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Self-Funded With Spencer

A Fiduciary's Guide to Data Analytics with Agility Innovation Partners (CAA Part 2)

Nov 17, 2022
44:42

A Fiduciary's Guide to Data Analytics with Agility Innovation Partners.

This episode is a follow-up to my video "The Consolidated Appropriations Act 101 - Comply or Die?"  

The Consolidated Appropriations Act, otherwise known as the CAA, established protections for consumers related to surprise billing and transparency in health care.  Upcoming fines can and will be heavy, amounting to $100/day PER EMPLOYEE, which is substantially greater than the fines hospitals receiving for being non-compliant, which was only $300 total day. 

In this Episode - Part 2 - we focus on an employer's fiduciary responsibility now that they have access to claims and pricing data due to the CAA regulation, and the power of using an innovative Data Analytics platform to make sense of it.  

Agility Innovation Partners helps offer a data analytics platform with "at-scale pricing" to small-to-mid-market brokers who may not have the leverage on their own.  They also offer consulting after the decision to purchase a data analytics platform called Innovu, so that consultants can make sure they maximize the ROI on their investment.  Innovu also offers a CAA fiduciary tool stack with benchmarking against 4 million lives for plan design, claims cost, plan design etc, so that an employer can determine if they are paying reasonable cost for care and are compliant.  If not, now they know and can take action!  

Here is a recent article covering the CAA in greater detail, and outlining the employer obligation to be compliant.  Hat's off to Dave Chase, co-founder and CEO of Health Rosetta for bringing it to my attention!  

https://docket.acc.com/erisa-covered-companies-must-disclose-health-plan-costs

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