Where we’re going

Self-insured health plans are facing mounting pressure from rising healthcare costs, increasing regulatory scrutiny and growing demands for cost stewardship. As employers explore new approaches to managing healthcare spend, participants can find themselves affected by billing disputes that occur after care is delivered. aequum helps protect participants when provider payment disputes arise. Through advocacy and … Continued

The No Surprises Act (NSA) was intended to protect patients from surprise medical bills and keep them out of payment disputes between providers and health plans. By many accounts, that objective has been achieved. During a recent industry webinar, provider-side attorney James Greenspan stated that “the overarching goal of the law seems to have been … Continued

Healthcare brokers have always played an important role in helping employers manage rising healthcare costs. Today, that role is expanding as benefit brokers become strategic partners. As reimbursement disputes become more complex and high-cost out-of-network claims continue to challenge plan performance, brokers are increasingly expected to deliver strategies that can withstand real-world pressure. Many are … Continued