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2022 Newsletter – Fall

Newsletter

In this newsletter, we cover our 15th Annual Customer Conference. Topics ranged from mental health programs to lifestyle spending accounts. We also discussed the framework behind evidence-based approaches to pharmacy risk management and reviewed new rules and regulations that anyone dealing with employee benefits needs to know.

For: Employers

Product/Service/Topic: Customer Conference, FMLA, Lifestyle Spending Account, Self-Funded Health Plans, Specialty Medications

2022 Newsletter – Spring

Newsletter

Learn how Custom Design Benefits serves as an extension of your HR team by offering FMLA administration, Lifestyle Spending Accounts, and more in the Spring 2022 issue of our newsletter. We also have Client Implementation Survey results and a literature review on trigger point injections from our Procedural Review Committee to share with you.

For: Employers

Product/Service/Topic: FMLA, Lifestyle Spending Account, Self-Funded Health Plans, Value-Added Services

2022-Newsletter Summer

Newsletter

How do we keep inflated drug costs from sneaking into our clients' bills? When should you decide to go to the emergency room vs. urgent care? What's the latest with Transparency in Coverage requirements? Get the answers to all these questions and more in our Summer 2022 Newsletter.

Product/Service/Topic: Self-Funded Health Plans, Specialty Medications

Adoption Assistance Flexible Spending Account (FSA) FAQ

FAQ

When are funds for my adoption assistance FSA available? What expenses qualify and what can I expect with tax savings? Get answers to all these questions and more in our adoption assistance FSA FAQ.

For: Employers, Members

Product/Service/Topic: Adoption, FSA

AHealthcareZ Videos

Podcast, Video

Visit ahealthcarez.com for more than 300 health care finance videos from Dr. Eric Bricker, an internal medicine physician and former Co-Founder and Chief Medical Officer of Compass Professional Health Services.

For: Brokers, Employers, Members

Product/Service/Topic: Reference-Based Pricing, Self-Funded Health Plans, Stop Loss Insurance

All About the TrueCost ID Card

Video

Watch this video to learn how to use and identify important information on your TrueCost ID card.

For: Brokers, Employers, Members

Product/Service/Topic: Reference-Based Pricing, Self-Funded Health Plans, TrueCost

An Introduction to Self Funding: What, Who, How

Article, FAQ

Learn what self-funding is, who uses it, and how self-funded plans are regulated in this article from selffundingsuccess.com.

For: Brokers, Employers, Members

Product/Service/Topic: Self-Funded Health Plans

ASOs, TPAs, and Burgers

Article

Comparing the difference between ASO and TPA can be similar to comparing a mass produced chain burger with a specialty burger restaurant. While they appear to function in a similar fashion, there's a whole lot more to them once you look beyond the bun.

For: Brokers, Employers

Product/Service/Topic: Self-Funded Health Plans, Third Party Administrator

Case Study: Holland Roofing Group

Case Study

Learn how Custom Design Benefits helped procure a benefits plan that was endorsed by employees and saved Holland Roofing 47% on benefits costs.

For: Brokers, Employers

Product/Service/Topic: Reference-Based Pricing, Self-Funded Health Plans, TrueCost

Case Study: Nisbet Brower

Case Study

Find out how a building materials supplier helped improve employee recruitment using Custom Design Benefits’ reference-based pricing plan.

For: Brokers, Employers

Product/Service/Topic: Reference-Based Pricing, Self-Funded Health Plans, TrueCost

Case Study: Towne Properties

Case Study

Using self-funded insurance and a specialty drug program, Custom Design Benefits helped one company save $100,000 in four months.

For: Brokers, Employers

Product/Service/Topic: Medications, Reference-Based Pricing, Self-Funded Health Plans, Specialty Drugs, TrueCost, TrueCost Rx

Chemotherapy Pre-Certification Form

Form

Download the Chemotherapy Pre-Certification form. Complete and submit all clinical data associated with the order. A determination will be made based on medical necessity, member eligibility and available benefits.

For: Providers

Product/Service/Topic: Chemotherapy, Pre-Certification

Dependent Care Flexible Spending Account (FSA) FAQ

FAQ

How much can I contribute to a dependent care FSA? When are funds available and what documentation do I need to submit a claim? Get answers to all these questions and more in our dependent care FSA FAQ.

