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Blog Posts

Self-funding is “too risky”…

Self-Funding is "too risky".... There are so many myths about self-funding medical benefits it's not even funny. Being "too risky" has to be the #1 objection I hear from employers when it comes to the topic.I have a public sector client (County), and last year at a Commissioner's meeting, I uttered the words, ...

Beware of Brokers Bearing GAP Plans

Beware of Brokers Bearing GAP Plans At first glance, it seems like such a great idea.  In fact, at second glance, it still seems like such a great idea. You raise your health plan’s deductible up in order to lower your monthly premiums, then you supplement it back with a GAP plan that will “buy ...

Do Your Employees Love or Hate Their Health Plan?

Do Your Employees Love or Hate Their Health Plan? One of the most common criticisms we hear about health insurance is the rapidly deteriorating “value” employees get from high-priced insurance plans.  Premiums seem to rise every year, deductibles get larger, networks get smaller, copays become unaffordable….and ...

Our Prescriptions Don’t Cost the Same!!!

Our Prescriptions Don't Cost the Same!!! So last week I was in an employee open-enrollment meeting with a client that was renewing, and two guys flagged me down to "pull my ear" about a "situation" they needed answers on. Ok, no big deal, these guys seemed reasonable enough, so I sat down. The first ...

10 Funniest ICD-10 Codes You Might Not Know Exist

10 Funniest ICD-10 Codes You Might Not Know Exist If you’ve ever looked at an EOB (Explanation of Benefits) after a medical event, you may have asked your kids if you could borrow their Ceasar Cipher super secret decoder ring to try and figure out what all these alphanumeric codes are.  Those codes, generally, ...

Smoked Brisket With a Side of Innovative Benefits

Smoked Brisket With a Side of Innovation I was recently on the Explanation of Benefits podcast, hosted by JR Clark and Dr. Jay Moore and we discussed various health care topics and winning Broker of the Year. Listen to EOB Podcast with Josh ...

Self-funding is only the beginning

The cost of health insurance is directly related with the cost of actual health "care", and as health CARE costs continue to rise in the U.S., health insurance premiums follow a similar trajectory. This trend is prompting more and more employers to explore and transition to a self-funded plan arrangement, which is ...