Cost-Containment

Here are six things benefits advisors' employer clients should keep in mind to better engage employees during open enrollment and help them reap the true value of their health plans all year.

A judge granted the South Carolina-based health system's request for a temporary injunction, after the insurer gave "false and misleading" statements to the press about Prisma's proposed rates for 2024, according to the lawsuit.

A federal appeals court has ruled that pharmacy benefit managers are subject to ERISA, thereby PBMs working for state plans with rural employees must include brick-and-mortar pharmacies as well as mail-order pharmacies.

A potential recession would impact employers' strategies regarding their growth plans and business investments and could hinder workers' confidence and ability to participate in valued workplace benefits.

One notable change from last year is increased utilization because of delayed preventive or elective care during the pandemic, which declined from 12% to 4%.

Employers, benefit advisors and brokers need to consider that these restrictions can hinder patient access to the treatments their clinicians prescribe and worsen their outcomes while increasing health care costs, says a new study.

Implementing a primary care model into a self-funded plan can help employers build a benefits suite to match their businesses: smart, efficient and with peoples' best interests at heart.

The researchers found a 22% overall increase in mental health service utilization, part of an ongoing wave of increased interest in mental health treatment.