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Marathon Health Blog

Health Insurance Alone Does Not Ensure Health

There’s a difference between sick care and healthcare. You provide your workforce with a health benefit plan to take care of them when they are sick, but how do you ensure they get or stay healthy?

The Quintessential Way to Keep Healthcare Costs Low

There’s a simple formula employers and consultants should remember when they’re devising ways to keep healthcare costs low: excess costs follow excess risks.

Mitigating Health Risk Can Keep Healthcare Claims Low

The Centers for Disease Control and Prevention (CDC) has reported that 86% of healthcare costs can be attributed to treatment for chronic disease. A recent study by the CDC also indicates that costs associated with absenteeism among employees struggling with health risks or chronic disease average $12-$81 per employee per year for small businesses and $17-$286 per employee per year for large businesses.

How Health Insurance Claim Audits Help Businesses

An ideal first step brokers can take when evaluating new changes to their self-funded clients’ benefits structure is a health insurance claim audit. This will lead to lower healthcare costs through identification of trends and high-cost claimants.

There are two generally accepted approaches for auditing claims: 100-percent claims audit and stratified random sample audit.