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HealthSmart's worker's comp and casualty claims division celebrates their Diamond Jubilee. The leadership attributes the company's longevity to long term relationships with clients and high staff retention. 

In 1946, the company now operating as Smart Casualty Claims opened its doors. Many of our clients have been with us for more than 50 years, and one of the reasons they've stayed is that the people who serve them have stuck around, too. Read More>>

Effective January 1, 2022, health plans will be required to post extensive plan pricing data, including cost-sharing details, in and out of network rates, as well as an online consumer pricing tool. Compliance is mandated at the plan level, so self-funded plans will be primarily responsible for compliance. Most plans, however, will rightly expect their TPA partners to support them with compliance. HealthSmart is ready to help. Read More>>

In our continuing commitment to partnership and transparency, HealthSmart convened the Broker Advisory Council Spring Summit on March 31, 2021. While the Summit featured a full agenda, the highlight of the meeting was the opportunity for our broker partners to ask questions and give input, and for us to listen and respond with timely, accurate information. Read more>>

Since the pandemic began more than a year ago, medical experts and researchers have tracked a troubling trend of deteriorating mental and emotional health among the population. Frontline healthcare workers and essential employees were among the first to exhibit signs of increased stress, including post-traumatic stress disorder (PTSD), as they dealt with unimaginable care challenges and tragic patient outcomes stemming from COVID-19.

While 2020 will be remembered for grief and unbelievable challenges arising out of the COVID-19 pandemic, the year will also be remembered for ingenuity, innovation, resolve, and courage. As we face 2021 with renewed hope, I would like to circle back to our Brand Promise as the foundation upon which we built a successful year and upon which we will construct an outstanding 2021.

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For the 110,000 residents of the U.S. Virgin Islands (U.S.V.I.), health insurance coverage has been a hit or miss proposition. That is, until Elan Insurance Group brought a cost-effective choice to employers in the U.S.V.I.

In a new case study published by HealthSmart, Omar Haedo, founder of Elan, a Miami-based company, outlines the challenges he faced bringing his vision of tailored insurance coverage to the U.S.V.I. and how his partnership with HealthSmart propelled his success.

Employers’ interest in self-funded health plans is on the rise. Today, more than 60% of all employers in the U.S. self-insure their employee medical benefits. But one catastrophic claim can deal a severe blow to the plan and its sponsoring organization. High-cost specialty drugs and the continued growth of $1 million+ claims are pushing more and more clients to utilize stop loss insurance. It's important to have the right partner. Here are some tips to keep in mind.

Rare, severe and chronic conditions are often treated using specialty pharmaceuticals, which may be delivered by infusion in the home or institutional settings. Specialty pharmaceuticals, however, can be extremely expensive, creating financial hardships for members and plan sponsors. HealthSmartRx Solutions can help members navigate available financial assistance programs, resulting in cost savings, better clinical outcomes and higher member satisfaction.  Learn More

When the world first became aware of a new virus with a potential global impact, little did we realize how much it would change our personal and work lives. From the outset, we knew our focus needed to be on helping our clients navigate COVID-19 with information and resources. We also knew we needed to focus on the safety of our staff to ensure we would be able to continue to operate to meet our clients’ needs. Learn more about how HealthSmart is managing our staff’s health and safety needs to avoid potential impacts on our operations. 

As the cost of health benefits continues to rise faster than the rate of inflation, many plan sponsors are looking for alternatives to traditional PPO networks. Plan sponsors want benefits administration partners that can deliver creative and comprehensive solutions that control costs while delivering high quality clinical outcomes and member satisfaction. SmartDecision, HealthSmart’s approach to Reference Based Pricing (RBP), offers a unique alternative.