Solution Briefs
Our solution briefs cut through the noise with objective, research-backed overviews of specific benefit strategies and vendors, so plan sponsors can make informed decisions for their health plans.
Claims Auditing
Billing errors are more common than most employers realize — estimates suggest up to 80% of medical bills contain mistakes, costing plan sponsors billions in erroneous payments each year. This brief explains why regular claims audits are a critical part of prudent plan management, what Maine's new audit rights law (L.D. 1906) means for self-insured employers, and what to look for when selecting an audit vendor.
Digital Diabetes Management Tools
Diabetes is one of the most significant cost drivers for employer-sponsored health plans, and the marketplace is flooded with vendors promising to help. This brief summarizes an independent analysis by the Peterson Health Technology Institute of eight digital diabetes management programs, providing employers with an objective assessment of their clinical effectiveness and return on investment before making a purchasing decision.
Fertility/Family-Forming Benefits
Maine's fertility benefit mandate requires many employers to provide coverage for fertility treatments and related services — and even those not subject to the mandate may be considering these benefits to attract and retain talent. This brief provides an overview of the mandate's requirements and a side-by-side summary of two fertility benefits vendors, Progyny and ARC Fertility, to help employers evaluate their options.
Medicare Enrollment Services
Employees 65 and older can have an outsized impact on employer health plan costs — but transitioning eligible workers to Medicare can be a win-win, reducing plan costs while potentially offering employees better coverage at a lower price. This brief explains the opportunity, outlines free state resources available to Maine employers, and summarizes two Medicare enrollment services vendors, Coveside and SmartConnect.