What is the cost of compliance with mental health parity laws for employers?
There is no fixed statutory price for mental health parity compliance. The cost depends on four factors: how many mental health and substance use disorder...
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There is no fixed statutory price for mental health parity compliance. The cost depends on four factors: how many mental health and substance use disorder...
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...
Prior authorization (PA) is a utilization management tool designed to ensure medical services are clinically appropriate and cost‑effective. For employers,...
A colleague of mine spent the better part of a year designing a value-based insurance plan that would have made any actuary weep with joy. Zero-dollar...
You've done the hard work. You've benchmarked your TPA fees, audited your PBM contract, and reviewed your stop-loss policy. Your fiduciary checklist is...
You’ve done the fiduciary training. You’ve reviewed the investment menu. You’ve filed Form 5500 on time. You’re compliant, right? Not so fast. There’s a...
Absolutely. Data analytics has become a powerful tool for employers seeking to manage and reduce healthcare costs while improving employee well-being. By...
Prescription drug costs are one of the fastest-growing and most significant components of employer healthcare spending, often accounting for 20% to 25% of...
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