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How to Respond to the UC Health & Anthem Contract Dispute

September 25, 2023

In what is a regular occurrence between health systems and insurance carriers, Anthem, Inc. and UC Health, including UCLA Health, have yet to reach a contract agreement for 2024. As things stand today, Anthem members would lose UC Health Systems as in-network providers effective January 1, 2024, including health systems such as: UC Los Angeles UC San Diego …

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The Value of Culturally Sensitive Healthcare: How Employers Can Enhance Outcomes for People of Color and Black Communities

September 13, 2023

In recent years, the healthcare industry has made significant strides toward providing more equitable care for all individuals. However, disparities in healthcare outcomes still persist, particularly for people of color and black communities. Just look at recent news about a difficult pregnancy for Serena Williams and the prepartum death of Torie Bowie for proof. “Black …

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The Value of Benchmarking Your Employee Benefits

August 28, 2023

Leadership and HR teams can take their benefits to the next level when they begin strategically planning their benefits rather than just buying insurance every renewal cycle. And in order to think strategically with benefits, companies need to review an Employee Benefits Benchmark for their organization. What is an Employee Benefits Benchmark? An Employee Benefits …

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Health Insurance and Benefits Strategies for Investors, Entrepreneurs, and Private Equity Firms

August 15, 2023

Health insurance and benefits are often an untapped source of value creation for entrepreneurs, private equity professionals, and investors. Entrepreneurs and private equity companies are in the business of creating value. This generally means they manage their companies in a way to increase revenue, decrease costs, and generally increase their value. Since a business increases …

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How Self-Funded Health Insurance Can Be Your Competitive Advantage

August 1, 2023

Companies offer employee benefits to retain and recruit their workforce. Benefits reflect your values as an organization and company, and more and more employees today value what their company stands for, not just what they are paid. Poor benefits can result in higher attrition, a waste of business cash flow, and hurt the company in …

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What is a Self-Funded Voluntary Benefit Plan?

May 2, 2023

You are probably familiar with voluntary benefits – if you’ve watched a sports game or turned on the TV recently, you’ve probably seen an ad from Aflac, Allstate, and others. But you may not be familiar with how these plans are financed exactly. And if you’re a real finance and insurance nerd who is familiar …

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What Self-Funding Rates by State Tell Us About Health Insurance

April 4, 2023

We work with employers who use a variety of funding methods for their employee benefit plans. Some groups may use fully-insured health insurance plans from carriers, and others may self-fund their employee health plans with stop-loss insurance and captive managers. We work with groups in and out of California, and it’s interesting to see state …

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The Difference Between Captive Insurance and Self-Funding

March 22, 2023

We sometimes hear Captive Insurance and Self-Funding used interchangeably, but they are in fact two separate employee benefits strategies. Let’s explore how are they similar and how are they different. Captives and Self-Funding are not Fully-Insured To begin, let’s be clear that both of these strategies are an alternative to a Fully-Insured Health Plan. With a …

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All About Spousal Surcharges & Carve-Outs

March 7, 2023

We look at a number of strategies to help employers lower their health insurance costs. One of these are Spousal Surcharges and Spousal Carve-outs. Let’s explore each of these in greater detail and as always, you can schedule a complimentary call with an advisor to discuss these in greater detail. A Spousal Surcharge increases the employee contribution to …

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Using a Captive Health Insurance Company to Share Risk with a Community

February 7, 2023

Employers are facing unsustainable cost increases For many companies, healthcare costs including health insurance have become a top expense. It often goes payroll first, then healthcare benefits. It’s not uncommon for many employers today to face healthcare costs of $8,000 or more per year per employee. And healthcare costs have been steadily increasing, increasing 152 …

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