Reinventing your health plan service relationship
Article Abstract:
A relationship review between the health care provider and the plan sponsor is needed to avert further complications in health care services delivery to employees. The health care industry is undergoing changes that diminishes its capability to provide timely and appropriate service, to the chagrin of plan sponsors. But sponsors and their health care providers must view their relationship similar to that with business customers, so that a meeting of expectations and resources can be effected.
Publication Name: Journal of Compensation and Benefits
Subject: Insurance
ISSN: 0893-780X
Year: 1998
User Contributions:
Comment about this article or add new information about this topic:
Health care quality: a primer for plan sponsors
Article Abstract:
Employers sponsoring health plans for their employees should evaluate the plan in terms of structure, delivery and effectivity of outcome. One assurance of a health plan's performance credibility is if it possesses accreditation from the Joint Commission for Accreditation of Health Organizations and the National Committee for Quality Assurance. Sponsors should also measure reliability in processes such as claim adjudication, secular trend rates and implementation of a network program.
Publication Name: Journal of Compensation and Benefits
Subject: Insurance
ISSN: 0893-780X
Year: 1995
User Contributions:
Comment about this article or add new information about this topic:
Should plan sponsors be reviewing managed care delivery?
Article Abstract:
Site visits and clinical assessments of Health Maintenance Organizations (HMO) and Managed Care Organizations (MCO) by plan sponsors provide first-hand information of the quality of care delivered and help minimize plan liabilities. The six key areas of HMO/MCO operations that site visits focus on include leadership, organizational and motivational framework, clinical practices, quality, results and measurement systems.
Publication Name: Journal of Compensation and Benefits
Subject: Insurance
ISSN: 0893-780X
Year: 1996
User Contributions:
Comment about this article or add new information about this topic:
- Abstracts: Nine-month review of life/health insurers. Best's rating monitor: six month review of life/health insurers
- Abstracts: Medicaid block grants will affect employee health plans. The implications of easing Medicaid demonstration waiver requirements
- Abstracts: Level the playing field with common game plan. Bancassurance in French P/C lines is slowly becoming profitable
- Abstracts: Up-front premiums - do you understand them? Sharing health data keeps client relations in shape
- Abstracts: The role of employee financial planning in an integrated financial security model. Design of paid-time-off banking