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...
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...
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...
Webinar Recap – Are You Insured For Miracles?
Did you miss our webinar on gene and cellular therapies? We'll be highlighting some of our favorite quotes and highlight videos on our LinkedIn page. You can also watch the full video recording above or on...
How to Educate Employees on Their Healthcare Plan
The health insurance industry standard is to host an open-enrollment meeting once per year, but we’ve seen firsthand that that isn’t enough. Knowledge is the foundation of employees engaging in their healthcare plan, and 20 minutes every 12 months doesn’t provide adequate time for true understanding.