TPA Selection: The Data and Exit Test
A third-party administrator holds something more valuable than its call center scripts or its network discounts. It holds your plan's memory. Who enrolled,...
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A third-party administrator holds something more valuable than its call center scripts or its network discounts. It holds your plan's memory. Who enrolled,...
Employers run two health budgets that rarely talk to each other. Occupational health handles work-related injuries, fitness-for-duty exams, and...
Self-care and digital health tools can lower employer healthcare costs when they redirect care to lower-cost settings, increase preventive care completion,...
A hospital now publishes the exact rates it negotiated with your health plan. Most self-funded employers have not opened the file. That is a chance most...
KFF's 2023 Employer Health Benefits Survey found 65% of covered workers are in self-funded plans. Those employers pay claims directly. They buy stop-loss...
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...
Pharmacy benefit manager (PBM) transparency determines whether an employer can see what it pays for prescription drugs, how much the PBM keeps, and what a...
The cost difference comes less from the health savings account (HSA) itself and more from the high-deductible health plan (HDHP) that an HSA requires....
For most self-insured employers, maternity and newborn care lands near the top of the annual claims report. It competes with musculoskeletal care, oncology,...
Employee assistance programs are among the least expensive benefits an employer can offer. A standard EAP contract typically costs between $12 and $40 per...
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