Benefits strategy is where cost control, recruiting, and employee trust all collide. These posts cover how employers structure plans, what actually moves the renewal number, and where traditional programs quietly leak money. Written for the people who own the budget and have to answer for it.
1,027 posts
A mid-sized tech company wrapped up a routine dependent eligibility audit last fall. They weren't expecting fireworks-maybe a stray ex-spouse or a...
At first glance, mental health parity laws like the Mental Health Parity and Addiction Equity Act (MHPAEA) appear to be a straightforward compliance...
Step therapy is one of the most widely used utilization management tools in employer-sponsored pharmacy benefits, and its impact on employer healthcare...
A few years ago, I sat across from a CFO who couldn't understand why his stop-loss renewal had jumped 32%. His claims experience was flat. No new high-cost...
A few years back, I sat in a boardroom with a CFO who was beaming about their new telehealth vendor. “Forty percent of our primary care visits are virtual...
Prior authorization (PA) is a utilization management tool designed to ensure medical services are clinically appropriate and cost‑effective. For employers,...
The short answer is yes, employer health coalitions can and do negotiate lower healthcare costs -often achieving savings that individual employers,...
Surprise medical bills are not just a headache for employees-they are a direct drain on employer healthcare budgets. When a patient unknowingly receives...
For years, ERISA health plan reporting felt like a dusty annual ritual. Your TPA would drop a Form 5500 on your desk, maybe a Schedule A, and you’d check...
Out-of-network (OON) charges represent one of the most volatile and poorly controlled cost drivers in employer-sponsored health plans. Unlike in-network...
30-minute call • Personalized Pension & Store projections
• No disruption to your current plan