April 4, 2022

Seven Essential Ingredients for Direct Contract Success

This article includes quotes from various healthcare leaders about how to best develop and use direct contracts to benefit self-funded health plans and plan participants.

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March 31, 2022

Cost Management Opportunities and Strategies to Optimize Employer Health Plans

Employers are increasingly pursuing cost management initiatives and education as part of comprehensive wellness initiatives.

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March 12, 2022

e-Health Radio Interview: No More Surprises! Installment #2

Listen to interview with host Eric Michaels and guest Jack Towarnicky discuss the following: What’s your best advice for workers when it comes to “Surprise” medical bills? As an employee benefits expert, what advice can you offer employees that is most beneficial regarding their employer-sponsored health plan? I thought you had to enroll in a health plan with a high deductible to be eligible to contribute to a Health Savings Account. Is this true? Let’s say my employer offers two different PPO options, one with a $600 deductible and the other is HSA-capable with a $1,400 deductible. Why would I sign up for the higher deductible option? Given that the employer spend is usually the same for all coverage options, why would they offer HSA-capable coverage?

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February 23, 2022

No more surprises! Navigating compliance with medical billing legislation

It is important for benefits professionals, especially those who administer or sponsor self-funded plans, to understand the NSA's provisions.

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February 7, 2022

No More Surprises! What the No Surprises Act Provisions Mean for Self-Funded Health Plans

The intent of the transparency and surprise/balance billing legislation is to create new, federal consumer protections. However, those same protections shift much of the risk and cost to the plan sponsor or employer.

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February 5, 2022

e-Health Radio Interview: No More Surprises! Installment #1

Listen to interview with host Eric Michaels and guest Christine Cooper discuss the following: What drove the formation of aequum and demand for your technologies and services that support health plans with medical billing? What is “Surprise Medical Billing” and how does it impact our healthcare system? What led to federal legislation and the significance of the No Surprises Act (NSA)? What medical services and claims are protected by NSA? When will the rules and provisions of the NSA take effect? What strategies can employer-sponsored health plans and their members take to prepare?

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December 26, 2021

Healthcare Cost Inflation Expands into the New Year, Increases Out-of-Pocket Costs and Expenditures

aequum LLC discusses the reasons for healthcare cost inflation and some opportunities that exist for benefit specialists to achieve significant cost savings.

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December 22, 2021

Healthcare Costs Continue to Rise. Why?

What are the factors that drive healthcare costs and what is and can be done about it? aequum LLC discusses the reasons and some of the solutions.

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November 12, 2021

Be Aware: Medical Coding and Billing Offenses Pose Costly Consequences

80% of medical bills contain errors, and many in healthcare believe that number is rising. This article discusses the most common and costly coding errors.

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November 2, 2021

aequum Welcomes Richard Haseltine as Associate Attorney, Expands Capabilities to Protect Self-Insured Plan Sponsors & Members Against Balanced Billing, Overcharges

aequum LLC introduces Richard Haseltine as the newest member of its team designed to protect patients and plans across the U.S.

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October 22, 2021

Innovative Medical Billing Technology Protects Patients from Surprise Bills

The lack of price transparency throughout the healthcare industry has subjected increasing numbers of patients to the unwanted surprise of unplanned medical bills. This article discuss innovative tech-driven solutions.

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October 8, 2021

Admin's Latest Surprise Billing Regulation Stirs Up Controversy

On September 30, 2021, the latest interim final rule was released to implement the No Surprises Act. Provider groups denounced the rule.

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September 15, 2021

aequum LLC Announces 2021 Milestones

aequum LLC, acting on behalf of 325 self-insured health plans and their participants, has successfully resolved 6,000+ claims - saving over $31 million (97.2%) of disputed charges.

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