AimPoint Pension
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Defined Benefit Combo Cash Balance Compliance Consultant Loren D. Stark Company (LDSCO)
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Loan & Distribution Specialist AimPoint Pension
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Regional Vice President of Sales The Retirement Plan Company
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Compass
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Bates & Company, Inc.
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Health Plans: Is It Time to Bring Back 'Reasonable and Customary'?
Chelko Center for Benefits Management [Opinion] May 1, 2018 "Since billed charges are no longer reasonable and their payment no longer customary, TPAs started tapping into these blind networks to limit non-network payment levels. And since some of these were already set up as shared savings arrangements, a new revenue model was born. How much revenue? When we can see it (it's often hidden in claims data), it has usually amounted to about 10% to 20% of administration fees -- not a bad source of added revenue!" |
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