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Episode #22 - Protect Yourself | Doug Aldeen & Al Lewis

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Surprise Billing – The COVID Edition – How to protect your employees & plan from extraordinary and unreasonable charges.


Our podcast discussion today between Michael Andrade, Al Lewis, and Doug Aldeen, esq. This podcast is meant to educate employers, plan sponsors, and individuals about some of the well-intended elements of the CARES act and the impact it could have on healthcare costs and more importantly the impact it could have on your own benefit plan and costs to employees and their families. In our discussion we review:

  • How the CARES Acts creates an incentive for billing abuses
  • How employees may not even know that it’s happening
  • What you can do as an employer to protect your plan and your employees
  • How to mitigate billing issues with a Payment Integrity process that includes medical bill review, surprise bill protection, and communication elements for your employees.

If you’re a plan sponsor, you should be very concerned about what is going to your plan without you taking measures now to mitigate unreasonable claims. This translates into wasting money that you need to run your business and to pay legitimate claims.

If you’d like to learn how this and other programs can fit into your benefit strategy please feel free to contact me: Michael Andrade (832) 236-8966