America's Benefit Specialist July 2023

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mental health insurance customers through claims integration and analytics. Reclaim Health is a claims-driven health care financial advocacy platform help ing plan members optimize their health care benefits. Through Securian Financial’s business relationships with self-insured employer clients, its supplemental health insurance customers can opt in to proactively manage their supplemental health benefits claims through Re claim’s medical claims integration. Reclaim’s AI-powered claims analytics then matches with Securian Financial’s supplemental health insurance records to determine benefit eligibility and proactively sends notifications to employees who are eligible to submit claims for those benefits. “While more employers are offering supplemental health benefits to their employees to help stem the tide of rising medical bills, the benefits are still new and unknown to many employees. As a result, whether it’s forgetting that they signed up for the benefits or simple inertia, some employees fail to seek claims for benefit payments in which they are entitled,” said Ross Stedman, Securian Financial second vice president of business services. “Claims integration tackles this, with employees receiving a text message or email whenever they may be eligible for a claim. It’s important to our customers that the claims experience is fast, easy and personalized, and this medical claim integration solution really checks all those boxes.” Claim integration powered by Reclaim is available at no additional cost to all Securian Financial supplemental health insurance customers. AEQUUM LAUNCHES NO SURPRISES ACT WEBSITE TO ADVANCE UNDERSTANDING AND COMPLIANCE aequum LLC, acting on behalf of over 400 self-insured health plans and their participants, has launched its dedicated website (https://knowthenosurprises act.com) and information portal. Employers, plan sponsors, third-party admin istrators, brokers, payers and patients can access the portal for current informa tion relating to the No Surprises Act (NSA). This hub enables visitors to quickly review current federal rules and regulations, access resources that support health plan compliance and acquire valuable updates on current litigation, news and developments. Christine Cooper, CEO of aequum, explains: “Our team is at the nexus of discussions and activities surrounding NSA and is implementing this resource center to help guide the industry with an understanding of the rules, regula tions and rights under the NSA. We are proactively responding to the needs of our partners, clients and their members, helping to protect them against unreasonable medical charges and balance-billing.” Surprise billings and the lack of price transparency have been significant challenges for all stakeholders. The NSA is designed to protect patients from surprise medical bills for certain emergency services as well as services received from out-of-network providers at in-network facilities. “NSA compliance remains a top priority for plan administrators and the most effective way to address the NSA is through a combination of strategic and compliance-oriented approaches,” Cooper said. “This may include adopting a ‘pure’ reference-based pricing plan design to limit plan benefits and partici pant out-of-pocket costs to the true cost of provider services.” Visit aequumhealth.com to discover more.

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