Health Insurance Premium Rebate Checks Aren’t Good News for America

Ever since 2012, Americans have received rebate checks from their health insurers when the Medical Loss Ratio doesn’t “measure up” to the 80/20 Rule.  In simple terms, the Rule means that insurers must spend 80 percent of their revenue from premiums to pay for the healthcare of their subscribers.  The other 20 percent is theirs to keep.  What …

Health Insurance Premium Rebate Checks Aren’t Good News for America Read More »

An Act of True Bipartisanship: The No Surprises Act

On July 1, 2021, the Biden Administration issued its interim final rule cementing into place the No Surprises Act, which was signed into law by the Trump Administration on December 27, 2020.  The Act is one of the most important consumer protection measures regarding healthcare—ever.  It takes effect on January 1, 2022.  And in these days of so …

An Act of True Bipartisanship: The No Surprises Act Read More »

The Transparency in Coverage Rule and the No Surprises Act: A Millennial’s Perspective

The Transparency in Coverage Rule and the No Surprises Act, set to take effect on January 1, 2022, will have a momentous impact on employer-sponsored health insurance, in terms of cost, as well as consumer knowledge. These rules will impact millennials, in particular, because they speak to one of the key characteristics of this demographic—the …

The Transparency in Coverage Rule and the No Surprises Act: A Millennial’s Perspective Read More »

Vincible Ignorance – One of the Problems with ESHI

Employer-sponsored Health Insurance (ESHI) covers just over 55 percent of the U.S. population and accounts for just over a third of the overall health care expenditure for the country. With such significant dollars allotted, expectations for the quality of healthcare and the overall health of individuals would be at the top of every health-related metric …

Vincible Ignorance – One of the Problems with ESHI Read More »

Five Steps to Increasing Employee Engagement with Transparency in Coverage

With the Transparency in Coverage Rule and No Surprises Act taking effect January 1, 2022, TPAs, ASOs, Insurers and employers of every kind should be focusing not just on meeting the requirements of the Rule and Act and avoiding fines of up to $100 per member per day, but also on increasing employee engagement with …

Five Steps to Increasing Employee Engagement with Transparency in Coverage Read More »

How Nostalgia is Misleading Employee Health Plans

Matthew McCormick, Director, Partner Sales Having spoken with and met hundreds, if not thousands, of employee benefit brokers, I’ve noticed a recurring, fundamental theme runs through our discussions: .. Many within the healthcare space have been led astray by nostalgia. Nostalgia is a beautiful word It brings back fond memories. It evokes a sense of …

How Nostalgia is Misleading Employee Health Plans Read More »

True Market Forces Will Soon Be Unleashed in Healthcare

In a matter of months, our healthcare system and the overall patient experience will change dramatically for the better. And most Americans don’t even realize it.  After decades of attempts to transform the healthcare system into a true market—one in which forces like competition between providers based on quality and pricing can bring prices down, it is finally happening. The …

True Market Forces Will Soon Be Unleashed in Healthcare Read More »

Why Talon?

The business of healthcare and health insurance is mean. If you want to survive in this industry, you have to be scrappy and practice grit on a daily basis. The players within the market can be tough and inflexible. In 2014, we first demonstrated the prototype of MyMedicalShopper, alongside our campy mascot, “Dr. Hoot. Dr. …

Why Talon? Read More »

Building a Village: Why Fixing the Broken Healthcare System should also involve Human Resource Outsourcing organizations (HROs) and Professional Employer Organizations (PEOs)

By Amnon Gavish, EVP of Corporate Development & Strategy Due to the COVID-19 crisis, PEOs’ and HROs’ services are expected to expand beyond their traditional customer zones (See Oliver Wyman: The Potential New Normal in Insurance Products). As a result, they may also have an opportunity to play a major role in fixing our broken …

Building a Village: Why Fixing the Broken Healthcare System should also involve Human Resource Outsourcing organizations (HROs) and Professional Employer Organizations (PEOs) Read More »

Death by Complacency

By Matthew McCormick, Partnership Executive, MMS Analytics, Inc. As the pandemic known as COVID-19 came to the forefront of our daily lives, my mind, like many of yours, undoubtedly leapt towards “What are the consequences of this virus upon my career?” First and foremost, I am fortunate that, at the publishing of this blog, I …

Death by Complacency Read More »