Direct Contracting: Take Control of How Your Healthcare Dollars Are Spent. For many employers, health insurance is still treated as a once-a-year decision: review the renewal, evaluate the increase, make a few adjustments, and move forward. But what if your health plan was something you could actively manage?DirectPath gives employers greater information and control over […]

Lower Healthcare Costs: Give Employees a Reason to Choose High-Value Care. A lower-cost option isn’t necessarily a better option if employees have no reason to choose it.In our most recent edition of Benefits Architecture: Learn the Framework. Elevate the Design, we discussed how DirectPath can give employers an opportunity to reduce costs and gain greater […]

DirectPath: Turning Strategic Design into Real-World Savings. Few things are more challenging for a leadership team than making high-stakes financial decisions without the data to back them up. Yet, that is exactly what happens for many small and mid-size organizations during renewal season. Employers are handed extreme premium increases and are expected to absorb the […]

DirectPath: Double Your Growth, Not Your Premiums. In Benefits Architecture: Learn the framework. Elevate the design: We’ve been following the life of a medical claim — from navigating a high deductible health plan to understanding the importance of prior authorization. Along the way, we’ve shown that the healthcare experience, from how a plan is managed […]

Funding Is Only the Beginning: Why More Employers Are Exploring Level-Funded Health Plans. When it comes to healthcare, most companies are renting their plans. They pay a fixed monthly premium to a traditional carrier in exchange for a plan they have almost no control over. When the “rent” goes up at the end of the […]

Back to the Basics: Protecting Your Health Plan from Catastrophic Claims. Part 2. In the world of employee benefits, there are claims that are predictable and claims that are catastrophic. Most of the time, HR teams can manage the predictable. But every so often, a “shock claim” hits, a medical event so big that it […]

Back to the Basics: What Your Stop Loss Renewal Can Really Cost. Part 1. When an employer is reviewing their stop loss renewal, the conversation usually centers on two numbers: the premium and the deductible. For many organizations, these are the primary markers used to determine if a plan fits the budget.But the premium is […]

What Really Drives Reimbursement in High-Cost Claims. When an employee experiences a high-cost claim, the immediate priority is always care and recovery. For self-funded employers, however, there’s another story unfolding at the same time. One that can have a significant financial impact.In part two of our latest Benefits Architecture edition, we’re taking a closer look […]

Stop-Loss Explained: How Employers Manage High-Cost Claim Risk. An area of health benefits strategy that is often misunderstood — or simply not explained in enough detail — is stop-loss insurance.As part of our Benefits Architecture series, we’re taking a closer look at stop-loss insurance, where it fits, and why it plays such a critical role […]

How Gene and CAR-T Therapies Are Changing the Cost of Employer Health Plans. Healthcare is entering a new era — one where certain diseases aren’t just managed, they’re potentially cured. For patients, this brings hope. For employers, however, it introduces a new level of financial risk.Our Benefits Architecture: Understanding the Life of a Medical Claim […]