The Affordable Care Act requires health insurance issuers and sponsors of self-insured health plans to pay Patient-Centered Outcomes Research Institute (PCORI) fees for plan years ending in 2021. PCORI fees are due July 31st.
Read MorePharmacy benefits are one of the largest and fastest-growing areas of healthcare spending. In this blog, we break down three essential PBM contract provisions that can help employers gain greater transparency, improve accountability, and better manage pharmacy costs.
Read MoreNot all health insurance networks are created equal. Learn how different network strategies can influence healthcare costs, provider access, employee experience, and overall health plan performance.
Read MoreThird Party Administrators are doing far more than claims processing. Learn how modern TPAs are helping self-funded employers improve care navigation, control healthcare costs, and create a better employee benefits experience.
Read MoreStop loss coverage isn’t just for large employers. Learn how stop loss insurance works, the difference between specific and aggregate stop loss, and the key provisions small employers should understand when evaluating self-funded health plans.
Read MoreThink your EOB is a bill? It’s not! Learn how to read your Explanation of Benefits and understand what you actually owe.
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