How Health Insurance Denials Are Designed to Fail (and What to Do)
Every benefits leader has heard the stat: roughly one out of every seven in-network claims gets denied at first. But here's the figure that keeps me up at...

HR & Benefits Leaders
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Every benefits leader has heard the stat: roughly one out of every seven in-network claims gets denied at first. But here's the figure that keeps me up at...
You've done the comparison: formularies, copays, deductibles, mail-order discounts, rebate guarantees. The spreadsheet looks clean. But here's the...
Every fall, I watch HR teams run the same playbook. They send out reminder emails, set up benefits fairs, and cross their fingers that employees pick the...
Most benefits leaders I talk to are treating 2024 like any other compliance year. Update the affordability percentage, run the standard reports, move on. It...
Virtual fertility consultations have become a popular add-on in employee benefits packages. They promise convenience, privacy, and faster access to...
Gig workers don’t have good health benefits. That’s not news. But the usual suspects-cost, regulations, lack of employer interest-aren’t the whole story....
Telemedicine is often sold as the great equalizer-convenient care for everyone, especially those with mobility challenges. But if you manage employee...
If you're a benefits leader, you've probably noticed the same trends I have. GLP-1 costs are through the roof. Musculoskeletal claims among women over 40...
Every open enrollment, the script is the same: "We've added more therapy sessions, launched a meditation app, expanded the EAP." Employers check the box,...
If you work in employee benefits, you’ve probably spent the last five years hearing about how telemedicine is a game-changer. Quick visits for a sore...
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