For: Employers, Members

Product/Service/Topic: Dependent Care, FSA

Direct Deposit Authorization for Flexible Spending/Health Reimbursement Accounts Form

Form

Download the form to authorize a direct deposit for an FSA or Health Reimbursement account.

For: Members

Product/Service/Topic: FSA, HRA

Discover the Advantages of Reference-Based Pricing

Video

Watch this video to better understand how reference-based pricing works and how it can help employers save more than traditional network-based pricing.

For: Brokers, Employers

Product/Service/Topic: Reference-Based Pricing, Self-Funded Health Plans

Discover the Benefits of Self-Funded Insurance

Video

Watch this video to learn the reasons why more than 2/3 of employers choose self-funded insurance over traditional insurance options.

For: Brokers, Employers

Product/Service/Topic: Self-Funded Health Plans

Does My Organization Need FMLA Administration?

FAQ

Answer these 10 questions to find out if your organization could benefit from a Third Party FMLA Administrator.

For: Brokers, Employers

Product/Service/Topic: FMLA

Don’t Let Insurance Carriers Get Between You & Your Provider

Article

Find out how reference-based pricing plans can give employers access to provider direct contracts to more accurately predict healthcare costs.

For: Brokers, Employers

Product/Service/Topic: Direct Contracting, Reference-Based Pricing, TrueCost

Executive Analytics Brochure

Brochure

Make better data-driven decisions about your company’s health benefits plan with Executive Analytics from Custom Design Benefits.

For: Brokers, Employers

Product/Service/Topic: Executive Analytics, Reference-Based Pricing, TrueCost

Flexible Spending Account (FSA) Claim Form

Form

Download the form to submit a claim.

For: Members

Product/Service/Topic: FSA

Flexible Spending Account (FSA) FAQ

FAQ

What’s the benefit of an FSA? What expenses qualify and how do I submit a claim? Get answers to all these questions and more in our FSA FAQ.

For: Employers, Members

Product/Service/Topic: FSA

Flexible Spending Account Brochure

Brochure

Learn about FSAs and how you can save $25-40 for every $100 you spend on health care services.

For: Brokers, Employers, Members

Product/Service/Topic: FSA

FMLA Leave Management Brochure

Brochure

Learn more about our leave administration tools that help employers improve record-keeping and stay in compliance.

For: Brokers, Employers

Product/Service/Topic: FMLA

Glossary of Health Coverage and Medical Terms

Glossary

What’s the difference between in-network coinsurance and in-network copayment? What do the terms specialty drug costs and balance billing mean? Get the definitions to these common health coverage terms and more in our glossary.

For: Employers, Members

Product/Service/Topic: General Health

HCAA TPA Summit 2021

Video

Part 1 of Wednesday from the HCAA TPA Summit 2021.

For: Brokers, Employers, Members, Providers

Product/Service/Topic: Self-Funded Health Plans

Health Plan Cost Control

Article

Read about five cost levers employers can use to offer improved benefits while keeping costs in check.

For: Brokers, Employers

Product/Service/Topic: Direct Contracting, Population Health, Self-Funded Health Plans, Specialty Drugs, Telemedicine

Health Reimbursement Account (HRA) Claim Form

Form

Download the form to submit a claim.

For: Members

Product/Service/Topic: HRA

Health Reimbursement Arrangement Accounts Brochure

Brochure

Custom Design Benefits offers two health reimbursement arrangement options – a qualified small employer HRA and individual coverage HRA.

For: Brokers, Employers

Product/Service/Topic: HRA, Individual Coverage HRA, Qualified Small Employer HRA

Health Savings Account (HSA) FAQ

FAQ

What are the advantages of an HSA? How much can I contribute and will my funds roll over each year? Get the answers to these questions and more in our HSA FAQ.

For: Employers, Members

Product/Service/Topic: HSA

Health Savings Account Brochure

Brochure

Make health care dollars go further with pre-tax contributions and tax-free growth.

For: Brokers, Employers

Product/Service/Topic: HSA

Home Health Form

Form

Download the Home Health form. Complete and submit all clinical data and MD orders for the request. A determination will be made based on medical necessity, member eligibility and available benefits.

