Eliminating out-of-network (OON) benefits in self-funded employee healthcare plans tackles several problems for employers and benefits administrators: …
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Telemedicine leaves space open for FWA
The continued use of telemedicine – made dramatically more mainstream during the pandemic – may open the door for more fraud, waste, and abuse in healthcare …
Identifying Provider Fraud in Employee Healthcare Claims
An overview of fraud, waste, and abuse Employers with self-funded employee healthcare plans often see the rising cost of healthcare as the price of doing …
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