Managed Healthcare Executive June 4, 2024
Peter Wehrwein, Managing Editor

A growing proportion of small- and medium-sized employers are self-insuring. But with self-insurance, comes fiduciary responsibility and possible scrutiny.

Health insurance, like any insurance, is about pooling risk and paying premiums to create some financial cushion against costly events. For years, though, many large employers — what constitutes large means varies, but it’s typically 500 or more employees — have self-insured, meaning they have taken on the responsibility of setting funds aside to pay healthcare claims instead of a health insurer. In other words, they act as their own insurer, although they often hire a health insurer as a third-party administrator (TPA) to process claims and to take advantage of that insurer’s provider networks. Under the Employee Retirement Income Security...

Today's Sponsors

Venturous
Got healthcare questions? Just ask Transcarent

Today's Sponsor

Venturous

 
Topics: Employer, Insurance, Patient / Consumer
MedPAC pushes Congress for slight hospital pay bump in 2026
Nevada announces intent to award Medicaid contracts
MedPAC Recommends 3% Cut to Medicare Base Rate, Tempered By Staffing Mandate
Medicare Pay Cut Stands as Congress Passes Budget Bill
MedPAC Pushes For 7% Reduction In Medicare Payment Rate, Highlights Decline In Home Health Care Usage

Share This Article