Many Group Health Plan Users Make Costly Mistakes
Employees who are unfamiliar with how to access care using their group health insurance can inflate your plan costs and how much they pay out of pocket. Those who may not use their health plan much, or at all, may end
Helping Your Employees Get the Most out of Their Health Plans
Every year employees across the country choose the wrong group health plan from their employer because they don't understand the coverage and what type of plan is best for their circumstances. This ends up costing them hundreds if not thousands of
DOL Rescinds Trump-Era Association Health Plan Rule
The Department of Labor on April 29 issued a final rule rescinding Trump-era regulations that expanded the number and types of employers that could band together to create association health plans to cover their employees. The 2018 regulations, which have
Moves Afoot to Improve Prior Authorization Times, Efficiency
The Centers for Medicare and Medicaid Services has proposed new rules aimed at streamlining the prior approval process for most health plans in the U.S. Under the proposal, starting in 2026, insurers would be required to render a decision within seven
Most Employees Spend Little Time Choosing Their Health Plan
A new study has found that individuals enrolled in high-deductible health plans (HDHPs) are more engaged than their traditional plan counterparts during open enrollment, spending more time on choosing plans and using employer-provided tools to help them make their choices. Despite
Is Health Plan Self-Funding Right for Your Firm?
As group health costs continue climbing and more employees struggle with the cost of premiums and out-of-pocket expenses, some employers are starting to take a second look at self-funded, or partially self-funded plans. These plans give employers more skin in the
Time to Comply with Health Plan Transparency Rules
July 1 was the deadline for health plans to make public their in-network negotiated rates, out-of-network billed charges, and more. While health plans will be required to post this information, employers who sponsor their group health insurance for their employees will
Many Employees Choosing the Wrong Health Plans
A new study has found that many people in employer-sponsored health plans are enrolling in plans that are costing them more than they ought to be paying. Many employees choose pricey plans with low deductibles, which force them to spend more
What You Need to Know About New Health Plan Transparency Rules
Regulations are slated to take effect over the next few years that will greatly increase the transparency requirements for group health plans. The regulations issued under the Trump administration will require health insurers in the individual and group health markets to
Few Health Plan Enrollees Know About New Price Transparency Rules
Despite a new law requiring hospitals to post detailed pricing information for their treatments and procedures online, fewer than 10% of U.S. adults are aware of the requirement. That's a problem considering that a growing number of Americans have high-deductible health