Apta Healthcare Blog

Platinum Patients: Insurance Cards 101

Posted by Melissa Saturnino on Dec 22, 2017 10:30:00 AM

Platinum Patients are outliers that make up a mere 5 percent of the population, but spend the same amount on healthcare as the remaining 95 percent combined. This means, if there was a cake offered to 100 people, 5 people would eat as much cake as 95 people.

Okay, so Platinum Patients must be the sickest 5 percent of the population and require a significant amount of care, right? Well, not necessarily.

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Topics: Self Funded Insurance, Care Coordination

What is Stop-Loss Insurance and How Can It Protect Your Business?

Posted by Melissa Saturnino on Dec 15, 2017 8:30:00 AM

Any number of unforeseeable employee health crises can have a major effect on company healthcare costs: an office-wide flu outbreak, seasonal illnesses, even bad guacamole in the break room can all lead to high healthcare claims costs.

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Topics: Self Funded Insurance

Why Employers Are Using Self-Funding Over Traditional Health Insurance

Posted by Melissa Saturnino on Dec 8, 2017 8:30:00 AM

Annual premiums for employer-sponsored family health coverage rose to $18,764 in 2017 — employees paid an average $5,714 out of pocket in premiums alone. Seems like a pretty outrageous cost for the mere security of everyday livelihood, doesn’t it? Well, guess what? The cost for employers and employees alike is projected to keep growing, with no end in sight.

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Topics: Care Coordination, Self Funded Insurance

How to embrace the true purpose of health insurance

Posted by Melissa Saturnino on Oct 20, 2017 11:00:00 AM

Health insurance has lost its way. As a result of bureaucracy and corporate greed, the healthcare system is broken, and is costing employers and employees alike.

Company health insurance should give employees peace of mind — assurance that care is available whenever needed. It should provide companies a way to keep employees healthy and show that every individual’s best interest is a priority. In these areas and more, full-coverage health insurance falls short.

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Topics: Care Coordination, Self Funded Insurance

How Self-Funding Helps Mid-Sized Companies Get Ahead of Large Healthcare Claims

Posted by Michael Poelman on Oct 13, 2017 12:52:28 PM

When you sign up for health insurance what value does it add to your life? Sure, it’s something we are required to have, but what do we really mean when we say the phrase “health insurance?”

Did you know the word “insurance” comes from the 16th century Old French word “ensurance?” This roughly translates to “assurance; safe and secure.” Now, do any of these words actually come to mind when you call your insurance company or face the bill after a procedure?

Didn’t think so.

Instead, common associations are probably more in line with “dread,” “terror,” or “not again.” How did we stray so far from the original intent of this word? Excuse my French, but what the health happened?

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Topics: Care Coordination, Self Funded Insurance

Healthcare Bills Out of Control? 3 Ideas to Consider Now

Posted by Michael Poelman on Jul 26, 2017 2:15:00 PM

The uncertainty surrounding the future of healthcare in the United States has put many Americans on edge. The proposal to repeal the Affordable Care Act (ACA) and replace it with the Republican-sponsored American Health Care Act (or Better Care Reconciliation Act) is making people feel unsure, and possibly leaving many Americans uninsured.

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Topics: Care Coordination, Employee Benefits, Self Funded Insurance

5 Essential Questions to Ask to Determine if Self-Funded Insurance is a Good Fit for Your Client

Posted by Melissa Saturnino on Mar 27, 2017 9:00:00 AM

If you were renting a house, would you invest $30,000 in a kitchen renovation? Of course not. The investment would only benefit the owner who still has complete control over the future of the home. In the world of insurance, the fully insured model is just pouring money into a rental.

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Topics: Employee Benefits, Care Coordination, Self Funded Insurance

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