Insights & Analysis

Data-driven articles for self-funded employer plan managers.

Stop-Loss Insurance: Are You Overpaying for Protection?
Cost Management

Stop-Loss Insurance: Are You Overpaying for Protection?

Stop-loss premiums have surged 40% in three years, but most employers have never competitively marketed their coverage. An independent review often reveals significant savings.

Population Health Analytics: Moving Beyond Claims Reports
Data Analytics

Population Health Analytics: Moving Beyond Claims Reports

Traditional claims reports tell you what happened last year. Population health analytics tells you whats going to happen next — and what to do about it.

ERISA Fiduciary Duty: What Self-Funded Plan Sponsors Must Know
Compliance

ERISA Fiduciary Duty: What Self-Funded Plan Sponsors Must Know

Recent DOL enforcement actions are raising the bar for self-funded plan sponsor fiduciary obligations. Heres what you need to know to stay compliant.

The True Cost of Pharmacy Benefit Mismanagement
Pharmacy Benefits

The True Cost of Pharmacy Benefit Mismanagement

Pharmacy benefits represent 25-30% of total health plan spend, yet most employers have never independently verified whether their PBM is delivering fair value.

Why Self-Funded Employers Need Independent Data Analytics
Data Analytics

Why Self-Funded Employers Need Independent Data Analytics

Brokers and carriers have their own data — but whose interests does it serve? Independent analytics gives self-funded employers the unbiased insights they need to make fiduciary-grade decisions.

5 Hidden Costs in Your PBM Contract
Pharmacy Benefits

5 Hidden Costs in Your PBM Contract

Most self-funded employers dont realize their PBM contract contains pricing mechanisms that quietly inflate costs. Here are five hidden charges to watch for.