Blog
Employers are Losing Faith in Healthcare System’s Billing Integrity
If you think your group health plan and participants are paying too much for hospital care, you’re in good company. More…
Why Reference-Based Pricing is Unsustainable and What Will Replace It
When reference-based pricing (RBP) was first implemented in 2011, it was seen as an exciting alternative to discounts from billed charges…
ER Bill Leaves Prominent Physician Exasperated
You know healthcare is a mess when the former U.S. Surgeon General calls it “a broken system” after getting an emergency…
J&J Lawsuit Over Rx Mismanagement a Bitter Pill for Employers
There’s plenty of talk in our industry about climate change, but it doesn’t involve strategies to reduce carbon footprints. Rather, the…
Supporting the Fiduciary Responsibilities of Plan Sponsors — One Claim at a Time
When the Department of Labor (DOL) recently sued Blue Cross Blue Shield (BCBS) of Minnesota for surreptitiously collecting $66.8M from self-funded…
The Cost of Healthcare: Navigating the Inflationary Environment
On the heels of the Federal Reserve raising interest rates to curb the highest inflation in 30 years, workers’ compensation loss…
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