Addressing the Increasing Burden of Health Insurance Cost Sharing

Despite some moderation, health care spending remains substantial, and ESI plans and other coverage programs have responded by shifting more financial responsibility to the health plan enrollee. The shift may accelerate as employers attempt to avoid the so-called Cadillac tax, which seeks to raise revenue from generous health insurance plans. Underinsurance is emerging as a serious problem that may be more difficult to tackle than uninsurance. Evidence shows that when cost sharing is imposed, consumers may respond by reducing their use of both necessary and unnecessary care. Although proponents of HDHPs claim that deductibles encourage judicious use of insurance and push consumers to shop for lower-cost, high-quality care, it is unclear whether this is true.

Spotlight

Insphere Insurance Solution

Insphere Insurance Solutions, Inc. is one of the fastest growing insurance distribution companies in America. Our vision is to be the preferred source of insurance-related solutions for middle-income Americans and the preferred long-term opportunity for career agents dedicated to serving this rapidly expanding market.

OTHER WHITEPAPERS
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Artificial Intelligence – Welcome Opportunity or Inescapable Challenge for Insurers?

whitePaper | November 15, 2019

The proliferation of big data and artificial intelligence (AI) impacts practically every human enterprise and endeavor. The insurance industry is certainly no different, having historically thrived on developments in data, data analytics, AI and other information technologies. Insurance companies are taking advantage of the digital transformation to automate claims management processes, improve operational efficiencies, and increase the quality of service they deliver to customers with personalized marketing and recommendations. The ongoing race to conquer volumes of heterogeneous data and wring every bit of informational value out of raw intelligence will mean growing opportunities and inevitable challenges for insurers, the insured and most participants in the insurance sector.

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TRADE CREDIT INSURANCE UNLOCKING GROWTH

whitePaper | January 20, 2020

A lot is changing in today’s global economy. Economic growth in North America appears to be slowing; likewise, there are signs of weakness in regions across the globe. With tariff wars, Brexit and military conflicts, there is uncertainty domestically and across the globe. Making business decisions in this environment can be daunting.

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Adjust Your Claims Audits: 5 Common Issues and How to Fix Them

whitePaper | November 12, 2019

A carrier’s quality assurance process is the backbone of its success. While not as well-known as underwriting or claims adjusting, QA is a vital part of insurance operations. QA auditors assess open, denied and paid claims to determine if avoidable errors occurred during processing, adjusting or settlement. Their reviews track performance against business standards and help improve internal operations and claim quality. QA gives employees vital information with teachable

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Removing inefficiency in commercial insurance

whitePaper | June 21, 2022

The challenges facing the insurance industry are piling up. 2020 saw a record number of catastrophic events that each caused at least $1 billion in damages, while the economic contraction caused by the pandemic response affected insurance particularly severely.

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Tackling the complex challenges of commercial insurers

whitePaper | May 15, 2023

Commercial insurance is an information juggernaut. The sheer volume, myriad sources, and constant change of data make it uniquely challenging to model, price, process, and service large-schedule policies – and handle complex claims – at the pace of today’s business. Duck Creek supports some of the world’s leading commercial insurers with solutions designed for volume, complexity, speed, and, most of all, change. This white paper explores the unique challenges facing commercial insurers today – and outlines the ways in which Duck Creek solutions can turn those challenges into opportunities.

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Insuring the transition: The issues confronting risk managers

whitePaper | September 21, 2022

This paper sets out the views and concerns of risk managers regarding the approach taken so far by the private insurance market to underwriting the transition. As the representative body for the risk profession at European level, FERMA takes an active interest in the various implications of the transition to a carbon-neutral economy.

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Spotlight

Insphere Insurance Solution

Insphere Insurance Solutions, Inc. is one of the fastest growing insurance distribution companies in America. Our vision is to be the preferred source of insurance-related solutions for middle-income Americans and the preferred long-term opportunity for career agents dedicated to serving this rapidly expanding market.

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