Core and Group Health

“We have seen a surge in federal agency enforcement, new rulemaking and litigation, as well as ongoing state developments that both challenge and reinforce these federal efforts,” Laura Hancock, ERISA compliance and state law attorney for Lockton, wrote in a new report.

Benefits professionals must not only react to high-cost claims, but recognize red flags early and implement cost containment strategies before those claims escalate.

Primary care group practices look especially shaky, and reviving them after they file for bankruptcy is difficult.

About half of exchange users are self-employed or associated with small businesses.

The drug company is expected to announce across-the-board reductions on US prices, with Americans enrolled in the US Medicaid insurance program receiving “most favored nation” pricing on some Pfizer medicines.

For employer plans, site-of-care optimization can save money, add convenience and improve care quality.