Self-Funding
At what employee headcount should an Employer begin considering self-fudning their health plan?
????
This B&B resource aligns claims analysis, vendor selection, and communication strategy to solve for claims drivers on a health plan?
What is Population Health?
This analysis will provide an overview and outline patterns amongst the group of employees at a given company
What is a Demographic Analysis?
This medication is the most commercially successful drug since its release in 2002?
What is Humira?
This law sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans.
What is the Employee Retirement Income Security Act (ERISA)?
What is an average stop loss renewal? Why?
???
What is Benefits Engagement Solutions (BES)?
This analysis will help employers understand how the benefits they offer stack up against their industry and geographic peers?
What is a Benchmarking Analysis?
This category of claims drives more cost than any other, totalling $415.6M in SunLife's 2023 book of business alone.
What is cancer (Malignant Neoplasm)?
Employees cannot be deducted more than ______% of their of their monthly wages for employee only coverage on their employer's health plan.
What is 9.02%
What is an aggregating specific deductible?
Please explain...
This concierge program proactively engages members who are approaching a crucial age limit in which they may become eligible to source their health insurance outside of their employer.
What is Medicare Advocacy Services?
This analysis will shed light on what plan offering provides the most relative value for employees
What is a Benefit to Cost Analysis?
This type of medication aims to solve health issues by re-writing genetic code?
What is Gene Therapy?
Health plans must contain these in order to be ACA compliant
What are Essential Health Benefits?
Describe what an attachment point is and how it calculated?
...
Please describe 3 areas of expertise in which herronpalmer can add value to our clients our prospects...
???
This analysis will help employers determine what is the most appropriate way to fund their health plan.
What is a Self-Funding Feasibility Study?
in 2023, more than 250M Americans lived in a _______, which describes a location with challenges to healthcare access.
What is a Health Professional Shortage Area (HPSA)?
This provision required employees to maintain health insurance that meets minimum essential coverage or face a financial penalty on their tax return.
What is the Individual Mandate?
The stop loss feature helps improve cash flow and volatility from an unexpectedly large amount of claim spend in a given month.
What is Monthly Aggregate Accomodation?
By aggregating our entire book of business, this team is able to secure preferred pricing on catastrophic/high volume claims protection for our customers.
What is the Virtual Stop Loss Office?
This analysis will help a customer understand how much each of their claims would have cost if partnered with a different medical network?
What is a Network Re-Pricing Analysis
This model of paying for claims throws network reimbursements to the curb while aiming to pay cost of delivery + reasonable markup.
What is Referenced Based Pricing?
This piece of legislation aims to unfavorable limits on mental health and substance abuse benefits.
What is the Mental Health Parity and Addiction Equity Act?