Category: Health Benefits Administration

Why Companies Like GM and Walmart are Opting for Direct Health Care Contracting

Posted: March 15, 2022

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There are numerous factors driving the search for alternatives to traditional employee health care insurance models. Mostly, it’s a desire to mitigate costs as well as have more control over benefit designs and offerings. Either way, employers are starting to take charge. Read Post

Working with an Integrated Third-Party Administrator Can Improve Health Plan Value for Employers

Posted: February 3, 2022

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Self-insured health care plans have grown in popularity, especially since the nationwide health care overhaul 10 years ago. More employers, including those with less than 1,000 employees, are agreeing to take on the risk of assuming expenses themselves in order to reduce overall health care and benefit costs. However, if employers are not versed in the administrative side of providing health care benefits, all the advantages of a self-insured plan could be lost in mismanagement. Read Post

Direct Health Care Contracting

Posted: December 14, 2021

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Direct-to-employer (D2E) contracting means that a self-insured employer works directly with a health care provider, usually a large health system, accountable care organization, or population health management firm. Together they negotiate the terms by which the provider will supply and manage the health care for the company’s employees and their dependents. The arrangement may cover the full range of services outlined in the plan or may be designed to address specific services such as joint replacement surgery, cardiac catheterizations, or other medical procedures. Read Post

Populytics Teams Receive Service Excellence Award

Posted: February 6, 2020

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The Populytics Care Management team upgraded its clinical workflow system and learned that a provider-facing portal could be implemented to increase efficiency and customer service. After evaluating the opportunity, leadership proceeded with the implementation and the Clinical and IT teams worked collaboratively for over six months to prepare for launch; working with Populytics’ clinical portal vendor on a seamless internal integration to existing tools and training Populytics colleagues. Read Post