Learn more about how to purchase health benefits that result in better health for employees and dependents for less money.
As purchasers we deserve to know how much healthcare services will cost. Whether it is a true cost, a negotiated cost, or the median cost, that information should be readily available. Only 17 states have All-Payer Claims Database (APCD), tools that aggregate, analyze, and publicly report paid claims from health plans, Medicare, Medicaid, and third-party administrators. This is essential information but nothing will change if the employers and consumers continue to allow these charges and pay these fees without question or context.
Learn more about APCDs and how to use them. (Click on the map for the status of the APCD in your state.)
We all know that healthcare is complicated. Even folks who know the industry struggle to make good decisions about where to go and what treatment to have. Whether it’s a lack of price or quality transparency, or simply being at our most vulnerable, there are real and significant barriers to getting the right care at the right price.
Who administers contracts for billions of dollars each year and covers healthcare benefits for over 150 million Americans? Health benefits administration managers and executives do. What skills and experience is needed to manage this increasingly unsustainable budget item. Employers are in the healthcare business and need the expertise in house to administer healthcare benefits.