Core and Group Health

Employers should take care to avoid other cost-shifting measures that can decrease treatment adherence such as overly restrictive prescription drug formularies.

Switching to ACA individual plans may be one strategy that companies use to continue supporting health benefits to retirees, says WTW survey.

CMS officials say they expect to collect more than $600 million in overpayments from the audits.

For health care plan sponsors and their benefit advisors, consultants and brokers, understanding the current market for medical stop loss insurance is essential.

Administrative costs account for 15% to 30% of U.S. health care spending – and at least half of that spending is wasteful. Researchers note that not all administrative spending is wasteful, making a distinction between spending and waste.

High spenders including the U.S. didn't rank as highly as their expenditures might indicate.