If you’ve ever explored self-funded health plans, you may have heard of “captives”, but you might not fully understand how they function or what they do. To help shed some light on this topic, TCHP founder Mike Hill highlights the benefits and risks of a captive, as...
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J&J Sued Over Contracting with PBM that Overcharged Health Plan, Enrollees
A new area of potential liability for employers was recently opened when a class-action suit was filed against Johnson & Johnson (J&J), accusing it of mismanaging its pharmacy benefit manager plan, resulting in the health plan and its enrollees overspending...
Plan Terms – and Their Various Definitions
In early February 2024, news broke of a proposed class action lawsuit against Johnson and Johnson for breach of their fiduciary duty under ERISA, also known as the Employee Retirement Income and Security Act. The plaintiff is suing J&J and their health plan...
Reflections on the Recent Johnson & Johnson Lawsuit
For those of us in the employee benefits world, quite a bombshell was dropped on Monday, February 5th when a class action lawsuit was proposed against Johnson and Johnson, and specific executives, for breach of fiduciary duty under the Employee Retirement Income and...
What Truly Defines High-Quality Healthcare?
When looking at messaging and marketing coming from both healthcare providers and health insurance carriers, we see the term “high-quality care” a lot. The problem with this phrase is that it doesn’t seem to mean the same thing across all providers, so determining...
The Shifting PBM Landscape
As we approach January 1st, many employers are yet again seeing increases to the cost of their health plan - an all too familiar product of a health insurance model that isn’t working for consumers. Time and again, we’ve seen costs rise for plan participants without...
Accessing Healthcare Quality and Cost Transparency
Sage Transparency makes hospital quality information easily and freely accessible. Many of us know the stress that comes from surprise sky-high costs after receiving healthcare services. It can feel impossible to know how much providers will charge for outpatient,...
How to Compare Hospital Prices with Sage Transparency
Thanks to Sage Transparency, healthcare consumers and employers can compare hospital prices like never before. Pricing information is readily and easily available for an endless amount of products and services… but that’s not necessarily the case for healthcare. At...
Merit Benefit Advisors Joins Forces with Total Control Health Plans
Total Control Health Plans (TCHP), a leading benefits manager for self-funded employers, is excited to announce a new strategic partnership with Merit Benefit Advisors. In the new partnership, Val McCoy, Beth Geiger and Deb Bloem will be serving current and new...
How to Prepare for the Gene and Cellular Therapy Revolution
It’s no secret that healthcare treatments are advancing like never before. Innovative technologies are yielding new medical treatments and potentially cures for a variety of illnesses, including cancers and hemophilias. With these remarkable, potentially...
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Total Control Health Plans
(616) 344-6606
148 S River Ave Ste 300, Holland, MI 49423
Total Control Health Plans
(616) 344-6606
148 S River Ave Ste 300, Holland, MI 49423