For: Providers

Product/Service/Topic: Home Health

How CDB Relieves the Healthcare Cost Squeeze

Article

Check out this article featuring Custom Design Benefits’ history as a company and our range of services in Rough Notes magazine.

For: Brokers, Employers, Members

Product/Service/Topic: Reference-Based Pricing, Self-Funded Health Plans

How Population Health Management Improves Outcomes for Both Employers and Employees

Article

What is Population Health Management and how can it be used to combat the rising cost of health insurance? Read our article to learn more about it.

For: Brokers, Employers

Product/Service/Topic: Population Health

How Reference-Based Pricing Can Future-Proof Benefits

Article

Find out how employers have lowered their pharmacy spend by 20-25% using reference-based pricing in this article from Employee Benefit News.

For: Brokers, Employers

Product/Service/Topic: Medications, Reference-Based Pricing, Specialty Drugs, TrueCost Rx

How to Register for the Custom Flex Portal

Brochure

Learn how to register for our custom flex portal.

For: Employers

Product/Service/Topic: Portal

How to Register for the Medical/Dental/Vision Provider Portal

Brochure

Learn how to register for our member website portal powered by VBA.

For: Members

Product/Service/Topic: Portal

How to Register for the Provider Portal

Brochure

Our secure online provider portal gives you 24/7 access to the information you need to coordinate patient care. Find out how to register with this brochure.

For: Providers

Product/Service/Topic: Portal

How to Use Your TrueCost Plan

Video

Watch this video to learn how to find and use a health care provider who accepts the TrueCost Plan.

For: Brokers, Employers, Members

Product/Service/Topic: Reference-Based Pricing, Self-Funded Health Plans, TrueCost

Hybrid Insurance Plan

Video

Watch this video to learn how a hybrid insurance plan (HIP) utilizes the best of two plans, fully insured and self-funded insurance, to offset rising premiums and avoid cost-shifting to employees.

For: Brokers, Employers, Members

Product/Service/Topic: Hybrid Insurance, Self-Funded Health Plans

Hybrid Insurance Plan (HIP) Claim Form

Form

Download the form to submit a claim.

For: Members

Product/Service/Topic: HIP

Hybrid Insurance Plan Brochure

Brochure

Find out how an insurance plan that combines self-funded insurance and a traditional insurance plan could potentially save employers 25-50%.

For: Brokers, Employers

Product/Service/Topic: Hybrid Insurance, Self-Funded Health Plans

Importance of Defining Company Culture

Podcast

In this episode of the DH+ INSPIRE podcast, we had the pleasure of enjoying an insightful conversation with Custom Design Benefits CEO and President Julie Mueller. Custom Design Benefits, one of the Midwest’s largest independent, full-service Third Party Administrators of self-funded health benefit plans, has long been dedicated to providing excellent cost containment solutions.

For: Brokers, Employers, Members, Providers

Product/Service/Topic: Self-Funded Health Plans

Individual Coverage HRA Brochure

Brochure

Learn more about the benefits businesses of all sizes can experience with an individual coverage HRA (ICHRA).

For: Brokers, Employers

Product/Service/Topic: HRA, Individual Coverage HRA

Interactive Voice Response System (IVR) FAQ

FAQ

Custom Design Benefits offers our health care provider partners an automated IVR system to access member information. To learn how to use the system, please read our IVR FAQ.

For: Providers

Product/Service/Topic: Provider Tools

Is Self-Funded Insurance Right for My Business?

Article

Make sure to ask these questions from selffundingsuccess.com before deciding whether to take the next step with a self-funded insurance plan.

For: Brokers, Employers

Product/Service/Topic: Self-Funded Health Plans

Lifestyle Spending Accounts

Brochure

Promote healthy habits and overall well-being by creating your fully customizable, post-tax lifestyle spending account.

For: Brokers, Employers

Product/Service/Topic: Lifestyle Spending Account

Limited Flexible Spending Account Brochure

Brochure

Find out how you can save money on dental and vision care with a Limited Purpose FSA.

For: Brokers, Employers, Members

Product/Service/Topic: FSA

Limited Healthcare Flexible Spending Account (FSA) FAQ

FAQ

What is the purpose of a limited FSA? What expenses are eligible and what documentation do I need to file a claim? Get the answers to all these questions and more in our limited healthcare FSA FAQ.

