H.H.C. Group Releases White Paper on Controlling High-Cost Claims for Self-Insured Hospitals and Health Systems

ROCKVILLE, MD – September 26, 2026 – H.H.C. Group (H.H.C.), the leader in reducing healthcare costs by providing high-quality cost containment through claim negotiation, repricing and independent review solutions, announces the release of its latest white paper, Hospitals and Health Systems Increasingly Self-Insure Employee Health Benefits but Still Face High-Cost Claims. The paper examines why greater control over employee health benefits does not automatically protect hospitals and health systems from high-cost claims, patient leakage, pricing volatility and payment inaccuracies. It also outlines a more disciplined approach to evaluating and containing healthcare costs before payment occurs

"Self-insurance gives hospitals and health systems greater visibility and flexibility, but it also places direct financial responsibility for every claim on the organization," says Bruce D. Roffé, P.D., M.S., H.I.A., president and CEO, H.H.C. Group. "Control is only valuable when it is supported by the expertise and authority to evaluate charges, challenge inappropriate costs and make defensible payment decisions."

• Self-insurance transfers direct financial risk: TPAs may process claims but financial liability remains with the employer.
• Patient leakage creates unpredictable exposure: Out-of-system care subjects hospital-sponsored plans to variable pricing and reimbursement.
• Standard discounts may leave savings unrealized: Claim-level review can uncover billing errors, inappropriate charges and additional savings opportunities.
• Prepayment intervention strengthens financial performance: Claim-level review, data-driven repricing and experienced provider negotiation can help establish appropriate, supportable payment before plan dollars leave the organization, with independent clinical expertise available when medical questions require it.

"Real savings require experienced professionals who can determine appropriate payment, reach provider financial decision-makers and remain engaged through resolution," adds Roffé, noting that the H.H.C. Group combines specialized financial expertise, intelligent technology and experienced negotiation to help self-insured hospitals and health systems determine appropriate healthcare payments and deliver measurable, defensible savings. "When healthcare decisions require objective clinical evaluation, H.H.C. Group provides independent, evidence-based clinical review and physician expertise."

About H.H.C. Group
Dedicated to significantly reducing medical claims costs through claim negotiation, repricing and medical bill review, H.H.C. Group is a national healthcare cost-containment leader serving self-funded healthcare payors, TPAS, stop-loss carriers/captives, unions and insurers. Serving the Group Health, Workers Compensation and Auto-Health markets, H.H.C. Group delivers timely, customizable solutions and proven savings. Committed to integrity and compliance, URAC-accredited H.H.C. Group stands out as a trusted partner for reducing healthcare costs and ensuring quality outcomes.