Resources

Incentivizing Corporate Wellness

Nearly every large employer offers some type of wellness program, but if your team feels you’ve “been there, done that,” maybe it’s time to revisit your definition of wellness. With the expansion of mindfulness, meditation, and yoga in the west, modern wellness applications are so much more ...

Advocacy in Action | Requiring Proof for Denied Claims

A member contacted her Patient Advocate for help with 4 bills being denied by the insurance carrier as not covered under the plan. The Patient Advocate reviewed the bills and plan details and then contacted the insurance carrier to find out why they were denying coverage. The carrier told the ...

Costs by Organization Size | 2019 UBA Health Plan Survey Trends

Generally, larger groups (those with 200 to 1,000+ employees) pay more than average per employee due to more generous benefit levels. After experiencing a stunning 9.6% increase last year, employers with 1,000+ employees were able to more characteristically negotiate better rates this year, ...

Final FAQs, Model Disclosure Form, and Enforcement Fact Sheet Regarding Mental Health and Substance Use Disorder Parity

The U.S. Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (collectively, the “Departments”) released final FAQs About Mental Health and Substance Use Disorder Parity Implementation and the 21st Century Cures Act Part 39. The Departments respond to FAQs as part of ...

Costs by Industry | 2019 UBA Health Plan Survey Trends

The government/education/utilities sector has the priciest plans, at $12,125 per employee, up just 1.5% from last year. Total costs per employee for the construction/transportation, retail, hospitality, and health care sectors are all lower than average, making employees in these industries ...

Compliance Recap | August 2019

August was a relatively quiet month in the employee benefits world. The Department of Labor (DOL) issued its updated Medicaid / CHIP Model Notice. The Centers for Medicare and Medicaid Services (CMS) revised its Medicare Secondary Payer User Guide and changed reporting requirements regarding ...

Costs by Region | 2019 UBA Health Plan Survey Trends

Overall average costs per employee rose 1.3% from $10,313 in 2018 to $10,447 in 2019 (compared to 3.8%, from $9,934 in 2017 to $10,313 in 2018). Regional cost averages vary from the national picture, making it essential to benchmark both nationally and regionally. For example, a significant ...

Final 2020 Benefit Payment and Parameters Rule

The Centers for Medicare & Medicaid Services (CMS) released its final rule and fact sheet for benefit payment and parameters for 2020. According to CMS, the final rule is intended to reduce fiscal and regulatory burdens associated with the Patient Protection and Affordable Care Act (ACA) ...

Health Plan Costs & Premium Increases | 2019 UBA Health Plan Survey Trends

Average health plan costs rose a modest 4.6% in 2019, compared to the nearly 10% increase seen in 2018, a ten-year high. Good negotiation is key in securing the best final rates. UBA Partners reported that the average initial or proposed rate increase was 8.6%, with final rate increases ...

Top 10 Trends for 2019 | UBA Health Plan Survey

For 14 years, United Benefit Advisors® (UBA) has surveyed thousands of employers across the nation regarding their health plan offerings, including analyzing hundreds of data points related to cost, funding methods, enrollment, plan design, coverage features, wellness, prescription drug ...

Brinson Benefits