For: Employers, Members

Product/Service/Topic: FSA

Medical Claim Form

Form

Download the form to submit a claim.

For: Members

Product/Service/Topic: Medical Claim

MoneyPill Vol 2: The Formulary for Success Is an Evidence-Based Preferred Drug List

Article

Learn how evidence-based pharmacy risk management can combat wasteful drugs on formularies to provide safe and effective medications while reducing plan spending in this article from L.G. Hanzel, a pharmacy risk management strategist and RxResults, a joint collaborative with the nationally recognized University of Arkansas for Medical Sciences.

For: Brokers, Employers

Product/Service/Topic: Medications, Pharmacy, Risk Management

Over the Counter Flexible Spending Account (FSA) Eligibility List

FAQ

Find out what products qualify for tax-free reimbursement.

For: Employers, Members

Product/Service/Topic: FSA

Pain Management Form

Form

Download the pain management form. Complete and submit all clinical data associated with the request. A determination will be made based on medical necessity, member eligibility and available benefits.

For: Providers

Product/Service/Topic: Pain Management

Population Health Management Brochure

Brochure

Learn more about the benefits of CDB’s population health management services and how you can implement strategies to keep employees healthier.

For: Brokers, Employers

Product/Service/Topic: Population Health

Pre-Certification Form

Form

Download the Pre-Certification form. Complete and submit all clinical data associated with the service. A determination will be made based on medical necessity, member eligibility and available benefits.

For: Providers

Product/Service/Topic: Pre-Certification

Q1 2020 Newsletter

Newsletter

Stay up-to-date with important information for employers and brokers in this issue of the Custom Design Benefits newsletter! Highlights include a 2019 year in review, results from our Customer Satisfaction Survey, updates on our Direct Primary Care pilot program, Flexible Spending Account contribution changes, and more.

For: Employers

Product/Service/Topic: Self-Funded Health Plans

Q1 2021 Newsletter

Newsletter

Stay in the know with our "Five Levers for Health Plan Cost Control," new TrueCost Connect and CareBot services, updates on surprise medical billing legislation, and more in this issue of the Custom Design Benefits newsletter.

For: Employers

Product/Service/Topic: Self-Funded Health Plans, TrueCost

Q2 2020 Newsletter

Newsletter

Access important COVID-19 related resources and updates, and learn how to evaluate Individual Coverage Health Reimbursement Arrangements (ICHRAs), and more in this issue of our newsletter.

For: Employers

Product/Service/Topic: COVID-19, Individual Coverage HRA, Self-Funded Health Plans

Q2 2021 Newsletter

Newsletter

Stay abreast of important industry news, services, and insights in this issue of the Custom Design Benefits newsletter! Highlights include new COBRA notices, inflation-adjusted HSA amounts, Procedural Review Committee literature review, the Mental Health Parity and Addiction Equity Act, and more.

For: Employers

Product/Service/Topic: COBRA, HSA, Self-Funded Health Plans

Q3 2020 Newsletter

Newsletter

Get updates from our 13th Annual Customer Conference, the final rule for hospital price transparency, IRS cafeteria plan changes, and more in this issue of the Custom Design Benefits newsletter.

For: Employers

Product/Service/Topic: COVID-19, Customer Conference, Self-Funded Health Plans

Q4 2020 Newsletter

Newsletter

Get updated information on COVID-19 immunizations, how COVID-19 is impacting health plans, expanded FMLA leave coverage, and more in this issue of our newsletter.

For: Employers

Product/Service/Topic: COVID-19, FMLA, Self-Funded Health Plans

Q4 2021 Newsletter

Newsletter

In this special anniversary issue of the Custom Design Benefits newsletter, celebrate with us as we observe 30-years of service! You can also learn about specialty pharmacy costs, near-site clinics, mental health care solutions, and other discussion topics from our 14th Annual Customer Conference.

For: Employers

Product/Service/Topic: Mental Health Care, Self-Funded Health Plans, Specialty Pharmacy

Qualified Small Employer HRA Brochure

Brochure

Learn more about the benefits small businesses with fewer than 500 employees can experience with a qualified small employer (QSEHRA).

For: Brokers, Employers

Product/Service/Topic: HRA, Qualified Small Employer HRA

Release of Information Form

Form

Download the form to authorize disclosure of protected health information.

