Plain answers on plan costs and rates.
Guides from Simple Healthcare on plan costs, negotiated rates and benefit decisions. Each explains how the approach works, what the evidence supports and what to check before acting.
Start with your next decision.
Understand the data, compare the approaches, and know what to check before you act.
How employers reduce healthcare costs
Compare purchasing strategies using your plan’s claims. Review expected savings, provider access and implementation before deciding what to change.
- Expected savings
- Provider access
- Implementation
What is price transparency in healthcare?
Understand the federal disclosure requirements, the limitations of published rates and the comparisons employers can make with them.
Machine readable files, explained
Learn what hospital and insurer files contain and how processing choices affect the benchmarks built from them.
Centers of excellence for employers
Evaluate provider selection, bundle terms, member support and participation before committing to a COE program.
Direct to employer contracting in healthcare
Compare a provider’s offer with current episode costs. Review the scope, exclusions and administration needed to make the contract work.
ERISA fiduciary responsibilities for health plans
Connect Department of Labor guidance with the disclosures, cost comparisons and decision records used by benefits committees.
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