70% of the patients covered by their employers’ benefit programs are managed under self-insured agreements. Moreover, most hospitals, who are often some of the largest employers in their local communities, maintain self-insured programs for their own employee populations.
With COVID-19 presenting major challenges to the general population but also to the healthcare workforce, hospital’s self-insured plans are likely going to experience significant claim levels in terms of frequency and overall cost.
This activity should be monitored on a regular basis to ensure that it is being processed in accordance with relaxed regulations and commercial requirements and in accordance with any new managed care terms you are able to negotiate. Baker Tilly can help with these important steps to ensure you are optimizing the economics of your benefit plan.