For: Members

Product/Service/Topic: Release of Information

Removing Waste From Drug Formularies

White Paper

How can the removal of waste from drug formularies help companies and employees achieve savings? Download this guide from the John Hopkins Drug Access and Affordability Initiative, the Pacific Business Group on Health, and Integrity Pharmaceutical Advisors to find out.

For: Brokers, Employers

Product/Service/Topic: Medications, Specialty Drugs

Request for Proposal (RFP) Form

Form

Download this form to request a proposal from Custom Design Benefits to get more details on how our self-funded cost containment strategies can work for you.

For: Brokers

Product/Service/Topic: Request for Proposal

Retro Review Form

Form

Download the Retrospective Review form. Complete and submit all clinical data associated with the past service. A determination will be made based on medical necessity, member eligibility and available benefits.

For: Providers

Product/Service/Topic: Retrospective Review

Self-Funding 101

Video

Learn more about the differences between fully-insured and self-funded insurance plans in this informative and entertaining video from the insurance brothers.

For: Brokers, Employers

Product/Service/Topic: Self-Funded Health Plans

Spending Accounts Change Form

Form

Download the form to submit a change of name, address, status or election amount.

For: Members

Product/Service/Topic: Spending Amounts

Telehealth Services Brochure

Brochure

Learn more about comprehensive physical and mental wellness programs that employees can access from their phone, computer or mobile device.

For: Brokers, Employers

Product/Service/Topic: Telehealth

The Hidden Cost of Cost Shifting

Article

There’s a better way to combat rising health care costs than using ineffective and outdated cost-shifting strategies.

For: Brokers, Employers, Members

Product/Service/Topic: Reference-Based Pricing, Self-Funded Health Plans, TrueCost

The Many Advantages of a Self-Funded Plan

Article

From minimal rate increases and savings to employee retention and more, self-funded health plans provide many advantages. You can read about each one in this article from selffundingsuccess.com.

For: Brokers, Employers

Product/Service/Topic: Self-Funded Health Plans

The Value of Self-Funding

White Paper

Why do organizations of all types and sizes look to self-funding as the solution to the rising cost of health care? Find out in this white paper from the Self-Insurance Educational Foundation.

For: Brokers, Employers

Product/Service/Topic: Self-Funded Health Plans

The Voices of Self Funding

Podcast

Join in on the conversation with host Ramesh Kumar, CEO and Co-Founder of zakipoint Health, as he interviews key self-funding experts and dives deep into impactful topics and perspectives surrounding the self-funding industry.

For: Brokers, Employers, Members, Providers

Product/Service/Topic: Self-Funded Health Plans

Transit/Parking Flexible Spending Account (FSA) FAQ

FAQ

Is a work carpool eligible for tax-free reimbursement? What documentation do I need to submit a claim and is the cost of gas to and from work covered? Get answers to all these questions and more in our transit/parking FSA FAQ.

For: Employers, Members

Product/Service/Topic: FSA, Transit/Parking

TrueCost Reference-Based Pricing Plan Brochure

Brochure

Learn more about the benefits employers, employees and health care providers can experience with transparent and fair reimbursement.

For: Brokers, Employers

Product/Service/Topic: Reference-Based Pricing, TrueCost

What Employers Need to Know About Behavioral and Telehealth Services

Article

Behavioral telehealth services offer employees and employers many benefits beyond cost savings and improved outcomes. Read about them and more in this article.

For: Brokers, Employers

Product/Service/Topic: Behavioral Telehealth

What is TrueCost?

Video

Watch this video to learn more about TrueCost.

For: Brokers, Employers, Members

Product/Service/Topic: Reference-Based Pricing, Self-Funded Health Plans, TrueCost

Why Self-Funding?

Brochure

Find out how self-funded health plans can offer your company several benefits, such as improved cost-savings, benefits flexibility and more.

For: Brokers, Employers

Product/Service/Topic: Self-Funded Health Plans

Your TrueCost Plan Overview

Brochure

Get more information about how TrueCost works to reimburse health care providers at an appropriate amount and how to make sure your doctor accepts the plan.

For: Members

Product/Service/Topic: Reference-Based Pricing, Self-Funded Health Plans, TrueCost

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