When you choose to self-insure
your healthcare expenses, you remove the direct financial incentive
for the claims payer to control medical costs. This will lead to overpaid
claims resulting in additional expense to your plan. With medical
expenses on the rise again, employers cannot afford to continue funding
overpaid claims.
The best way to resolve this problem is to conduct periodic reviews of your claims
data. This allows the employer and claims payer to work together to ensure that
claims are paid as accurately as possible and that mistakes that are made are
corrected.
Recovery Potential
A company with 1,000 employees typically has the opportunity to save more than
$150,000 in medical claims costs. This potential can be realized through the identification
of a 2% error rate. Typical error rates for Third Party Administrators range from
2% to 5%. A 2% error sounds small until it comes out of every dollar your company
spends on your employees' healthcare.