur due to coding errors, lack of quality control, administrator system setup issues, and even fraud and abuse. Here are three common reasons benefit plans are not always administered as intended – and solutions to provide the employee benefits you committed to.
The current fee-for-service (FFS) payment system seems to provide an incentive for and enables a trend in public expectations for what it deems “appropriate” medical care, driven by physician practices. This is witnessed in the trend of anesthesiologists’ participation in simple colonoscopy procedures.
Truven Health Analytics™ research shows that there can be significant variation in the price of these and other medical, surgical, and imaging procedures, even within a single city or metropolitan area. This white paper looks at the case of colonoscopy screenings to determine if new payment models will have a chance to impact this trend and its rising costs.
Discover what 400 benefits-eligible employees of companies with more than 2,000 employees have to say about the ways their employers talk to them about topics like employee benefits, health care reform, and wellness programs.
The first night you were out on your own and behind the wheel as a teenager was nerve-wracking for your parents, but guess what … you came home safely and the car was still in mint condition. Employers have become paternalistic in their efforts to control population health. But these days, people are taking control of their own healthy behaviors. And they’re doing it for themselves, not for their boss or HR director. Employers need to learn to “hand over the keys” of wellness to their employees for maximum results, understanding that individuals are ready to handle their own health decisions.
Most efforts to increase wellness, manage risks or reduce costs turn to the need for some aspect of behavior change. This white paper explains the behavioral theories that are the foundation of health improvement programs at Optum. The paper illustrates how the ASM -- shorthand for “awareness, skill-building and maintenance ‘’ -- model guides our wellness consulting approach and strategic planning in health management.
Survey tunes in to a highly satisfied workforce that is focused on furthering their education and improving worker well-being.
A study by SourceMedia Research and Employee Benefits Adviser, in partnership with Unum/Colonial Life, highlights the cause and effect that health care reform under The Patient Protection and Affordable Care Act of 2010 (PPACA) will have on the benefits advisory industry.