Understanding Prior Authorization in Pharmacy Benefits. Heading to the pharmacy to fill a prescription only to be told it needs prior authorization can be frustrating for employees, but it is an important step in the healthcare system.In many pharmacy benefit plans, prior authorization is a built-in review step designed to ensure certain medications are safe, […]

Navigating Prior Authorization: A Checkpoint on Your Healthcare Journey. Just like planning a road trip, navigating a medical plan involves important checkpoints along the way. With employee benefits, one of the most important checkpoints is prior authorization, a step that helps ensure the care provided is safe, appropriate, and aligned with the plan’s benefits.Before certain […]

The Hidden Cost of Last-Minute Benefits Decisions. You wouldn’t wait for your car to break down before changing the oil, and an operations manager wouldn’t let a key piece of equipment grind to a halt before scheduling maintenance. Yet when it comes to employee benefits, many companies only start thinking about strategy once renewals begin—and […]

Beyond the Fine Print: When Benefits Strategy Meets Real Health Crises. Every health plan can look good on paper—until a life-changing diagnosis puts it to the test. For employers, these moments aren’t just administrative challenges; they’re human ones. Behind every claim is a real person, often facing a serious medical crisis. That’s when the fine […]

In a candidate-driven market, organizations must think beyond traditional compensation packages to attract and retain top talent. As the workforce evolves, employees increasingly value comprehensive benefits that support their overall well-being and lifestyle. Companies that implement innovative employee benefits strategies often see improved employee satisfaction, increased productivity, and reduced turnover rates. Understanding and implementing the […]

The end of GLP-1 Shortages-What Employers Need to Know. The FDA recently declared that the shortage of GLP-1 medications is over—for now. This shift could mean that access to compounded, less expensive weight loss medications will become limited, if not inaccessible. This change could push patients back to the doctor for prescriptions for higher-priced medications, […]

A strong employee benefits package helps organizations build and maintain successful teams. As an employer, understanding the complexities of benefits administration—from coverage requirements to cost management—directly impacts your ability to support and retain valuable employees. Many business owners and HR professionals face challenging decisions about which benefits to offer and how to structure their programs […]

Healthcare is failing our community. Despite being one of the wealthiest nations in the world, millions of Americans struggle to pay the high costs of healthcare, and while there is no single solution to this complex issue, there are steps that can be taken to address it.The relationship between doctors, hospitals and insurance companies known […]

Don’t Let Post-Enrollment Oversights Lead to Costly Penalties. The beginning of the year can be an exciting time for businesses—employees return to work refreshed, and a new fiscal year begins, leading to new budgets and hiring plans. But as the first quarter begins and operations resume, now is not the time to put the brakes […]

High-cost Claimants: Is the Affordability of Your Benefits Plan at Risk? For most employers, prescription drugs, doctor fees or an unexpected visit to the emergency room is top of mind when considering high-cost claimants and their benefits program. The last thing is usually a cancer diagnosis.But with more people being diagnosed with cancer every year, […]