Voices of Self Funding Featuring Joe Dore
USBenefits President and CEO, Joe Dore, recently joined HCAA's the Voices of Self-Funding podcast to discuss what separates a great stop-loss partner from an average one. During the conversation, Joe explains why strong stop-loss partnerships go well beyond pricing,...
Forecasting Medical Costs Enables Timely Intervention
In the latest issue of SIIA’s The Self-Insurer, Mike Lanza, Senior Vice President of USBenefits Insurance Services, LLC, emphasized the importance of collaboration between health plans, third-party administrators (TPAs) and stop-loss carriers in managing medical...
Can Healthcare Brokers/Advisors Help Improve Our Healthcare System?
Healthcare costs continue to challenge employers, brokers and benefits advisors looking for meaningful ways to improve outcomes and manage spend. In a recent article by SIIA’s The Self-Insurer, Joe Dore, President of USBenefits Insurance Services, LLC,...
In Memoriam: George Kadonada
Stop-Loss Pioneer and Foundational Leader of USBenefits USBenefits Insurance Services honors the life and legacy of George Kadonada, a pioneer of the self-funded and stop-loss industry and a foundational figure of our organization. George’s career helped shape the...
The Business and Finance of Healthcare in 2026
Healthcare in 2025 saw consolidation, AI-driven efficiency, rising costs, and renewed investment. Joe Dore offered his insights in this Health IT Answers article on what’s ahead in 2026. Read the full article here.
Partnership Is Vital to Meaningful Plan Cost Savings
Healthcare costs continue to rise, and for many self-funded Plans, high-dollar claims can pose a serious financial risk. When faced with six-figure hospital bills, Plans and third-party administrators (TPAs) must balance their fiduciary responsibility to control costs...
Cost Containment Alignment
When selecting a stop-loss provider, it is essential to ensure that the TPA (Third Party Administrator), plan, and stop-loss carrier are aligned in their approach to cost containment. The primary purpose of purchasing stop-loss insurance is to protect the plan from...
Reducing Denials and Improving the Success Rate of Claim Reimbursements
What do restaurant menus and healthcare pricing have in common? Unfortunately, not much. In Healthcare IT Today’s latest expert roundup, USBenefits Insurance Services, LLC President Joe Dore weighs in on how unpredictable pricing and a lack of transparency continue to...
Prior Authorization Changes and Dilemmas
Issues swirling around insurance company Prior Authorizations (PAs) that determine access to care have jumped to prime time. PA is a process that requires healthcare professionals to obtain advance approval from the insurer before a prescription medication or medical...
Rate Increases in Stop Loss or Pie in the Sky?
As of recently, some industry colleagues are suggesting that the stop-loss market will produce low double-digit rate increases in 2025. This would suggest that the market is or will be firming up from years of very competitive pricing to the consumers' benefit but to...