Consolidating health and welfare plans: a case study
Article Abstract:
Action, a company with 16,000 employees, reached its present stature through a series of acquisitions that span a decade. These acquisitions had disparate benefit plans and, since changing plan providers is a complicated process, Action let things remain as they are. However, the benefits scenario became complicated beyond control and the conglomerate had to consolidate the different plans if it was to function efficiently. The process, though complicated, validated itself resulting in lesser expenditures and simplified dealings with service providers, among others.
Publication Name: Journal of Compensation and Benefits
Subject: Insurance
ISSN: 0893-780X
Year: 1999
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Managed care accreditation: Decoding the acronyms
Article Abstract:
A big number of employers consider accreditation status as vital in evaluating health plans. The National Committee for Quality Assurance looks on the quality management process within the health plan as the major factor required for accreditation. The Joint Commission for Accreditation of Healthcare Organization stresses the overall organization and management of the plan. The Utilization Management activities within the plan, on the other hand, are the focus of Utilization Review Accreditation Commission.
Publication Name: Journal of Compensation and Benefits
Subject: Insurance
ISSN: 0893-780X
Year: 1997
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HMO due diligence: are you at risk?
Article Abstract:
Health plan sponsors can avoid legal problems involving health care organizations (HMO) and other managed care plans by performing a proper due diligence review. There are several reasons why it is prudent to conduct such a review, including the risk of fiduciary liability under ERISA, the risk of corporate fiduciary liability, and the risk of 'vicarious liability.' Tips on conducting a HMO due diligence review are offered.
Publication Name: Journal of Compensation and Benefits
Subject: Insurance
ISSN: 0893-780X
Year: 1996
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