Relentless Health Value EP433: The Mystery of the Weekly Claims Wire: What Are Plan Sponsors Actually Paying For Each Week? With Justin Leader
Apr 18, 2024
Justin Leader, an expert on healthcare cost transparency, discusses the hidden fees lurking in weekly claims wires for self-funded employers. He breaks down the various charges like pay and chase fees and shared savings fees that often go unnoticed. Justin emphasizes the importance of transparency for fiduciary responsibility and challenges plan sponsors face in understanding invoices. The conversation highlights how erroneous billing and lack of oversight can lead to significant financial implications, urging listeners to scrutinize these hidden costs.
Chapters
Transcript
Episode notes
1 2 3 4 5 6 7
Intro
00:00 • 5min
Understanding Fees and Transparency in Healthcare Claims
04:32 • 2min
Understanding the Claims Wire for Self-Insured Plan Sponsors
06:45 • 2min
Navigating Weekly Claims Payments
08:19 • 4min
Navigating Healthcare Fees and Claims
12:44 • 17min
Navigating Audits and Claims in Healthcare
29:54 • 7min
Unveiling Hidden Healthcare Costs: The Implications of Spread Pricing
37:10 • 3min