Featured Resources

We're here to help you stay ahead of the self-funded health insurance curve.

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The Hidden Cost of Healthcare: Why TPA Fees for Out-of-Network Claims Hurt Employers and Employees

TPAs play a crucial role in processing claims, managing provider networks, and ensuring regulatory compliance. But there's a growing concern that often goes unnoticed until it's too late: fees for processing routine out-of-network claims.

Cancer patient hugging a nurse in a hospital setting

February 25, 2025

Managing a Cancer Diagnosis as a Self-funded Health Plan

High-quality healthcare requires a whole-person approach. When it comes to managing a cancer diagnosis and choosing the right treatment plan, personalization matters more than ever.

Three employees talking around a conference table

January 11, 2025

Self-Funding 101: An Employer’s Guide

Self-funding is a powerful alternative for companies that want more flexibility and cost control over their healthcare benefits.

Medical provider reviewing paperwork and billing

November 15, 2024

Understanding the Independent Dispute Resolution Process: A Tool Against Surprise Medical Costs

A “surprise medical bill” happens when an insured person inadvertently receives care from out-of-network hospitals, doctors, or other providers.

Woman speaking to her doctor about maternal health

October 28, 2024

How Self-funded Employers Can Support Maternal Health

Proactive intervention is key across healthcare. For maternal care, it’s especially critical.

Pack of pink pills in foil

September 23, 2024

Compliance Update: How Medicare Part D Changes Impact Employer Health Plans

Plan sponsors must re-evaluate whether their prescription drug coverage meets the “creditable coverage” criteria.

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